Author Question: The nurse has completed an assessment on the client and identified the following nursing diag-noses. ... (Read 33 times)

schs14

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The nurse has completed an assessment on the client and identified the following nursing diag-noses. Which one of the following nursing diagnoses indicates a need to postpone teaching that was planned?
 
  1. Activity intolerance related to pain
  2. Ineffective management of treatment regimen
  3. Noncompliance with prescribed exercise plan
  4. Knowledge deficit regarding impending surgery

Question 2

In preparing a teaching plan for adult clients in a cancer support group, the nurse incorporates evidence-based information. The nurse recognizes that evidence obtained about adult learners has identified that this group prefers:
 
  1. Computer-assisted instruction
  2. Traditional classroom settings
  3. Long sessions with plenty of technical information
  4. Interesting personal communication techniques



Brenm

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Answer to Question 1

ANS: 1
Pain, fatigue, or anxiety can interfere with the ability to pay attention and participate. The nurs-ing diagnosis of activity intolerance related to pain indicates a need to postpone teaching. Teach-ing may be delayed until the nursing diagnosis is resolved or the health problem is controlled. In-effective management of treatment regimen does not indicate a need to postpone teaching. Inef-fective management of treatment regimen reinforces the need for teaching. Noncompliance with prescribed exercise plan does not indicate a need to postpone teaching. The client who is non-compliant may require further teaching. Knowledge deficit regarding impending surgery does not indicate a need to postpone teaching. A knowledge deficit reinforces the need for teaching.

Answer to Question 2

ANS: 4
Adults have a wide variety of personal and life experiences to employ. Therefore adult learning is enhanced when they are encouraged to use these experiences to solve problems. Evidence-based information indicates that adult clients prefer interactive, personal communication with nurses or physicians. Evidence-based information indicates computer-assisted learning is not a preferred method of instruction by many adult learners. As clients become more comfortable with comput-ers, this preference may change. Evidence-based information indicates that not all clients are comfortable in class settings or in support groups. Other educational opportunities should be available. Adult learners prefer short teaching sessions without a great deal of technical infor-mation.



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