Which option best describes the first step in communicating with a client who is deaf and has schizophrenia?

• A. Face the client when speaking so the client can read lips
• B. Determine how the client prefers to communicate
• C. Contact a sign-language interpreter to communicate with the client
• D. Evaluate the client's understanding of the message

Answer: (A)

The key idea here is ensuring clear access to your communication. Facing the client when you speak allows them to read your lips and observe facial expressions, which are crucial cues for someone who is deaf. This immediate visibility helps minimize misunderstandings and makes it possible for the client to use lip-reading or interpret nonverbal signals, which is often essential in schizophrenia where processing speech can be challenging. This approach creates a ready channel for any preferred method the client might use—lip-reading, sign language, or written communication—before you decide on specific supports like an interpreter. After you establish this visible, clear communication, you can then determine the client’s preferred method or bring in an interpreter if needed. Evaluating whether the message was understood should come after the message is delivered, not before ensuring the client can actually perceive it.