A home health client is having difficulty keeping his medication ...

[cookcarl]

A home health client is having difficulty keeping his medication schedule organized. He makes this statement to the nurse at their next visit: There are so many pills and the names are all confusing to me.
 
  I don't even understand what they're for. The nurse should:
  1. Help the client remember color and size in relationship to dosing time.
  2. Write out the generic and trade name of all the pills for the client.
  3. Fill a pill bar and tell the client not to worry, just take the pills according to that system.
  4. Have the physician talk to the client about his medications.

Question 2

A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which of the client exhibits the highest motivation?
 
  1. An individual who has been struggling with following nursing directives regarding discharge goals
  2. The client who has just moved in and is already waiting 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

[hanadaa]

Answer to Question 1

Correct Answer: 1
Rationale 1: Learning is facilitated by material that is logically organized and proceeds from the simple to the complex. This helps the learner comprehend new information, apply it to previous learning, and form new understandings. Naming the pills by color and size and dosing time helps the client move from that level to learning what each medication is for and why he is taking it-simple to complex.
Rationale 2: Learning generic and trade names is memorization and may not make sense for this client.
Rationale 3: Filling a pill box or bar is not helping the client learn about his meds, it merely puts them into an order without information.
Rationale 4: Nurses must rely on their own creativity and resourcefulness-not depend on physician input.

Answer to Question 2

Correct Answer: 3
Rationale 1: 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.
Rationale 2: The client who is already waiting to go home may be motivated for that, but not to the extent of being ready to learn how to achieve this end.
Rationale 3: 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.

[cookcarl]

TY

[hanadaa]

You're welcome