A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.
Ask the client to demonstrate walking with the crutches.
Assess the client’s readiness to learn.
Develop short-term goals for the client in the teaching plan.
Show the client a video of proper crutch walking.
The Correct Answer is B
Choice A rationale
Asking the client to demonstrate walking with the crutches is part of the evaluation step, not the teaching plan. It assesses the client’s understanding and ability to perform the skill.
Choice B rationale
Assessing the client’s readiness to learn is a crucial step in the teaching plan. It ensures that the client is mentally and emotionally prepared to absorb and apply the information being taught.
Choice C rationale
Developing short-term goals for the client is part of the planning process, but it is not the initial step in the teaching plan. The nurse must first assess the client’s readiness to learn.
Choice D rationale
Showing the client a video of proper crutch walking is a teaching strategy, but it is not the first step in the teaching plan. The nurse must first assess the client’s readiness to learn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Planning involves setting goals and determining the appropriate interventions to achieve those goals. It is not the step being performed when changing a wound dressing.
Choice B rationale
Evaluation involves assessing the effectiveness of the interventions and determining if the goals have been met. It is not the step being performed when changing a wound dressing.
Choice C rationale
Assessment involves gathering data about the client’s condition. While assessment is an ongoing process, it is not the primary step being performed when changing a wound dressing.
Choice D rationale
Implementation involves carrying out the planned interventions. Changing a wound dressing is an example of implementing a nursing intervention.
Correct Answer is B
Explanation
Choice A rationale
Implementing the order immediately without verifying is unsafe and can lead to errors. Nurses must ensure clarity and accuracy before carrying out any orders.
Choice B rationale
Writing down the order and reading it back to the physician is the correct action. This ensures that the order is understood correctly and reduces the risk of errors.
Choice C rationale
Asking the physician to repeat the order multiple times is unnecessary and can be seen as unprofessional. Writing down and reading back the order is a more effective method.
Choice D rationale
Ignoring the order if it seems unclear is not appropriate. Nurses have a responsibility to clarify any unclear orders to ensure patient safety.
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