A nurse is planning a teaching session for a group of adolescents who each recently had an ostomy surgically placed. Which of the following methods should the nurse use as a psychomotor approach to learning?
Group discussions
Query answer meetings
Practice sessions
Role play
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Granulation tissue covering the wound bed is a positive sign of wound healing. Granulation tissue is a key component of the wound healing process, typically forming during the proliferation phase. It consists of new connective tissue and tiny blood vessels that develop in the wound bed as part of the body’s response to injury. Therefore, the presence of granulation tissue covering the wound bed indicates an improvement in the patient’s condition.
Choice B rationale
Slight erythema at the wound edges could be a sign of inflammation or infection. Erythema, or redness of the skin, is often associated with inflammation or infection. While it can be a normal part of the healing process, persistent or increasing erythema could indicate a problem such as infection or irritation. Therefore, slight erythema at the wound edges does not necessarily indicate an improvement in the patient’s condition.
Choice C rationale
The surrounding tissue being warm to touch could be a sign of inflammation or infection. When skin feels hot to the touch, it often means that the body’s temperature is hotter than normal. This can happen due to an infection or an illness, but it can also be caused by an
environmental situation that increases body temperature. Therefore, the surrounding tissue being warm to touch does not necessarily indicate an improvement in the patient’s condition.
Choice D rationale
The patient reporting pain as a 2 on a scale from 0 to 10 could indicate that the patient’s pain is minor. On a pain scale, a score of 2 usually indicates minor pain. However, pain is a subjective experience and can vary greatly among individuals. Therefore, while a lower pain score generally suggests less severe pain, it does not necessarily indicate an improvement in the patient’s overall condition.
Correct Answer is A
Explanation
The nurse’s priority action should be to determine the reasons why the client is refusing to use the incentive spirometer. Understanding the client’s concerns or fears can help the nurse address them and encourage the client to participate in this important aspect of postoperative care.
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