Which is the first action of the nurse when teaching the patient how to perform colostomy care?
Determine the patient's educational background and learning abilities.
Have the patient watch a video that demonstrates how to perform colostomy care.
Assess the patient's level of comfort with looking at and caring for the colostomy.
Identify a responsible family member to reinforce colostomy care teaching.
The Correct Answer is C
A. Determine the patient's educational background and learning abilities is important but should be addressed after assessing the patient's comfort level. It is crucial to first ensure that the patient feels comfortable with the new colostomy before moving forward with further education.
B. Have the patient watch a video that demonstrates how to perform colostomy care may be useful, but it’s important to first assess the patient's emotional readiness to learn and their comfort level with the procedure.
C. Assess the patient's level of comfort with looking at and caring for the colostomy is the correct first step. It’s essential to first assess how the patient feels about the colostomy and determine any emotional or psychological barriers that might need to be addressed before teaching the technical aspects of care.
D. Identify a responsible family member to reinforce colostomy care teaching is important, but the first action should focus on the patient’s readiness and comfort with performing the care themselves.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Demonstrating how to perform active range of motion relates to psychomotor learning, which involves physical skills rather than cognitive understanding.
B. Expressing satisfaction with sharing feelings is more related to the affective domain (emotions, values, or attitudes), not cognitive learning.
C. Verbalizing decreased desire to commit self-harm is related to psychosocial or emotional learning, not cognitive knowledge.
D. Describing three symptoms of diabetic ketoacidosis is a clear example of cognitive learning, where the patient demonstrates the ability to recall and explain specific information.
Correct Answer is ["A","B","C","E"]
Explanation
A. Organizing teaching materials and methods is essential to ensure that the information is delivered clearly and effectively, which helps facilitate the learning process.
B. Providing a private, quiet, and comfortable environment minimizes distractions and promotes better focus, which aids in learning.
C. Scheduling teaching at times when the patient is alert and receptive increases the likelihood of successful learning.
D. While the psychomotor domain could be relevant if the patient is learning specific skills (such as post-operative care), this is not a key component of preoperative education for a mastectomy.
E. Providing age-appropriate teaching material ensures that the content is relevant and understandable to the patient, making it easier for them to retain and apply the information.
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