A nurse is educating a client who is under protective isolation precautions. Which statement from the client indicates they have understood the teaching?

Choice A rationale: Group discussions represent the cognitive and affective domains of learning. They allow participants to share knowledge and feelings but do not involve the physical manipulation required for psychomotor skills.

Choice B rationale: Query and answer sessions focus on the cognitive domain. They address the learner's need for information and clarification of facts rather than the development of physical coordination or manual dexterity.

Choice C rationale: Practice sessions are the definitive psychomotor approach. They require the learner to physically perform a task, such as changing an ostomy appliance, to develop muscle memory and technical proficiency.

Choice D rationale: Role play primarily addresses the affective domain by exploring attitudes and behaviors. While it involves action, it focuses on social and emotional responses rather than specific technical or manual tasks.

Choice A rationale

Inserting the suction catheter while the patient is swallowing is not the recommended technique for nasotracheal suctioning. This could cause discomfort and potentially lead to aspiration.

Choice B rationale

Applying intermittent suction when withdrawing the catheter is the correct technique for nasotracheal suctioning. This helps to remove secretions effectively while minimizing trauma to the nasal and tracheal mucosa.

Choice C rationale

Placing the catheter in a location that is clean and dry for later use is not a recommended practice. After suctioning, the catheter should be properly cleaned or disposed of to prevent infection.

Choice D rationale

Holding the suction catheter with their clean, non-dominant hand is not a recommended practice. The nurse should use clean gloves and proper hand hygiene when performing nasotracheal suctioning to prevent infection.