The nurse is caring for an older adult patient at home who ...

[cnetterville]

The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing.
 
  Which statement by the nurse will most likely elicit a positive response from the patient and family?
  a. You're doing that all wrong. Let me show you how to do it.
  b. I don't know who showed you how to change a dressing, but you're not doing it right. Let me show you again.
  c. You're hesitant about changing the dressing like I was before I was shown an easier way; would you like to see?
  d. I used to change the dressing the same way you are doing it: the wrong way. I'll show you the right way to do it.

Question 2

A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene?
 
  a. Tells the family not to leave the bedside
  b. Offers the family a sandwich
  c. Gives the family a blanket
  d. Sits with the family

[Smiles0805]

Answer to Question 1

ANS: C
When the nurse is confident and skillful instead of coming across as an authority on the subject, the patient's/family's defenses will be down, making the patient/family more willing to listen without feeling embarrassed. Respectful communication is necessary. Saying that you're doing it wrong, you're not doing it right, or the wrong way is not respectful or necessary.

Answer to Question 2

ANS: A
The action of telling the family not to leave is inappropriate and should be corrected. Sometimes telling the family that you will stay with their loved one while they are gone is all they need to feel comfortable in leaving. Offering a sandwich, giving a blanket, and sitting with the family are appropriate and do not require the nurse to intervene. When the victim of trauma is hospitalized, take time to make sure that the family is comfortable. You can bring them something to eat or drink, give them a blanket, or encourage them to get a meal.

[cnetterville]

Excellent

[amandalm]

Gracias!