A nurse has planned a detailed and individualized teaching plan ...

[jjjetplane]

A nurse has planned a detailed and individualized teaching plan for a patient who had a double mastectomy.
 
  While working with her, the nurse notes that the patient seems distracted and unable to remember what was just taught; also, her skill at changing her dressings is poor. The nurse is frustrated and consults a colleague, who explains that the most likely reason for this behavior is a. denial of the need to learn self-care.
  b. inadequate pain relief or treatment.
  c. lack of emotional readiness to learn.
  d. not enough time to perform the skills.

Question 2

A nursing school wants to invest in expensive simulation equipment. The college president resists, asking why so much money is needed for a computerized simulation mannequin and programs instead of just having students practice in the skills lab.
 
  The best response the nursing dean can offer to justify this expense is: a. A day doing simulations can substitute for clinical when census is low.
  b. Actively engaging in scenarios will improve students' ability to learn.
  c. Routinely practicing skills in the lab is helpful but boring to students.
  d. Because other colleges use simulations, we need them to stay competitive.

[ktidd]

Answer to Question 1

C
This patient has had emotional upheaval related to a diagnosis of cancer and the loss of both breasts. The most likely cause of her seeming inability to learn is lack of emotional readiness.
The patient may certainly be in denial. This is a very narrow interpretation of lack of emotional readiness, the correct answer. There may be other factors that contribute to lack of emotional readiness besides denial.
Pain should be assessed and treated, but this is not the most likely cause.
The nurse may be pushing the patient through the skills set too quickly, and this should be assessed, but it is not the most likely reason for the difficulty learning.

Answer to Question 2

B
Actively engaging in learning activities through simulations, role-play, or other experiential learning is a more effective way to learn content that requires motor skills.
Some courses that typically have an unpredictable patient census (e.g., Obstetrics) often substitute simulations for clinical days, but it is not the best answer because it does not address learning specifically.
Practicing in a traditional skills lab may be boring, but this is not the best reason.
Staying competitive with other schools may be important, but this is not the best answer.

[jjjetplane]

TYSM

[bitingbit]

Great answer, keep it coming