A nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?

Choice A Reason:
Leaving a client in a wheelchair with the wheels unlocked

This action is an example of negligence rather than libel. Negligence refers to the failure to provide the standard of care that a reasonably prudent person would have provided in a similar situation. Leaving a client in a wheelchair with the wheels unlocked can lead to injury, but it does not involve making false statements about the client.

Choice B Reason:
Administering a medication without the client's consent

Administering medication without a client's consent is an example of battery, not libel. Battery involves the unauthorized physical contact with another person, which in this case is administering medication without consent. It does not involve written or spoken false statements that damage a person's reputation.

Choice C Reason:
Threatening to apply restraints on a client who is refusing medication

This action is an example of assault, not libel. Assault involves the threat of physical harm or unwanted physical contact. In this scenario, threatening to apply restraints is a form of coercion and intimidation, but it does not involve making false statements about the client.

Choice D Reason:
Documenting false information about a client's substance use history

This is the correct example of libel. Libel involves making false and defamatory statements in written form that can harm a person's reputation. Documenting false information about a client's substance use history can damage the client's reputation and lead to negative consequences for the client. It is a written form of defamation and fits the definition of libel.

Choice A Reason:
Scheduling teaching sessions for a longer duration may not necessarily promote participation among older adults. In fact, prolonged sessions can lead to fatigue and decreased attention, especially in older populations who may have reduced stamina for long activities.

Choice B Reason:
While assisting clients with establishing long-term goals is beneficial for motivation and direction, it is not directly related to eliminating barriers to learning. Goals are more about the outcomes of learning rather than the process itself.

Choice C Reason:
Using "I" statements rather than "you" statements can help eliminate barriers to learning by creating a non-threatening environment. This approach encourages personal responsibility and reduces defensiveness, allowing for more open and effective communication.

Choice D Reason:
Ensuring that teaching sessions occur right before bedtime is not advisable. Older adults may be more tired at the end of the day, and this timing could interfere with their ability to concentrate and retain information.