A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?
Return demonstration
Role play
Discussion
Questions and answer
The Correct Answer is A
A. Return demonstration: The nurse demonstrates the procedure to the client and then asks the client to perform the same procedure. This allows the nurse to assess the client’s ability to correctly execute the skill and provides an opportunity for feedback and correction.
B. Role play: Role play involves the client pretending to be in a certain situation or assuming a particular role, often to practice communication or problem-solving skills. In this case, the focus is on teaching the client a physical task, not engaging in a simulated scenario.
C. Discussion: Discussion is a verbal exchange where the nurse provides information and clarifies any doubts the client may have. While this is an important strategy for knowledge transfer, it does not involve the client physically practicing the procedure.
D. Questions and answer: A question-and-answer format helps to assess understanding and clarify misconceptions. However, it does not provide the client with the opportunity to demonstrate their ability to perform the task.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Evaluation: Evaluation involves determining whether established goals have been met after nursing interventions, which occurs later in the process than discharge planning. It is focused on measuring outcomes rather than preparing them.
B. Analysis: Analysis (also called diagnosis) is the step where the nurse interprets assessment data to identify client problems, but it does not involve coordination of discharge services or interprofessional collaboration.
C. Planning: Planning includes setting goals, determining priorities, and coordinating with other health care professionals to develop strategies for discharge and continued care. This ensures the client’s needs are met after leaving the facility.
D. Assessment: Assessment involves collecting data about the client’s health status, which is foundational but does not include the step of coordinating a discharge plan or working with interdisciplinary teams.
Correct Answer is D
Explanation
A. Administration of hypotonic fluids: Hypotonic fluids would worsen hyponatremia by further diluting the sodium concentration in the blood. This intervention is contraindicated in patients with both low sodium levels and fluid overload.
B. Placement of an indwelling catheter: While a catheter may be used for monitoring output, it does not address fluid volume excess or hyponatremia. Invasive devices should only be used when clinically necessary and not as a primary treatment.
C. Administration of calcium gluconate: Calcium gluconate is used to manage hyperkalemia or hypocalcemia, not hyponatremia. It has no therapeutic effect in correcting sodium imbalance or fluid volume excess.
D. Fluid restriction: Restricting fluids is the appropriate treatment for a patient with hyponatremia and fluid overload. It helps prevent further dilution of sodium and reduces excess fluid in the body, aiding in restoring balance.
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