A nurse is assisting with teaching a group of older adult clients about behavioral expectations.
Which of the following actions should the nurse take to help eliminate barriers to learning?

Schedule the teaching sessions for a long time to promote participation.

Use "I" statements rather than "you" statements.

Assist the clients with establishing long-term goals.

Ensure the teaching sessions occur right before bedtime.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Scheduling long teaching sessions is not effective for older adults, as it can lead to fatigue and decreased attention. Short, focused sessions are more beneficial to promote participation and information retention among older adults, who may have limitations in concentration and stamina.

Choice B rationale

Using "I" statements rather than "you" statements helps build rapport and reduces defensiveness. It fosters a supportive learning environment by focusing on the instructor's perspective and experiences, making the communication more personal and less confrontational.

Choice C rationale

Assisting clients in establishing long-term goals is important but not the primary method to eliminate learning barriers. Effective teaching strategies for older adults should prioritize immediate and relevant information that can be easily understood and applied, rather than focusing solely on long-term planning.

Choice D rationale

Ensuring teaching sessions occur right before bedtime is not advisable for older adults, as they may be tired and less receptive to new information. Optimal learning times should be chosen based on the clients' energy levels and alertness, typically earlier in the day.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: Maintaining a low stimulation environment helps reduce agitation and confusion in clients with delirium. Minimizing noise, light, and activity can create a calming atmosphere, which is essential for clients experiencing sensory overload and cognitive disturbances.

Choice B rationale: Alternating nursing staff daily can disrupt continuity of care, which may increase the client's confusion and anxiety. Familiarity with consistent caregivers helps provide a stable environment, promoting better management of delirium symptoms.

Choice C rationale: Providing the client with limited information about their diagnosis is not helpful. It is important to keep the client informed to the extent they can understand, which helps in reorienting them and reducing confusion about their situation.

Choice D rationale: Approaching the client slowly is crucial in managing agitation and confusion. A calm and non-threatening approach helps in gaining the client's trust, making them feel more secure and reducing the likelihood of aggressive behavior.

Choice E rationale: Reorienting the client to person, place, and time frequently is vital in managing delirium. Regular reorientation helps the client regain a sense of reality and reduces confusion. This intervention is key to improving cognitive function and managing disorientation.

A. A client who is repeatedly approaching the nurses' station to request medication for his anxiety. B. A client who is standing in her room, yelling obscenities, and throwing her clothes. C. A client who has bipolar disorder and is continuously pacing at the end of the hall. D. A client in the dayroom who is screaming at other clients about what is on the television.

Correct Answer is B

Explanation

Choice A rationale

While this client may need attention, the behavior is not immediately dangerous.

Choice B rationale

This client requires immediate attention due to the risk of harm to herself and others through throwing objects and yelling, which indicates potential for escalation.

Choice C rationale

Pacing, although concerning, does not pose an immediate risk of physical harm compared to Choice B.

Choice D rationale

The client is disruptive but not immediately dangerous compared to the client in Choice B who poses a more direct risk.

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A nurse is assisting with teaching a group of older adult clients about behavioral expectations.Which of the following actions should the nurse take to help eliminate barriers to learning?

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A nurse is assisting with teaching a group of older adult clients about behavioral expectations.
Which of the following actions should the nurse take to help eliminate barriers to learning?