The nurse is preparing to teach a 90-year-old patient. In ...

[CQXA]

The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient, the nurse realizes that:
 
  a. most elderly patients are highly literate.
  b. cognitive abilities always decline with age.
  c. sensory alterations often occur with aging.
  d. teaching methods are the same as for the middle aged.

Question 2

The nurse is working with a diabetic patient, and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient:
 
  a. verbally describe his feelings about diabetes.
  b. answer three of five true-or-false questions about diabetes.
  c. identify 3 positive lifestyle changes to manage blood sugar.
  d. draw up and self-inject insulin correctly.

[Jadwiga9]

Answer to Question 1

ANS: C
Teaching should be tailored to elderly patients. Reports indicate that two thirds of U.S. adults 66 years old and older have inadequate or marginal literacy skills, and 81 of patients 60 years old and older at a public hospital could not read or understand basic materials such as prescription labels. Although each patient must assessed individually, cognitive and sensory alterations often occur with aging, and the teaching materials should be adjusted accordingly.

Answer to Question 2

ANS: D
The psychomotor domain incorporates physical movement and the use of motor skills in learning. Teaching the newly diagnosed diabetic how to check blood sugar is an example of a psychomotor skill. Learners in the cognitive domain integrate new knowledge through first learning and then recalling the information. They then categorize and evaluate, making comparisons with previous knowledge that result in conclusions related to the new content. Affective domain learning recognizes the emotional component of integrating new knowledge. Successful education in this domain takes into account the patient's feelings, values, motivations, and attitudes.