A patient had a stroke and must use a cane for support. A nurse ...

[Kikoku]

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate?
 
  a. The patient will walk to the bathroom and back to bed using a cane.
  b. The patient will understand the importance of using a cane.
  c. The patient will learn how to use a cane.
  d. The patient will know the correct use of a cane.

Question 2

A priority nursing intervention for a postoperative mastectomy patient is which of the following?
 
  a. Using therapeutic silence to encourage the patient to talk
  b. Using communication skills to clarify family and patient expectations
  c. Telling her that you know she will do fine because many other women have
  d. Rotating nursing personnel in the patient's care, so the patient can talk to many people

[kjo;oj]

Answer to Question 1

A
Outcomes often describe a behavior that identifies the patient's ability to do something on completion of teaching such as will empty colostomy bag, or will administer an injection. Understand, learn, and know are not behaviors that can be observed or evaluated.

Answer to Question 2

B
The nurse recognizes the need to use therapeutic communication skills, allowing the opportunity to talk openly about issues that are important to a person who has undergone body-altering surgery. When a nurse does not allow for the development of a patient-nurse therapeutic relationship, open and honest conversation is impossible. Silence can be useful, but building rapport and opening the conversation are necessary first. Reassurance that a person will do fine dismisses any potential concerns the patient may have. Rotating nursing personnel does not allow time for the patient to build rapport with any one nurse.

[Kikoku]

Thank you!

[kjo;oj]

Always glad to help...