Nokea
The nurse is discharging a client with an indwelling Foley catheter. Which instructional method is best when teaching a psychomotor learner about the care necessary?
- A. Provide a booklet that outlines directions.
- B. Provide the phone number of a nursing agency to assist with care.
- C. Provide testimonials of others who have had a Foley catheter at home.
- D. Provide the Foley catheter and equipment to handle and practice care.
Correct Answer: D
Rationale: A psychomotor learner prefers to learn by doing. Providing equipment enables the learner to use the equipment and reinforces the necessary care. The booklet would be appropriate for the cognitive learner. A nursing agency is most often ordered by a physician for nursing care but is not a daily service. Testimonials are effective for affective learners.
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The nurse is employed at a diabetic clinic and is assisting a client with maintenance of blood glucose status. When assessing nurse-client responsibilities, which responsibility does the nurse most expect of the client?
- A. Be courteous to others.
- B. Comply with the therapeutic regimen.
- C. Be nonjudgmental.
- D. Possess knowledge.
Correct Answer: B
Rationale: The nurse most expects the client to comply with the therapeutic regimen. The other options are nursing responsibilities.
An experienced nurse is evaluating a new nurse to the unit who is providing discharge instructions to an adult client. The experienced nurse views the following: The new nurse approaches and decreases the volume on the television and then sits beside the client, presenting the information to the client and spouse. The new nurse states, 'You are to take ciprofloxacin 250 mg, two tablets b.i.d. A regular diet is ordered, and you are to follow up with your physician in 2 weeks. Here is printed information on the medication ordered.' The new nurse obtains appropriate signatures and leaves. Which point would the experienced nurse address?
- A. The nurse should use shorter sentences when teaching.
- B. The nurse should improve professionalism and stand.
- C. The nurse should minimize medical terms when teaching.
- D. The nurse should continue with the same method without changes.
Correct Answer: C
Rationale: When teaching adult clients, it is best to minimize technical terms and medical jargon ('b.i.d.' for example) whenever able. The nurse used appropriate sentence length. Sitting beside the client is appropriate, and it is best to reduce noise and distraction by decreasing the volume of the television. With minimal change, the new nurse can improve with teaching skills.
Which of the following is a client responsibility in the nurse-client relationship?
- A. Remain nonjudgmental.
- B. Comply with the therapeutic regimen.
- C. Function as an advocate.
- D. Perform prescribed skill safely.
Correct Answer: B
Rationale: Complying with the therapeutic regimen is a client responsibility. Remaining nonjudgmental, functioning as an advocate, and performing a prescribed skill safely are nurse responsibilities.
Which of the following nurse statements is completed in the working phase of the nurse-client relationship?
- A. Tell me about your religious beliefs during this season of the year.
- B. I will put a chair in the bathroom so you can begin personal care. I will return to assist you as needed.
- C. I understand that you are feeling anxious about going home. Let me assess you before we talk.
- D. Let's talk about a way to assist you to a standing position so you can walk in the hall.
Correct Answer: B
Rationale: During the working phase of the nurse-client relationship, the nurse and the client puts the mutually developed plan into action. Each person shares in performing the task that leads to the desired outcome, which supports the client's independence. In the introductory phase, the nurse should be gathering information regarding religious beliefs. In the terminating phase, the client may feel apprehensive about assuming independent activity or self-care. Developing the plan with activities such as assisting to a standing position to walk in the hall is completed in the introductory phase.
Which of the following teaching scenarios best illustrates the nurse providing informal teaching on a low-sodium diet?
- A. The nurse discusses dietary guidelines while the client watches a cooking show on television.
- B. The nurse, client, and spouse review dietary orders on the discharge instructions.
- C. The nurse and client discuss the sodium contained in prepared canned soup.
- D. The nurse and client meet with a dietitian to discuss ways of limiting sodium.
Correct Answer: A
Rationale: Informal teaching is unplanned and occurs spontaneously such as when the client is watching television and a teaching moment occurs. The remaining options involve formal teaching to meet the goal of dietary teaching on a low-sodium diet.