Author Question: A patient has been taught how to change a colostomy bag but is having trouble measuring and ... (Read 9 times)

penza · **on:** Jul 23, 2018

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action?

a. Refer to a mental health specialist.
b. Refer to an ostomy specialist.
c. Refer to a dietitian.
d. Refer to a wound care specialist.

Question 2

A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?

a. Return demonstration
b. Computer instruction
c. Verbalization of steps
d. Cloze test

brittrenee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Resources that specialize in a particular health need (e.g., wound care or ostomy specialists) are integral to successful patient education. A mental health specialist is helpful for emotional issues rather than for physical problems. A dietitian is a resource for nutritional needs. A wound care specialist provides complex wound care.

Answer to Question 2

ANS: A
To demonstrate mastery of the skill, have the patient perform a return demonstration under the same conditions that will be experienced at home or in the place where the skill is to be performed. Computer instruction is use of a programmed instruction format in which computers store response patterns for learners and select further lessons on the basis of these patterns (programs can be individualized). Computer instruction is a teaching tool, rather than an evaluation tool. Verbalization of steps can be an evaluation tool, but it is not as effective as a return demonstration when evaluating a psychomotor skill. The Cloze test, a test of reading comprehension, asks patients to fill in the blanks in a written paragraph.