A nurse is assisting with teaching a class about motor skills that develop in the first year of life. The nurse should include that which of the following motor skills develops first?

Choice A reason : While assisting the client in identifying coping strategies that have worked in the past is important, it is not the first step in assessing self-concept. Coping strategies are part of a broader plan to manage self-concept issues once they have been identified.

Choice B reason : Identifying health alterations that are related to self-concept is the first step in the assessment process. Understanding how health changes affect the client's perception of themselves can provide a foundation for further exploration and intervention planning.

Choice C reason : Collaborating with the client to establish short and long-term goals is an important part of the care plan but should come after a thorough assessment of the client's self-concept and related health alterations.

Choice D reason : Determining whether the desired outcome has been achieved is part of the evaluation phase of the nursing process and should occur after interventions have been implemented, not during the initial assessment of self-concept.

Choice A reason : Using high-pitched tones is not recommended when speaking to a client with hearing loss. High-pitched sounds can be harder to hear for many people with hearing loss, as these sounds are often the first to be affected by auditory impairment. It's better to use a lower, natural tone and speak clearly.

Choice B reason : Speaking to the client using a loud voice is not advisable. While it might seem helpful, shouting can actually distort speech sounds and make it more difficult for the client to understand. Instead, the nurse should speak in a normal, clear voice and ensure the client's hearing aids are functioning if they use them.

Choice C reason : Talking quickly can make it difficult for a client with hearing loss to understand what is being said. It is important to speak at a moderate pace, enunciating clearly and allowing the client time to process the information. Rapid speech can blend words together, making it challenging for the client to follow the conversation.

Choice D reason : Making eye contact with the client when speaking is an effective communication strategy. It helps to engage the client and allows them to use visual cues such as lip-reading and facial expressions to better understand the conversation. Additionally, it ensures that the nurse has the client's attention before speaking.