A nurse is providing preoperative education for a client who will undergo a mastectomy for cancer of the breast. Which of the following would the nurse do to facilitate learning? Select the 4 correct answers (Select All that Apply.)

Organize your teaching material and methods

Provide a private, quiet, and comfortable room to conduce the teaching

Schedule teaching sessions at optimal times for learning

Use the psychomotor domain to educate this patient

Provide age appropriate teaching material

Answer and Explanation

Correct Answer : A,B,C,E

A. Organizing teaching materials and methods is essential to ensure that the information is delivered clearly and effectively, which helps facilitate the learning process.
B. Providing a private, quiet, and comfortable environment minimizes distractions and promotes better focus, which aids in learning.
C. Scheduling teaching at times when the patient is alert and receptive increases the likelihood of successful learning.
D. While the psychomotor domain could be relevant if the patient is learning specific skills (such as post-operative care), this is not a key component of preoperative education for a mastectomy.
E. Providing age-appropriate teaching material ensures that the content is relevant and understandable to the patient, making it easier for them to retain and apply the information.

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Correct Answer is C

Explanation

A. Telling involves providing information to the patient in a one-way manner without significant interaction or involvement from the patient in performing the task.
B. Reinforcing is when the nurse encourages or praises the patient for performing the task correctly, but this does not involve active participation in the task itself.
C. Participating is the correct answer. This approach involves the nurse and patient working together. The nurse provides guidance while the patient is actively performing the task, fostering skill development and confidence.
D. Entrusting involves allowing the patient to take responsibility for their care and making decisions independently, typically after initial guidance. This does not match the scenario where the nurse is still guiding the patient.

A. Have the client take deep breaths when auscultating B. Have the client lean forward, and turn his head to the side C. Have the client hold his breath during auscultation D. Have the patient cough before each auscultation site

Correct Answer is C

Explanation

A. Having the client take deep breaths is not typically necessary during carotid auscultation. Deep breathing could interfere with the ability to listen to the carotid sounds clearly.
B. Having the client lean forward and turn their head may improve access to the carotid arteries, but it is not the primary recommendation for auscultation.
C. Having the client hold their breath during auscultation is important as it helps eliminate any sounds caused by respiration, allowing the nurse to hear murmurs or bruits more clearly.
D. Coughing before auscultation is unnecessary and would not aid in accurately assessing the carotid arteries.

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A nurse is providing preoperative education for a client who will undergo a mastectomy for cancer of the breast. Which of the following would the nurse do to facilitate learning? Select the 4 correct answers (Select All that Apply.)

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