A patient has been taught how to change a colostomy bag but is ...

[penza]

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action?
 
  a. Refer to a mental health specialist.
  b. Refer to an ostomy specialist.
  c. Refer to a dietitian.
  d. Refer to a wound care specialist.

Question 2

A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?
 
  a. Return demonstration
  b. Computer instruction
  c. Verbalization of steps
  d. Cloze test

[brittrenee]

Answer to Question 1

ANS: B
Resources that specialize in a particular health need (e.g., wound care or ostomy specialists) are integral to successful patient education. A mental health specialist is helpful for emotional issues rather than for physical problems. A dietitian is a resource for nutritional needs. A wound care specialist provides complex wound care.

Answer to Question 2

ANS: A
To demonstrate mastery of the skill, have the patient perform a return demonstration under the same conditions that will be experienced at home or in the place where the skill is to be performed. Computer instruction is use of a programmed instruction format in which computers store response patterns for learners and select further lessons on the basis of these patterns (programs can be individualized). Computer instruction is a teaching tool, rather than an evaluation tool. Verbalization of steps can be an evaluation tool, but it is not as effective as a return demonstration when evaluating a psychomotor skill. The Cloze test, a test of reading comprehension, asks patients to fill in the blanks in a written paragraph.

[penza]

Excellent

[bulacsom]

TYSM