A nurse is teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?
Lecture.
Role play.
Query and answer.
Teach-back.
The Correct Answer is D
Choice A rationale
Lecture is a passive teaching method where the educator provides information to the learner without requiring immediate participation or verification of understanding. It is useful for delivering large amounts of information to groups but does not allow the nurse to assess the client's actual retention or physical ability to perform a task. In this scenario, the nurse is actively seeking a demonstration of understanding from the client, which exceeds the scope of a lecture.
Choice B rationale
Role play involves the nurse and client acting out a scenario to practice social or communication skills. While it can be used for teaching, it is usually focused on emotional responses or complex interpersonal interactions rather than the verification of a specific technical procedure like eye drop instillation. The nurse in this question is asking for a verbalization of steps rather than acting out a situational scenario between two distinct characters or roles.
Choice C rationale
Query and answer, or question and answer, is a method used to clarify specific points or address gaps in knowledge. While the nurse is asking the client a question, the specific intent of asking the client to explain the entire procedure back is a structured pedagogical technique. Query and answer sessions are typically more fragmented and focused on individual facts rather than a comprehensive assessment of the client's ability to synthesize and repeat instructions.
Choice D rationale
Teach-back is a formal evidence-based communication loop where the nurse asks the client to explain the information or procedure in their own words. This method confirms that the client understands the teaching and allows the nurse to correct any misconceptions immediately. It is the gold standard for verifying health literacy and ensuring safety in self-administration of medications. By having the client explain the steps, the nurse ensures the instructions were clear and understood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A respiratory rate of 28/min is considered tachypneic, as the normal range for an adult is typically 12 to 20 breaths per minute. An elevated respiratory rate suggests that the body is still struggling to compensate for low oxygen levels or high carbon dioxide. Therefore, this finding would indicate that the oxygen therapy has not yet fully stabilized the client's respiratory status. Effective intervention should result in the respiratory rate returning toward the normal physiological range.
Choice B rationale
Pink mucous membranes are a primary indicator of adequate tissue perfusion and oxygenation of hemoglobin. When hypoxia is present, membranes may appear pale or cyanotic due to the lack of oxygenated blood. The transition to pink signifies that the supplemental oxygen is effectively increasing the arterial oxygen tension and saturating the hemoglobin molecules. This clinical observation is a reliable sign that the oxygen therapy is successfully delivering necessary oxygen to the systemic peripheral tissues.
Choice C rationale
Restlessness is a common early neurological sign of hypoxia and cellular oxygen deprivation within the cerebral cortex. As oxygen levels drop, the brain triggers a stress response that manifests as agitation, anxiety, or confusion. If the client remains restless, it suggests that the supplemental oxygen has not yet resolved the underlying hypoxia at the cellular level. A successful intervention would typically lead to a calmer, more alert state as brain tissue receives sufficient oxygenation.
Choice D rationale
A heart rate of 110/min is classified as tachycardia, exceeding the normal adult resting range of 60 to 100 beats per minute. Tachycardia is a compensatory mechanism where the heart pumps faster to circulate limited oxygen to vital organs. If the heart rate remains elevated, it indicates that the cardiovascular system is still under stress from oxygen deficiency. Effective oxygen therapy should reduce the workload on the heart, leading to a decrease in the pulse rate.
Correct Answer is ["0.2"]
Explanation
Step 1 is 2 mg ÷ 10 mg/mL.
Step 2 is 0.2 mL. .
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