The nurse is providing discharge instructions to a patient with memory loss after a head injury. What is the most appropriate action of the nurse?
Teach the patient and a responsible family member at the same time
Teach the patient using simple terminology and a louder tone of voice.
Teach the patient the most important information first followed by lesser facts. b.
Teach the patient immediately before discharge so the patient will remember it.
The Correct Answer is A
A. Teaching both the patient and a responsible family member ensures that someone else can assist the patient with remembering the instructions and help reinforce the information after discharge. This approach is most appropriate for patients with memory loss.
B. Using simple terminology is helpful, but speaking in a louder tone of voice is not necessarily required unless the patient has hearing difficulties, which isn’t specified here.
C. Prioritizing important information is crucial, but it’s also important that the family member is involved in the learning process to ensure the patient receives support in remembering.
D. Teaching immediately before discharge is not ideal because the patient may be stressed, distracted, or fatigued, making it harder to retain important information. Spacing out teaching and repetition is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
B. Demonstrating caring behavior by involving the patient in decision-making fosters autonomy and respect.
D. Using comfort measures like warm blankets and gentle soaps shows attention to the patient's physical and emotional comfort.
E. Acknowledging the patient's emotional response (frustration and anger) demonstrates empathy and validation of the patient's feelings.
A. Fostering denial of rehabilitation is not a caring behavior, as it prevents the patient from realistically addressing their needs.
C. Requiring the patient to stay in a wheelchair without considering their comfort or needs is not a caring or empathetic action.
Correct Answer is B
Explanation
A. A darkened, quiet room may not provide an optimal learning environment as adequate lighting and ventilation are important for clarity and focus during educational sessions.
B. A well-lit, ventilated room is the ideal environment for teaching. Proper lighting helps the patient focus, and good ventilation ensures comfort during the teaching process.
C. A group room for 10 to 12 patients may be too large for effective one-on-one teaching, especially for a topic like heart failure that requires personalized instruction.
D. A private room at 85° F may be uncomfortably warm and not conducive to learning. The room temperature should be comfortable but not excessively warm.
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