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.
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Related Questions
Correct Answer is D
Explanation
A. The parents will be able to understand CPR skills is a vague goal. Understanding is important but does not demonstrate competency or mastery of the skills needed in an emergency situation.
B. The infant will not require further hospitalization is not a realistic learning goal for parents, as it is outside their control and pertains more to the child's medical condition, not their ability to perform CPR.
C. The parents will call the hospital if the infant stops breathing is useful but does not encompass the full goal of CPR training, which is to equip parents with the skills to immediately intervene.
D. The parents will demonstrate infant CPR skills is the most appropriate goal because it is specific, measurable, and directly reflects the learning objective: to teach parents the hands-on skill of performing infant CPR.
Correct Answer is C
Explanation
A. Being a patient advocate would involve respecting Mrs. Miller’s autonomy and ensuring that her rights are considered, including the right to refuse treatment. The nurse’s actions do not demonstrate advocacy for Mrs. Miller's personal wishes.
B. Not being sympathetic is part of the scenario, but the main issue is the lack of respect for the patient's autonomy rather than a lack of sympathy.
C. Being unethical in caring is the most accurate answer. The nurse's actions violate Mrs. Miller’s right to make decisions about her care. Autonomy is a fundamental ethical principle in healthcare, and the nurse should have engaged in discussion with the patient, offering education and exploring reasons for her refusal, rather than making her take the medication.
D. Adequate practice because the nurse was busy is not an appropriate justification. Ethical care requires respect for the patient’s rights and choices, regardless of the nurse's workload.
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