A nurse is preparing an instructional session for a client about managing episodes of constipation. Which of the following actions should the nurse take first when meeting with the client?
Encourage the client to participate actively in learning
Determine what the client knows about constipation
Identify goals the nurse and the client agree are reasonable
Select method of instruction to be used during the session
The Correct Answer is B
A. Encouraging active participation is essential for effective learning but is more appropriate after assessing the client’s current knowledge.
B. Determining what the client knows about constipation is the first step in the teaching process. It allows the nurse to assess the client’s baseline understanding and tailor the education accordingly.
C. Identifying shared goals is an important step in the planning phase but follows the assessment of the client’s knowledge and needs.
D. Selecting the instructional method comes later, once the nurse has assessed the client’s knowledge and learning preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Constriction of the pupils is the correct response. When testing for accommodation, the pupils constrict as the patient focuses on a near object, demonstrating normal accommodation.
B. Disconjugate movement of the eyes (where the eyes do not move together) is an abnormal finding. The eyes should move symmetrically and conjugately (together).
C. Consensual light reflex refers to the pupillary response to light in one eye causing a constriction in both eyes, but this is not part of the accommodation test.
D. Dilation of the pupils is the opposite of what should occur during accommodation. The pupils should constrict when focusing on a near object.
Correct Answer is D
Explanation
A. Ophthalmoscope is used to inspect the eyes, not the ears, nose, mouth, or throat.
B. Stethoscope is primarily used for auscultation (listening to heart, lung, and bowel sounds), not for inspecting the ears, nose, mouth, or throat.
C. Gauze sponge might be helpful for some tasks but is not necessary for a general inspection of the ears, nose, mouth, and throat.
D. Penlight is the correct equipment for inspecting the ears, nose, mouth, and throat. It provides focused light to help examine these areas effectively.
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