A client needs discharge teaching regarding the use of a walker ...

[gbarreiro]

A client needs discharge teaching regarding the use of a walker before going home. The client's room is small and adjacent to a soda machine and small lounge area. In planning a teaching session, the best thing the nurse can do is:
 
  1. Wait until just prior to discharge, then do the teaching in the hospital lobby.
  2. Close the door to the client's room and make sure there is no clutter on the floor before the teaching session begins.
  3. Take the client to a larger area (treatment room, for example) for teaching, then evaluate on the way back to the client's room.
  4. Make sure a physical therapist is available to do the teaching and can see the client before discharge.

Question 2

A school nurse is putting together a program for adolescents about positive lifestyle choices. The nurse should keep in mind that content presented to this age group must be which of the following? (Select all that apply.)
 
  1. Based on learning outcomes
  2. Current
  3. Adjusted to the adolescent client
  4. Based on sources available within the school system

[KKcool]

Answer to Question 1

Correct Answer: 3
Rationale 1: Noise or interruptions can interfere with concentration, whereas a comfortable environment can promote learning. The hospital lobby does not provide privacy and can be noisy. There also would be little time to reinforce any teaching needs that might be necessary.
Rationale 2: Noise or interruptions can interfere with concentration, whereas a comfortable environment can promote learning.
Rationale 3: Going to a larger area and then evaluating the learning by watching the client ambulate back to the room would be the best way to implement teaching in this particular situation.
Rationale 4: Not all hospitals have a physical therapist available to help implement teaching for clients.

Answer to Question 2

Correct Answer: 1,2,3
Rationale: Nurses can select among many sources of information, including books, nursing journals, and other nurses and physicians. Whatever sources the nurse chooses, content should be accurate; current; based on learning outcomes; adjusted to the learner's age, culture, and ability; consistent with information the nurse is teaching; and selected with consideration of how much time and what resources are available for teaching.