A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase client's motivation to learn?
The client seeking family approval by agreeing to a teaching plan
The nurse's empathy about the client having to self-inject
The client's belief that his needs will be met through education
The nurse explaining the need for education to the client
The Correct Answer is C
Choice A Reason:
The client seeking family approval may be a factor, but it may not be as effective at motivating the client to learn as their personal belief in the value of education.
Choice B Reason:
The nurse's empathy is important for building rapport and trust, but it alone may not be the primary driver of the client's motivation to learn.
Choice C Reason:
The client's belief that his needs will be met through education is correct. When a client believes that their needs will be met and that the education is relevant and valuable, they are more likely to be motivated to learn. This motivation comes from the perception that learning will lead to better outcomes and improved health. It's important for the nurse to convey the importance and relevance of the education to the client and how it will benefit their well-being.
Choice D Reason:
The nurse explaining the need for education is an important step in the teaching process, but the client's internal belief in the value of education is the factor most likely to drive their motivation to learn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Choosing the most proximal site on the extremity selected is not necessary, and the site selected should depend on the healthcare provider's preferences and the condition of the client's veins.
Choice B Reason:
Placing the extremity in a dependent position (hanging down) is not typically required for IV catheter insertion. The extremity should be in a comfortable and accessible position for the procedure.
Choice C Reason:
Place the tourniquet below the proposed insertion site. Placing the tourniquet just below the proposed insertion site is the correct technique. The tourniquet should be positioned to occlude the veins, making it easier to access a suitable vein for the IV catheter. Placing it below the proposed site allows for better visualization and access to the veins in the chosen area.
Choice D Reason:
Applying a cool compress for several minutes before insertion of the IV catheter is not a standard practice and is not typically needed for IV insertion. It may even cause vasoconstriction and make it more challenging to access veins.
Correct Answer is D
Explanation
Choice A Reason:
"The client's age is part of the measurement." - This is not accurate. The Braden scale does not include the client's age as part of the assessment. The elements evaluated are related to factors such as sensory perception, mobility, and nutrition, not age.
Choice B Reason:
"Each element has a range from one to five points." The Braden scale assesses a client's risk for developing pressure ulcers by evaluating six different elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Each of these elements is scored from 1 to 5 points, with a higher score indicating better functioning or less risk for developing pressure injuries. Understanding that each element is scored on a scale from 1 to 5 is a fundamental aspect of using the Braden scale effectively.
Choice C Reason:
"The higher the score, the higher the pressure injury risk." - This is incorrect. In the Braden scale, a higher score indicates a lower risk of developing pressure injuries. Higher scores mean that the client has better functioning in the assessed elements, which reduces their risk.
Choice D Reason:
"The scale measures six elements." - This statement is true. The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. However, the response does not demonstrate an understanding of how each element is scored, which is the main focus of the scale.
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