When educating an older adult patient about changing his dressing, the nurse would most appropriately:

be certain the patient is wearing his glasses and/or hearing aid.

wait for the patient to ask any questions about the procedure.

talk through the process rapidly to keep the patient from becoming tired.

point out each mistake during the return demonstration.

Answer and Explanation

The Correct Answer is A

A. Be certain the patient is wearing his glasses and/or hearing aid. Ensuring the patient has optimal hearing and vision aids can improve comprehension and help the patient accurately learn the procedure.

B. Wait for the patient to ask any questions about the procedure. Waiting for questions might lead to gaps in understanding, as the patient may not feel comfortable initiating questions without encouragement.

C. Talk through the process rapidly to keep the patient from becoming tired. Rushing the instruction may cause the patient to miss important details, as learning may be slower in older adults.

D. Point out each mistake during the return demonstration. Correcting every error without constructive feedback can discourage the patient. It’s more effective to provide gentle guidance and support.

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Correct Answer is B

Explanation

A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.

B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.

C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.

D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.

A. motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience. B. doing appropriate research about nursing care as long as information is not divulged. C. violating the confidentiality of the patient's record. D. neglecting the assigned patient load and should read the unassigned patient's medical record only after his assigned work is completed.

Correct Answer is C

Explanation

A. Motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.
Accessing information without being the assigned caregiver is inappropriate, regardless of motivation, as it breaches confidentiality and privacy protocols.

B. Doing appropriate research about nursing care as long as information is not divulged. Even without sharing information, accessing a patient’s chart without need-to-know status is a privacy violation and does not constitute appropriate research.

C. Violating the confidentiality of the patient's record.
This choice is correct as the student is breaching confidentiality by accessing patient records without a care-related need to know. Only those involved in the patient's care should access their chart.

D. Neglecting the assigned patient load and should read the unassigned patient’s medical record only after his assigned work is completed.
Reading an unassigned patient’s record, even after finishing other duties, is still a breach of confidentiality.

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When educating an older adult patient about changing his dressing, the nurse would most appropriately:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A student nurse is assigned to a clinical unit on which one of the patients is a nationally known celebrity. The student reads the chart to find out why the celebrity is being treated. The student who is not the assigned caregiver is:

Correct Answer is C

Explanation

When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

The nurse appropriately begins discharge planning when:

The nurse is aware that the major modes of learning are: (Select all that apply.)

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to: