A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

Describe the steps of walking with crutches for the client

Encourage the client to ask questions about walking with crutches

Show the client a video on walking with crutches

Ask the client to demonstrate walking with crutches

Answer and Explanation

The Correct Answer is D

A) Describe the steps of walking with crutches for the client:
Describing the steps of walking with crutches involves cognitive learning, where the focus is on understanding and acquiring knowledge. In this case, the nurse is providing verbal information to the client about how to use crutches, but this does not engage the psychomotor domain, which involves the physical performance of tasks or skills.

B) Encourage the client to ask questions about walking with crutches:
Encouraging questions is part of the affective domain of learning, which focuses on attitudes, feelings, and the ability to value or appreciate information. By encouraging the client to ask questions, the nurse is promoting understanding and engagement, but this is not related to the psychomotor domain, which requires physical action or skill development.

C) Show the client a video on walking with crutches:
Showing a video involves cognitive learning as it provides the client with visual information and demonstrations. While this helps with understanding how to walk with crutches, it is still a passive form of learning where the client is watching but not physically engaging with the task.

D) Ask the client to demonstrate walking with crutches:
Asking the client to demonstrate walking with crutches directly involves the psychomotor domain of learning, which is concerned with the physical act of performing tasks or skills. By demonstrating how to walk with crutches, the client is actively engaging in the skill, allowing for hands-on practice and the development of muscle memory.

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Correct Answer is B

Explanation

A) Chloride 112:
Chloride levels are typically not directly associated with numbness or tingling of the hands and fingers. Elevated chloride levels (greater than 108 mEq/L) may indicate metabolic acidosis, but they would not directly explain the symptoms seen in this client following parathyroidectomy. Therefore, this value is unlikely to be relevant in this scenario.

B) Calcium 7.5:
After the partial removal of the parathyroid glands, the client may experience hypocalcemia, or low calcium levels, due to the reduced production of parathyroid hormone (PTH). PTH helps regulate calcium levels in the blood. When the parathyroid glands are removed or damaged, there may be insufficient PTH to maintain normal calcium levels, leading to hypocalcemia. Symptoms of hypocalcemia include numbness and tingling, especially in the hands and fingers. A calcium level of 7.5 mg/dL is below the normal range (8.5–10.5 mg/dL), indicating hypocalcemia, which is consistent with the patient's symptoms.

C) Potassium 4.0:
A potassium level of 4.0 mEq/L is within the normal range (3.5–5.0 mEq/L) and does not typically cause numbness or tingling. Although potassium imbalances can cause neuromuscular symptoms, they would not be the most likely cause of the symptoms in this case, especially in relation to parathyroidectomy.

D) Calcium 12.1:
A calcium level of 12.1 mg/dL is elevated and would suggest hypercalcemia. Hypercalcemia can cause symptoms like fatigue, confusion, and weakness, but it does not typically cause numbness and tingling in the hands and fingers. Elevated calcium levels are more likely to occur in conditions such as hyperparathyroidism or malignancy, not typically following parathyroid gland removal. Therefore, this is not the expected lab result in this scenario.

A. Denial B. Acceptance C. Anger D. Bargaining

Correct Answer is B

Explanation

A) Denial:
Denial is the first stage in Kubler-Ross's model of grief. It typically involves a person having difficulty accepting the reality of their diagnosis or the reality of death. Clients in the denial stage may refuse to acknowledge the seriousness of their condition or may act as if everything is fine despite the obvious signs of illness. The statement “I am ready to update my will” suggests that the client has already accepted the reality of their terminal diagnosis and is preparing for what is to come, which is not characteristic of denial.

B) Acceptance:
Acceptance is the final stage in the Kubler-Ross model of grief. It is marked by coming to terms with the reality of death or a terminal diagnosis. Clients who are in the acceptance stage have typically processed their grief and are ready to make practical decisions, such as updating a will or making arrangements for the end of life. The client’s statement about updating their will reflects an acceptance of their condition and a focus on finalizing matters, which aligns with the stage of acceptance.

C) Anger:
Anger is a stage in the Kubler-Ross model of grief where individuals may feel frustrated, resentful, or upset about their situation. Clients in the anger stage may express feelings of injustice or frustration, often lashing out at others. Since the client is talking about practical matters such as updating their will, this does not indicate the emotional response of anger, which would be more likely to involve blaming others or feeling bitter.

D) Bargaining:
Bargaining is the stage where a person may make deals or promises in an attempt to delay or avoid the reality of their situation. Clients in the bargaining stage may attempt to negotiate with a higher power, themselves, or others, asking for more time or for changes in their circumstances. Since the client’s statement is about accepting the terminal diagnosis and preparing for the future, it is not indicative of bargaining, which often involves a desire for a change or a different outcome.

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A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see?

Correct Answer is B

Explanation

A nurse is caring for a client who has a terminal diagnosis and states, ‘’I am ready to update my will. " The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?

Correct Answer is B

Explanation

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