A client needed a great deal of care. During a morning visit, the ...

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A client needed a great deal of care. During a morning visit, the nurse shared information with the client's caregiver and demonstrated technical procedures. Which of the following is most important for the nurse to assess?
 
  a. Client response to the procedures
  b. How the client thought the goals were being achieved
  c. If the client and the caregiver retained all the information the nurse gave
  d. The skill and comfort level of the client's caregiver

Question 2

A nurse had shared a great deal of information with a new client. Time had passed, but the nurse had more to share and was energetically doing so. Which of the following should the nurse use as a guide to determine when to stop teaching
 
  A nurse had shared a great deal of information with a new client. Time had passed, but the nurse had more to share and was energetically doing so. Which of the following should the nurse use as a guide to determine when to stop teaching and plan the next visit?
  a.
  After about an hour
  b.
  Depends on what other visits the nurse had scheduled that day
  c.
  When the client or family members start fidgeting
  d.
  When the client begins to look tired
  e.
  When the client demonstrates symptoms of sensory overload

[meltdown117]

Answer to Question 1

ANS: D
The home health nurse spends much of the visit assessing the skills of the caregiver. The home health nurse instructs the caregiver in the correct procedures for providing care and in recognizing the signs and symptoms of problems that must be reported to the health care provider. The goal of the home health nurse's instruction is to provide the caregiver with the skills necessary to care for the patient successfully in the home without intervention of the nurse. Information not retained can be repeated.

Answer to Question 2

ANS: A
The average visit should not exceed 1 hour. The client receives a great deal of information during that hour, and the nurse collects a great deal of information. Most clients are tired at the end of a 1-hour visit and often cannot retain additional information.