A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

decreased vision but the client is wearing glasses

Hearing loss, hearing aids are functioning well

Language and no access to an interpreter

The client's culture

Answer and Explanation

The Correct Answer is C

A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.

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Correct Answer is A

Explanation

A. The nurse encourages autonomy by allowing the client time to wash their face and upper chest with the left arm: The Self Care Model focuses on promoting independence and encouraging clients to do as much for themselves as possible. Allowing the client to perform tasks within their ability fosters autonomy and self-care.
B. The nurse performs range of motion exercises to the right arm: While beneficial, this does not directly promote the client's independence in self-care.
C. The nurse recognizes due to cultural preferences a female should provide the bed bath: This respects cultural preferences but does not relate directly to promoting self-care.
D. The nurse performs all the tasks: This does not encourage the client’s independence and is not aligned with the Self Care Model.

A. dizziness B. facial droop C. numbness D. Fatigue

Correct Answer is B

Explanation

A. Dizziness: Dizziness is a subjective symptom reported by the client.
B. Facial droop: Objective data is information that can be directly observed or measured by the healthcare professional. It's independent of the client's interpretation or feelings. A facial droop is an observable and measurable sign, making it objective data.
C. Numbness: Numbness is a subjective symptom reported by the client.
D. Fatigue: Fatigue is a subjective symptom reported by the client.

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A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

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