The nurse is planning discharge teaching for a client who will be ...

[jace]

The nurse is planning discharge teaching for a client who will be going home in several days with a permanent colostomy. When organizing the teaching experience, the nurse should:
 
  1. Start from the beginning and proceed through all material.
   2. Break up sessions into shortened time periods.
   3. Discover what the learner knows before proceeding with further teaching.
   4. Make sure the client's spouse is present before the teaching session begins.

Question 2

During discussion of family, the client speaks about an adult son who is a homosexual. The client expresses concern about this son, stating, I am so worried about him, and I know he is going to hell..
 
  What is the most important fact for the nurse to consider in formulating a response to this client's concern? 1. Normal sexuality is described as whatever behaviors give pleasure and satisfaction to those adults involved.
   2. Since alternative lifestyles are now so well accepted in society, this parent should not feel so much concern.
   3. What constitutes normal sexual expression varies among cultures and religions.
   4. Sexual development is genetically determined and not affected by environment.

[Toya9913]

Answer to Question 1

3. Discover what the learner knows before proceeding with further teaching.

Rationale:
The nurse should find out what the learner knows, and then proceed to the unknown. This gives the learner confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.

Answer to Question 2

3. What constitutes normal sexual expression varies among cultures and religions.

Rationale:
This nurse should remember that culture and religion have a big impact upon what a person believes to be normal sexual behavior. Even though many consider whatever activity gives pleasure and satisfaction to the involved adults to be normal, some cultures and religions do not hold that belief. While alternative lifestyles are well accepted in some cultures, apparently that is not true in this parent's belief patterns. Sexual development has both genetic and environmental components.

[jace]

Excellent

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it