Author Question: A nurse is teaching a patient about heart failure. Which environment will the nurse use? a. A ... (Read 34 times)

SO00 · **on:** Jul 22, 2018

A nurse is teaching a patient about heart failure. Which environment will the nurse use?

a. A darkened, quiet room
b. A well-lit, ventilated room
c. A private room at 85 F temperature
d. A group room for 10 to 12 patients with heart failure

Question 2

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn?

a. A patient has the ability to grasp and apply the elastic bandage.
b. A patient has sufficient upper body strength to move from a bed to a wheelchair.
c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.

reelove4eva · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
The ideal environment for learning is a room that is well lit and has good ventilation, appropriate furniture, and a comfortable temperature. Although a quiet room is appropriate, a darkened room interferes with the patient's ability to watch your actions, especially when demonstrating a skill or using visual aids such as posters or pamphlets. A room that is cold, hot, or stuffy makes the patient too uncomfortable to focus on the information being presented. Learning in a group of six or less is more effective and avoids distracting behaviors.

Answer to Question 2

ANS: C
Motivation underlies a person's desire or willingness to learn. Motivation is a force that acts on or within a person (e.g., an idea, emotion, or a physical need) to cause the person to behave in a particular way. For example, a patient with a below-the-knee amputation is motivated to learn how to walk with assistive devices, indicating a readiness to learn. Do not confuse readiness to learn with ability to learn. All the other answers are examples of ability to learn because this often depends on the patient's level of physical development and overall physical health. To learn psychomotor skills, a patient needs to possess a certain level of strength, coordination, and sensory acuity. For example, it is useless to teach a patient to transfer from a bed to a wheelchair if he or she has insufficient upper body strength. An older patient with poor eyesight or an inability to grasp objects tightly cannot learn to apply an elastic bandage or handle a syringe.