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.
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Related Questions
Correct Answer is D
Explanation
A. "Understanding" is subjective and cannot be directly measured. It would be more effective if the goal focused on the patient demonstrating their understanding (e.g., "The patient will explain the importance of daily iron supplements").
B. Feelings such as comfort are difficult to measure objectively.
C. This goal is too broad and vague to be measured effectively. It's not clear how "sufficient information" would be assessed.
D. This goal is measurable because the nurse can observe or document if the patient verbalizes the responsibility to obtain their daily weights, which is an objective outcome that can be assessed.
Correct Answer is A
Explanation
A. 0054 in military time is 54 minutes past midnight, which is 12:54 AM in traditional time.
B. 0540 would be 5:40 AM, not 0054.
C. 1254 would represent 12:54 PM, not 0054.
D. 0004 is 12:04 AM, not 0054.
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