A nurse is caring for a client who is deaf. Which of the following is a barrier to communication?

In the context of communicating with a client who is deaf, avoiding facial expressions can significantly hinder effective communication. Facial expressions are vital components of non-verbal communication, especially in interactions involving sign language, where they can convey tone, emotion, and meaning. When a nurse minimizes or avoids facial expressions, it can lead to misunderstandings and a lack of engagement, making it difficult for the client to grasp the full context of the message being conveyed.

On the other hand, using clear verbal instructions, speaking slowly and distinctly, and utilizing assistive communication devices are all strategies aimed at enhancing communication. These options facilitate better understanding and ensure that the client feels included in the conversation, which is particularly important given the challenges posed by hearing loss. Therefore, recognizing and addressing barriers like avoiding facial expressions is crucial for effective communication in nursing practice.