A client comes to the clinic for a regular checkup. The nurse ...

[jon_i]

A client comes to the clinic for a regular checkup. The nurse learns that the client works in a dry-cleaning establishment. Which of the following does the nurse assess for in the client, based on this information?
 
  a. Asbestosis
  b. Dermatitis
  c. Tendonitis
  d. Raynaud's phenomenon

Question 2

The nurse is preparing to present a teaching session on skin protection for a group of older adults at a seniors' centre. Which of the following principles is effective when teaching a group of older adults?
 
  a. Moving the group along at a predetermined pace
  b. Providing information in longer teaching sessions
  c. Speaking very slowly and in a louder tone of voice
  d. Assessing the group's knowledge of the subject

[Gabe]

Answer to Question 1

B
Persons who work in dry-cleaning establishments are exposed to solvents that may cause derma-titis or liver disease.
Asbestosis is more likely to be found as an occupational hazard for automobile workers and in-sulators.
Tendonitis may result from repetitive wrist motion, as seen in office computer workers.
Raynaud's phenomenon may result from vibration, as seen with jackhammer operators.

Answer to Question 2

D
Assessing what the client currently knows, teaching what the client wants to know, and setting mutual goals will improve the outcome of care and education.
The group should not be moved along at a predetermined pace. Clients may have questions that would go unanswered if there were a predetermined pace. Sometimes teaching sessions have to be stopped after the nurse observes a client's loss of concentration, such as nonverbal cues of poor eye contact or slumped posture.
Shorter (approximately 20 minutes), frequent sessions are more easily tolerated and retain the client's interest in the material.
The nurse should face the client and speak in a low tone of voice for the older adult with a hear-ing problem.