Author Question: A nurse is presenting teaching sessions to a group of residents in a home for long-term physical ... (Read 26 times)

krzymel · **on:** Jul 22, 2018

A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which client exhibits the highest motivation?

1. A client who has been struggling with following nursing directives regarding discharge goals
2. The client who has just moved in and is already eager for discharge
3. A client who is excited to learn about his new prosthesis
4. A client who has been there the longest and is a great coach for newcomers

Question 2

The nurse is working in a clinic performing assessments on well newborn infants. A 3-month-old child that the nurse has weighed and measured falls below the 5th percentile.

Which of the following does the nurse suspect is the reason for the slow weight gain? 1. The infant eats an appropriate amount each day.
2. The parents are Asian American.
3. The child sleeps the whole night through.
4. The parents socialize two nights a week.

ju · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. A client who is excited to learn about his new prosthesis

Rationale:
Motivation is the desire to learn and influences how quickly and to what extent a person learns. It is generally greatest when a person recognizes a need and believes the need will be met through learning. The client who is excited to learn about his prosthesis understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a coach for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be bucking the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.

Answer to Question 2

2. The parents are Asian American.

Rationale: An Asian American child is apt to fall below the 5th percentile as Asian American children are normally smaller than other American children, and growth charts are based on American averages. If the infant is eating appropriately and is growing, there is no problem. Three-month-old infants usually do sleep the whole night. The parents' socializing two nights a week is not a problem as long as the child is cared for.