Author Question: A patient with heart failure is learning to reduce salt in the diet. When will be the best time for ... (Read 21 times)

aabwk4 · **on:** Jul 22, 2018

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic?

a. At bedtime, while the patient is relaxed
b. At bath time, when the nurse is cleaning the patient
c. At lunchtime, while the nurse is preparing the food tray
d. At medication time, when the nurse is administering patient medication

Question 2

After a teaching session on taking blood pressures, the nurse tells the patient, You took that blood pressure like an experienced nurse. Which type of reinforcement did the nurse use?

a. Social acknowledgment
b. Pleasurable activity
c. Tangible reward
d. Entrusting

SAUXC · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
In this situation, because the teaching is about food, coordinating it with routine nursing care that involves food can be effective. Many nurses find that they are able to teach more effectively while delivering nursing care. For example, while hanging blood, you explain to the patient why the blood is necessary and the symptoms of a transfusion reaction that need to be reported immediately. At bedtime would be a good time to discuss routines that enhance sleep. At bath time would be a good time to describe skin care and how to prevent pressure ulcers. At medication time would be a good time to explain the purposes and side effects of the medication.

Answer to Question 2

ANS: A
Reinforcers come in the form of social acknowledgments (e.g., nods, smiles, words of encouragement), pleasurable activities (e.g., walks or play time), and tangible rewards (e.g., toys or food). The entrusting approach is a teaching approach that provides a patient the opportunity to manage self-care. It is not a type of reinforcement.