Author Question: The nurse is caring for a client who has recently received a permanent colostomy. The client will be ... (Read 89 times)

@Brianna17 · **on:** Jun 25, 2018

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?

A) Ask the client to tell the nurse what is known about caring for the colostomy.
B) Make sure the client's spouse is present before the teaching session begins.
C) Start from the beginning and proceed through all steps required to perform colostomy care.
D) Break the information into small sessions to enhance learning.

Question 2

A nurse educator is talking to a group of staff nurses about the importance of continued competence in nursing practice. Which action should be recommended in order to maintain competence as a professional nurse?

A) Working overtime whenever it is available
B) Designing a poster presentation on current research on care for the dying client
C) Volunteering to take blood pressures at a health and wellness fair
D) Organizing a seminar to educate new nurses on hospital policies

jsm54321 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.

Answer to Question 2

Answer: B

Designing a poster presentation on current research involves gathering information on a nursing topic. The nurse may be preparing to teach others but in doing so is gaining more knowledge and furthering personal competence. Working overtime does not necessarily contribute to continued competence and may not be beneficial for the nurse or clients if the nurse experiences burnout. Volunteering to take blood pressures will not further the nurse's competence. Organizing an educational seminar involves scheduling, recruiting speakers, and arranging for a location, but it does not contribute to continued competence; however, attending such a seminar may.