The nurse is evaluating the need to refer a patient with ...

[KWilfred]

The nurse is evaluating the need to refer a patient with osteoarthritis for a home care visit to be sure the patient can function in accomplishing daily activities independently. What is the nurse's first priority?
 
  a. Determine if the patient has had home visits before and if the experience was positive.
  b. Check the patient's ability to bathe without any assistance the next day.
  c. Have the patient demonstrate the learned skills at the end of the teaching session.
  d. Arrange a physical therapy visit before the patient is discharged from the hospital.

Question 2

The nurse is preparing a discharge teaching plan for a patient who has peripheral vascular disease and has poor circulation to the feet. Which learning goal should the nurse include in the teaching plan?
 
  a. The nurse will demonstrate the proper technique for trimming toenails.
  b. The patient will understand the rationale for proper foot care after instruction.
  c. The nurse will instruct the patient on appropriate foot care before discharge.
  d. The patient will post reminder stickers on the calendar to check feet every day and record scheduled appointments with podiatrist.

[Pamela.irrgang@yahoo.com]

Answer to Question 1

ANS: A
To begin the assessment of adherence, it is first important to clarify with the patient (a) their beliefs and perceptions about their health risk status, (b) their existing knowledge about cardiovascular disease risk reduction, (c) any prior experience with health care professionals, and (d) their degree of confidence with controlling the disease. The other actions allow evaluation of the patient's short-term response to teaching.

Answer to Question 2

ANS: D
To improve the patient adherence to treatment, it will be important to help them develop reminder strategies that fit into their lifestyle. Options A and C describe actions that the nurse will take, rather than behaviors that indicate that patient learning has occurred. Option B is too vague and nonspecific to measure whether learning has occurred.

[KWilfred]

TYSM

[pratush dev]

Excellent