When planning an education class for clients suffering from ...

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When planning an education class for clients suffering from addiction, the nurse recognizes that a format that encourages empowerment is an important goal of health teaching. Which of the following is a strategy that could be viewed as disempowering?
 
  a. Providing the client with sufficient information
  b. Providing the client with emotional support
  c. Placing the learner in charge of his or her learning
  d. Having the nurse assume primary responsibility for the learning process

Question 2

The nurse is caring for a client who is suffering from schizophrenia and cocaine abuse. The client remains isolated in his room, refusing to attend unit activities. When implementing a behavioral approach, what is the first step the nurse should take?
 
  a. Define specific consequences.
  b. Describe the behavior requiring change.
  c. Reframe the problem as a solution statement.
  d. Identify the tasks in sequential order.

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Answer to Question 1

ANS: D
A highly participative learning environment, in which the nurse provides the teaching while the learner assumes primary responsibility for the learning process, encourages empowerment. Empowerment strategies include providing sufficient information, specific instructions, and emotional supportbut no more than is requiredto allow each client to take charge of his or her health care to whatever extent is possible. Client-centered strategies place the learner in charge of his or her learning and build on personal strengths to achieve learning objectives.

Answer to Question 2

ANS: B
A behavioral approach starts with a careful description and quantification of a concrete behavior requiring change. During the third step of implementing a behavioral approach, the nurse and client reframe the problem as a solution statement (e.g., The client will attend all scheduled unit activities.). If the problem and solution are complex, the nurse can break them down into simpler definitions, beginning with the simplest and most likely behavior to stimulate client interest. The nurse should identify the tasks in sequential order; define specific consequences, positive and negative, for behavioral responses; and solicit the client's cooperation.

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