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) Assessment:
Assessment involves gathering and analyzing data about the client’s health status and needs. While gathering information from the social worker and physical therapist may be part of the assessment process, the actual collaborative work in preparing the discharge plan is more aligned with the planning phase of the nursing process.

B) Planning:
Planning is the correct answer because it involves formulating goals, interventions, and expected outcomes for the client’s care, including discharge projections. In this case, the nurse, social worker, and physical therapist are working together to develop a comprehensive discharge plan tailored to the client’s needs, which is a key part of the planning phase.

C) Evaluation:
Evaluation occurs after interventions are implemented to assess whether the goals have been met and the outcomes achieved. Since the nurse is still in the process of preparing the discharge plan, evaluation has not yet occurred.

D) Analysis:
Analysis is the process of interpreting assessment data to identify problems or needs. While analysis is part of the assessment phase, it does not describe the collaborative action of creating a discharge plan, which is clearly a planning task.

A. A client who has early dementia and awoke confused to their location this morning B. A client who is scheduled for discharge and has a 38.4 C (101.1 F) temperature this morning C. A client who has pneumonia and has developed wheezing D. A client who is postoperative and has a urine output of 50 mL for the past 3 h

Correct Answer is C

Explanation

A) A client who has early dementia and awoke confused to their location this morning:
Confusion in a client with early dementia could indicate a range of possible causes, such as infections, medication side effects, or changes in routine. However, while this warrants investigation, confusion alone does not represent an immediate life-threatening situation according to the ABCDE priority framework. The focus is on managing airway, breathing, circulation, and disability issues first.

B) A client who is scheduled for discharge and has a 38.4°C (101.1°F) temperature this morning:
A fever may indicate infection, which would require further assessment and potentially treatment. While this is a concern, it does not immediately threaten the client's airway, breathing, or circulation. Since the client is not in an acute crisis and is scheduled for discharge, this would be a lower priority compared to clients with more urgent issues like breathing problems or insufficient urine output.

C) A client who has pneumonia and has developed wheezing:
Wheezing indicates potential airway constriction, which could impair the client's breathing. Given that breathing difficulties are a primary concern in the ABCDE priority framework (Airway, Breathing, Circulation, Disability, and Exposure), this client requires immediate attention. Pneumonia combined with wheezing can signify a worsening respiratory condition, which poses an acute risk to the client's oxygenation and overall stability.

D) A client who is postoperative and has a urine output of 50 mL for the past 3 hours:
Oliguria (low urine output) postoperatively is concerning, as it may indicate kidney dysfunction, hypovolemia, or other complications. While it is an important issue that requires attention, it is not immediately life-threatening unless the client shows signs of worsening shock or kidney failure. However, given that this issue does not immediately affect the client’s airway or breathing, it is a lower priority than the client with pneumonia and wheezing.

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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

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

Correct Answer is B

Explanation

A nurse is receiving report on a group of clients. Using the ABCDE priority framework which f the following clients should the nurse see first?

Correct Answer is C

Explanation

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