A nurse is assisting in a teaching plan for a client who has impaired cognition. Which of the following actions should the nurse include in the plan?
Avoid making eye contact with the client during the educational session.
Involve the client's family in the educational session.
Provide long educational sessions.
Speak quickly to the client.
The Correct Answer is B
A. Avoid making eye contact with the client during the educational session:
Making appropriate eye contact builds rapport and helps maintain attention. Avoiding eye contact may increase confusion or disengagement.
B. Involve the client's family in the educational session:
Family members can reinforce teaching, assist with recall and adherence, and help implement care plans when the client has impaired cognition. Including caregivers improves understanding and continuity of care.
C. Provide long educational sessions:
Clients with cognitive impairment have limited attention spans; short, frequent, repetitive teaching sessions are more effective than long ones. Keep teaching sessions brief and focused.
D. Speak quickly to the client: Speaking slowly, clearly, and using simple language improves comprehension. Rapid speech can increase confusion and reduce retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cloudy urine:
Cloudy urine is more commonly associated with infection, pyuria, or heavy sediment; it’s not a reliable sign of dehydration. Dehydration typically produces concentrated, clear but dark urine rather than cloudy urine.
B. Urine osmolality of 200 mOsm/kg:
An osmolality of ~200 mOsm/kg indicates relatively dilute urine. In dehydration the kidneys conserve water and urine osmolality increases (often >500–800 mOsm/kg) to concentrate urine.
C. Urine specific gravity of 1.015:
A specific gravity of 1.015 is within the near-normal to slightly concentrated range but is not strongly suggestive of significant dehydration. Dehydration usually produces a higher specific gravity (e.g., ≥1.020–1.030) reflecting concentrated urine.
D. Dark-colored urine:
Dark, concentrated urine is a classic sign of dehydration because reduced intravascular volume leads the kidneys to conserve water, producing urine that is darker in color and has higher specific gravity and osmolality.
Correct Answer is B
Explanation
A. "I will wear earphones during this test.":
Wearing earphones is not part of the Rinne test (that is used with audiometers for formal audiometry, not the bedside Rinne).
B. "A tuning fork is placed on my head.":
The Rinne test uses a tuning fork placed initially on the mastoid bone (behind the ear) to test bone conduction, then moved next to the ear canal to test air conduction; while the wording “on my head” is imprecise (the Weber test places the fork on the forehead/vertex), this option is the closest to indicating a tuning-fork–based bedside hearing test.
C. "A small probe is placed inside my ear.":
Probes inserted into the ear are used for tympanometry or otoacoustic emissions testing, not the bedside Rinne test.
D. "Small electrodes are placed on my scalp.":
Electrodes on the scalp are used for EEG or auditory brainstem response (ABR) testing-not for Rinne.
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