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 longer duration to promote participation.

Assist the clients with establishing long-term goals.

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

Ensure the teaching sessions occur right before bedtime.

Answer and Explanation

The Correct Answer is C

Choice A Reason:
Scheduling teaching sessions for a longer duration may not necessarily promote participation among older adults. In fact, prolonged sessions can lead to fatigue and decreased attention, especially in older populations who may have reduced stamina for long activities.

Choice B Reason:
While assisting clients with establishing long-term goals is beneficial for motivation and direction, it is not directly related to eliminating barriers to learning. Goals are more about the outcomes of learning rather than the process itself.

Choice C Reason:
Using "I" statements rather than "you" statements can help eliminate barriers to learning by creating a non-threatening environment. This approach encourages personal responsibility and reduces defensiveness, allowing for more open and effective communication.

Choice D Reason:
Ensuring that teaching sessions occur right before bedtime is not advisable. Older adults may be more tired at the end of the day, and this timing could interfere with their ability to concentrate and retain information.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The nurse should clarify the prescription for clozapine due to the client’s WBC count.

Choice A: Lorazepam

Reason: Lorazepam is a benzodiazepine used for anxiety and sedation. It is not typically associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of lorazepam.

Choice B: Clozapine

Reason: Clozapine is an antipsychotic medication known to cause agranulocytosis, a potentially life-threatening decrease in white blood cells. Regular monitoring of WBC count is required for patients on clozapine. The client’s WBC count of 4,800/mm³ is below the normal range (5,000 to 10,000/mm³), indicating a risk for further decrease, which necessitates clarifying the prescription.

Choice C: Fluoxetine

Reason: Fluoxetine is an SSRI used to treat depressive disorders. While it has various side effects, it is not commonly associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of fluoxetine.

Choice D: Loratadine

Reason: Loratadine is an antihistamine used for allergies. It is not typically associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of loratadine.

A. Temperature B. Hallucinations C. Oxygen saturation D. Heart rate E. Orientation F. Blood pressure

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

Explanation

Choice A: Temperature
Reason: The client’s temperature decreased from 38.6°C (101.5°F) at 0200 and 0415 to 37.2°C (98.9°F) at 1400. This indicates a reduction in fever, which is a sign of improvement in the client’s condition.
Choice B: Hallucinations
Reason: Initially, the client was experiencing hallucinations, as evidenced by the statement about seeing someone in an empty chair. By 1400, no hallucinations were observed, indicating an improvement in the client’s mental status.
Choice C: Oxygen Saturation
Reason: The client’s oxygen saturation remained stable at 98% on room air throughout the observations. While this is within the normal range (95-100%), it does not indicate a change or improvement in the client’s condition.
Choice D: Heart Rate
Reason: The client’s heart rate decreased from 104/min at 0200 and 108/min at 0415 to 78/min at 1400. This reduction to within the normal range (60-100 beats per minute) indicates an improvement in the client’s condition.
Choice E: Orientation
Reason: Initially, the client was confused and disoriented. By 1400, the client was awake, oriented to person and place, and watching television, indicating an improvement in cognitive function.
Choice F: Blood Pressure
Reason: The client’s blood pressure decreased from 158/96 mm Hg at 0200 and 148/94 mm Hg at 0415 to 128/84 mm Hg at 1400. This reduction to within the normal range (90/60 mm Hg to 120/80 mm Hg) indicates an improvement in the client’s condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a client who has schizophrenia. Exhibits Complete the following sentence by using the list of options. The nurse should clarify the prescription for dropdown due to the client’s dropdown .

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The nurse should clarify the prescription for clozapine due to the client’s WBC count.

The nurse has reviewed the nurses’ notes, medication administration record, and vital signs at 1400. Exhibits Based on the findings, which of the following client findings indicate an improvement in the client’s condition? (Select all that apply.)

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

Explanation

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