The nurse is teaching family members of a child getting ready for ...

[hbsimmons88]

The nurse is teaching family members of a child getting ready for discharge how to administer medication via a G-tube for the child. Using the psychomotor domain of teaching, how does the nurse know the teaching was effective?
 
  1. The family is able to give a return demonstration.
  2. The family is able to repeat the instructions.
  3. The family is able to tell the nurse how they feel about the instruction.
  4. The family is able to understand what has been said by the nurse.

Question 2

While the nurse is admitting a pediatric patient, the mother blurts out, I think this hospital is the most disorganized, inefficient place I have ever been in The most therapeutic response for the nurse to make would be:
 
  1. This hospital and its staff are extremely competent, and you are receiving the best possible care.
  2. Does your child have any allergies or take any medication routinely?
  3. It happens to be very busy right now, and there are children much sicker than your child who need to be cared for first.
  4. It sounds like you are upset with the care your child has received. Is that correct?

[kswal303]

Answer to Question 1

1
Rationale:
1. Depending on the information to be presented, teaching might use the cognitive, psychomotor, or affective domains of learning. If a return demonstration is done, the psychomotor domain of learning is used.
2. The family's ability to repeat the instructions is within the cognitive domain.
3. The family's feelings regarding the instruction are within the affective domain.
4. The family's ability to understand the instructions as said by the nurse is within the cognitive domain.

Answer to Question 2

4
Rationale 1: Disagreeing with the mother at this point would not be a therapeutic response.
Rationale 2: Asking another question instead of responding to the mother's complaint is an example of ineffective communication techniques. This will do nothing to defuse the situation.
Rationale 3: Making excuses is not considered responding therapeutically.
Rationale 4: This response validates the mother's perceptions, and it provides an opportunity for the mother to clarify her concerns with the nurse and keep the lines of communication open.
Global Rationale: