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CE Connection

More than signing: Communicating with the deaf

Author Information
Nursing Management (Springhouse): March 2014 - Volume 45 - Issue 3 - p 27-28
doi: 10.1097/
  • Free

INSTRUCTIONS More than signing: Communicating with the deaf


  • To take the test online, go to our secure website at
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 28. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
  • Registration deadline is March 31, 2016.


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Lippincott Williams & Wilkins, publisher of Nursing Management, will award 2.3 contact hours for this continuing nursing education activity.

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This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours, the District of Columbia, and Florida #50-1223. Your certificate is valid in all states.

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More than signing: Communicating with the deaf

GENERAL PURPOSE: To provide information about improving communication with people who are deaf/HOH. LEARNING OBJECTIVES: After reading the article and taking this test, you'll be able to: 1. Identify the communication problems of deaf/HOH patients and laws protecting these patients. 2. Evaluate advantages and disadvantages of communication options available for communication with patients who are deaf/HOH.

  1. Which is the best way to communicate with patients who are deaf/HOH?
    1. Stand in front of bright lights or windows.
    2. Speak at a very slow pace and shout.
    3. Exaggerate lip movements.
    4. Use facial expressions and gestures to clarify.
  2. The feeling of cultural identity in the deaf/HOH community is strongest among those
    1. who primarily use lip reading to communicate.
    2. who became deaf later in life.
    3. who use English text-based communication.
    4. who primarily use sign language to communicate.
  3. Gestuno is
    1. a universal sign language created by the World Federation of the Deaf.
    2. a U.government agency that oversees the national associations of the deaf.
    3. the English text-based form of communication used by the deaf.
    4. a name for a deaf/HOH culture.
  4. A study using interpreters in a large teaching hospital found that
    1. interpreters were consistently used.
    2. physicians often chose not to use them.
    3. using written notes was more effective.
    4. patients chose to use family to interpret.
  5. Under the ADA,
    1. nurses who can sign may provide communication to deaf patients.
    2. facilities are mandated to provide sign language interpreters.
    3. family members may provide communication.
    4. hospitals must provide interpreters for deaf patients but not for deaf family members.
  6. Title VI of the Civil Rights Act of 1964 specifies that hospitals must
    1. use sign language with all deaf/HOH patients.
    2. communicate to patients of all races, cultures, and religions.
    3. provide adequate language support for those with limited English proficiency.
    4. always use written communication with deaf/HOH patients for documentation.
  7. After unsuccessful attempts at obtaining an interpreter, the nurse documents the number of
    1. different interpreters called.
    2. attempts made to reach interpreters.
    3. times an interpreter was used in the past.
    4. coworkers who know ASL.
  8. In an emergency involving a patient who's deaf, the nurse should
    1. find a visitor who knows sign language.
    2. speak loudly and slowly to the patient.
    3. leave the room to call an interpreter.
    4. clearly document the reason for no interpreter.
  9. The system in which an operator types into a computer that displays words on a screen for the patient is called
    1. VRI.
    2. CART.
    3. TTY.
    4. VRS.
  10. When using VRS, the person who's deaf/HOH
    1. types information to an operator.
    2. types a message into a telephone.
    3. uses lip reading for communication.
    4. signs to an interpreter via a web camera.
  11. The Registry of Interpreters for the Deaf states that a CDI must
    1. be either deaf or HOH.
    2. use sign language.
    3. be able to hear.
    4. pass an international certification exam.
  12. Which statement is correct about lip reading among people who are deaf/HOH?
    1. Typically, all individuals who are deaf can read lips accurately.
    2. The best lip readers can interpret about 30% of all spoken sounds.
    3. The best lip readers can interpret about 80% of all spoken sounds.
    4. Lip reading is better for complex communication than sign language.
  13. The use of sign language involves the interpretation of all of the followingexcept
    1. perceptions.
    2. expressions.
    3. cultural nuances.
    4. intentions and expectations.
  14. To communicate, sign language interpreters use facial expressions, hand shapes, and
    1. movement.
    2. varied voice tones.
    3. nonword sounds.
    4. sketches or drawings.
  15. Which statement is correct about interpretation via the Internet for deaf/HOH patients?
    1. More languages are offered through local services than the Internet.
    2. Services are sporadically available for patients who are deaf/HOH.
    3. Using interpreters over the Internet involves higher costs to hospitals.
    4. Services are available using real-time video devices.
  16. Interpretation services for deaf/HOH patients via the Internet
    1. are the most superior and least risky.
    2. have a high risk of inaccuracy.
    3. always offer certified and licensed interpreters.
    4. require interpreters to be educated in medical terminology.
  17. In a study of 13 interpreted meetings with healthcare professionals, how many interpreted errors were found?
    1. 4
    2. 40
    3. 400
    4. 4,000
  18. If a deaf/HOH patient is injured from poor communication by a healthcare professional,
    1. there's no liability.
    2. the deaf/HOH person must accept responsibility for the miscommunication.
    3. the hospital is solely liable.
    4. the healthcare professional is at risk for serious legal consequences.
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