Author Question: Which of the following patients would most likely need to have adjustments made to the education ... (Read 52 times)

OSWALD · **on:** Jul 23, 2018

Which of the following patients would most likely need to have adjustments made to the education plan for discharge because of role function?

a. A 67-year-old married female who lives with her retired husband
b. A 32-year-old single mother of a toddler following hysterectomy.
c. A 13-year-old who lives at home with his parents after appendectomy
d. A 50-year-old married mother with 2 child in college and teenager at home

Question 2

The nurse is preparing to teach a 5-year-old child postoperative care that will be anticipated after a tonsillectomy. The nurse should:

a. use pictures and simple words to describe care to the patient.
b. teach the parents alone to reduce fear in the patient.
c. exclude the parents to reduce parental anxiety.
d. use clear simple explanations to convey information.

cswans24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Exploration of the patient's roles is an important task that must be done before development of a patient education plan. For example, a 32-year-old, single mother of five young children who has just undergone a hysterectomy may require a different perspective in her discharge instructions than that in the instructions of a 67-year-old female living with her husband who recently retired after 35 years as a family practice physician. The first patient may have less support and less flexibility regarding rest, lifting limitations, and cost of prescriptions than the second. It is important not to stereotype and assign roles but rather to develop a plan in collaboration with the individual. The patient's support system should be taken into consideration when the nurse plans patient education.

Answer to Question 2

ANS: A
Patient education provided for children should be age specific. Use pictures and simple words for young children. Use clear, simple explanations for school-age children. The patient's age directly affects the instructional methods and materials used. Effective patient education involving a child requires the presence of a parent or caregiver, who is likely the target of teaching. Children should not be excluded from the learning session unless exclusion is deemed appropriate by the parent or caregiver; a presentation using an age-appropriate strategy may complement the instructions reviewed with the adult. The stages of development should be explored as the foundation for the choice of educational materials.