A nurse is caring for a client with hearing loss in a long-term care facility. The nurse has provided teaching to the client to improve her ability to understand others. Identify the following statements the client makes to the nurse after receiving education as effective or ineffective in supporting her ability to hear individuals who communicate with her.

Facing the Light (Ineffective): The speaker should face the light, not the listener. If the listener faces the light, the speaker's face will be in shadow, making it much harder for the client to see lip movements and facial expressions. Speaking into the Ear (Ineffective): Speaking directly into an ear removes the client's ability to see the speaker's face for non-verbal cues. Additionally, shouting or speaking too closely can actually distort the sound for people with certain types of hearing loss. Verifying Understanding (Effective): This is a critical safety and communication check. Using the "teach-back" method or asking the client to repeat key points ensures that the message was received accurately. Talking at a Distance (Ineffective): To read lips effectively, the speaker needs to be relatively close (usually 3 to 6 feet) and at eye level. Distance reduces the clarity of both the visual and auditory signal. Facing and Using Gestures (Effective): This follows the gold standard of "Clear Speech" techniques. Facing the client directly allows for lip-reading, while gestures provide context to the spoken words.