The nurse is working with a group of older clients through a ...

[SO00]

The nurse is working with a group of older clients through a community senior citizens center. Utilizing an understanding of health literacy, the nurse will make sure that
 
  1. information given to this group is written at a third-grade level.
  2. teaching includes a variety of approaches.
  3. information includes pictures.
  4. there is ample time for teaching.

Question 2

A client who is legally blind requires vitamin B12 injections every 2 weeks and insists on self-administration. What is the best way for the nurse to assist this client?
 
  1. Teach the spouse to draw up the medication, then the client can give the injection.
  2. Make sure that the injection is scheduled during a visit, so the nurse can supervise.
  3. Prefill syringes with the correct dose, so the client can use them for self-administration.
  4. Schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic.

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Answer to Question 1

Correct Answer: 4
Rationale 1: The average reading ability of many American adults is at the fifth-grade level. Information provided to this group should be presented at the fifth- to sixth-grade reading level.
Rationale 2: A variety of approaches should be included regardless of the audience, as people learn by different methods.
Rationale 3: A variety of approaches should be included regardless of the audience, as people learn by different methods.
Rationale 4: When working with the older population, the nurse must realize that increased time for teaching is necessary because processing of information is slower. Health literacy skills are often limited in older adults.

Answer to Question 2

Correct Answer: 3
Rationale 1: Teaching a spouse is demeaning and does not support the client's wishes for independence.
Rationale 2: Scheduling injections and visits to coincide is demeaning and does not support the client's wishes for independence.
Rationale 3: Clients who have visual impairment may need the assistance of a support person or creative care in order to remain compliant with their treatment. Because the client insists on self-administration, prefilling syringes (and keeping them away from light and heat) would be a plausible solution. The client is concerned with independence, and allowing the client to maintain that would be quite important.
Rationale 4: Scheduling injections and visits to coincide when the dose is due is demeaning and does not support the client's wishes for independence.

[SO00]

Excellent

[JaynaD87]

TYSM