A nurse is changing a wound dressing for a post-op client. Which of the following steps is the nurse performing?

Choice A rationale
An advance directive is a legal document that outlines a patient’s wishes regarding medical treatment in situations where they are unable to communicate their decisions. It includes instructions on life-sustaining treatments, resuscitation, and other medical interventions. This ensures that the patient’s preferences are respected and followed by healthcare providers.
Choice B rationale
A document that specifies the final arrangements for the patient is not an advance directive. Final arrangements typically refer to funeral and burial plans, which are not related to medical treatment decisions. Advance directives focus on medical care and treatment preferences.
Choice C rationale
A legal document that designates a person to make healthcare decisions for the patient is known as a durable power of attorney for healthcare or healthcare proxy. While this is an important component of advance care planning, it is not the same as an advance directive. An advance directive specifically outlines the patient’s treatment preferences.
Choice D rationale
A legal document that communicates the patient’s wishes regarding their care is a broader description that can include various types of advance care planning documents. However, the best description of an advance directive is a document that outlines the patient’s wishes regarding medical treatment.

Choice A rationale
Providing all information at once to ensure understanding is not an effective teaching strategy, especially for clients newly diagnosed with diabetes. This approach can overwhelm the client and make it difficult for them to retain and comprehend the information. Effective teaching involves breaking down the information into manageable segments and reinforcing key concepts over time.
Choice B rationale
Avoiding repetition to prevent boredom is not an effective teaching strategy. Repetition is essential for reinforcing important concepts and ensuring that the client fully understands the information. Repetition helps to reinforce learning and improve retention, especially for complex topics such as diabetes management.
Choice C rationale
Tailoring teaching strategies to the client’s learning style is the most effective approach for teaching clients newly diagnosed with diabetes. Each client has a unique learning style, and adapting the teaching methods to match their preferences can enhance understanding and retention. This personalized approach ensures that the client receives the information in a way that is most meaningful and effective for them.
Choice D rationale
Using medical terminology to enhance credibility is not an effective teaching strategy for clients newly diagnosed with diabetes. Medical jargon can be confusing and intimidating for clients, making it difficult for them to understand the information. It is important to use clear, simple language that the client can easily comprehend.