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 B
Explanation
Choice A Reason:
Use a cotton tip applicator to clean inside the inner cannula: Cleaning inside the inner cannula is typically part of tracheostomy care. However, using a cotton tip applicator is not recommended. Sterile techniques should be followed, and special tracheostomy cleaning kits or sterile cotton-tipped applicators should be used. It's important to maintain aseptic technique to prevent infection.
Choice B Reason:
Cleanse the skin around the stoma with normal saline: Cleaning the skin around the stoma with normal saline is a standard and appropriate practice. This helps prevent skin irritation and infection. Use sterile normal saline and sterile gauze or swabs.
Choice C Reason:
Soak the outer cannula in warm, soapy tap water: Soaking the outer cannula in warm, soapy tap water is not recommended. The outer cannula should be cleaned using sterile techniques and materials, following the specific instructions provided by the healthcare facility.
Choice D Reason:
Secure the tracheostomy ties to allow one finger to fit snugly underneath: This is a generally accepted guideline for securing tracheostomy ties. They should be secure enough to prevent accidental dislodgement but not so tight that they impair circulation or cause skin irritation.

Correct Answer is B
Explanation
Choice A Reason:
Having the client nod to indicate understanding may not be sufficient to ensure the client comprehends the details of the procedure and the associated risks. Verbal communication is essential.
Choice B Reason:
Recommend an interpreter who is the same gender as the client is correct.
1. Ensures Clear Communication: Having an interpreter who speaks the client's language can ensure clear and accurate communication. This is critical when discussing surgical procedures and obtaining informed consent.
2. Respect for the Client: Recommending an interpreter of the same gender as the client is a measure to make the client more comfortable. It can help the client feel more at ease when discussing sensitive medical topics, such as surgery.
Choice C Reason:
While addressing questions to the interpreter is necessary for translation, the nurse should also communicate directly with the client to establish rapport and ensure that the client fully understands the information.
Choice D Reason:
Using medical terminology when explaining the procedure may further complicate communication for the client. It's important to use clear, plain language to facilitate understanding.
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