A client tells the nurse that he has no questions about his ...

[Lisaclaire]

A client tells the nurse that he has no questions about his illness, since he did a search on the Internet. What should the nurse do?
 
  1. Ask the client to share the information obtained from the Internet search.
  2. Document that the client has received instruction.
  3. Tell the client that the Internet is a form of entertainment, not instruction.
  4. Document that the client refused instruction.

Question 2

The nurse suspects a client has low literacy when what is assessed?
 
  1. Incorrect completion of previous hospitalizations form.
  2. Client refusing to sign forms because eyeglasses are at home.
  3. Client saying he forgot to report for laboratory testing.
  4. Score of 6 on the Newest Vital Sign assessment tool.
  5. Questioning the dosage pattern on a newly prescribed medication.

[ky860224]

Answer to Question 1

Correct Answer: 1
Rationale 1: The Internet is an important source of health information for many adult clients in the United States. Nurses need to know and be able to integrate this technology into the teaching plans for those clients who use the Internet. The nurse should ask the client to share the information obtained from the Internet search in order to integrate the content into the client's teaching plan.
Rationale 2: The nurse needs to ask the client to share the information, and not just document that the client has received instruction. The nurse does not know what instruction the client has received.
Rationale 3: The Internet is a source of information, and not just a form of entertainment.
Rationale 4: The client did not refuse instruction.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: The nurse should suspect a literacy problem when a client incorrectly completes forms.
Rationale 2: The nurse should suspect a literacy problem when a client refuses to sign forms because of lack of eyeglasses.
Rationale 3: The nurse should suspect a literacy problem when appointments are missed.
Rationale 4: A score of 6 on the Newest Vital Sign assessment tool indicates adequate literacy.
Rationale 5: Questioning a medication would indicate that the client read the prescription, and would not have a literacy problem.