Answer to Question 1
ANS: D
Rather than challenge the client's learning pattern, the nurse needs to understand it and incorporate it into new opportunities for learning. Readiness to learn is not the same as the cognitive ability to learn. Nurses need to remember that learning is never smooth or linear in its development. Rather than challenge the client's learning pattern, the nurse needs to understand it and incorporate it into new opportunities for learning.
Answer to Question 2
ANS: C
Health teaching is not an option. It is a legal and ethical responsibility. The Joint Commission has established educational standards requiring health care agencies to provide systematic health education and training for clients that is specific to the client's needs; sufficient for clients to make informed decisions and to take responsibility for self-management activities related to their needs; provided to clients in an understandable manner and designed to accommodate various learning styles; and reflected in documented evidence of the client's understanding and response to the medical information. Professional nursing standards, developed by the American Nurses Association (ANA), reinforce the importance of health teaching as an essential nursing intervention. State Nurse Practice Acts mandate health teaching as an independent professional nursing function. Medicare requirements portray health teaching as a skilled nursing intervention for reimbursement purposes.
The nurse conducts the health history as the first step in the nursing assessment
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