A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)
Provide educational material written at a 9th grade reading level.
Begin the session with the least important information.
Use active listening methods during the session.
Ask the client open-ended questions during the session.
Use the teach-back method during the session.
Correct Answer : C,D,E
C) Use active listening methods during the session:
Active listening is crucial in educational sessions as it ensures the nurse fully understands the client’s needs and concerns. It involves attentively listening to the client, responding to their questions, and adapting the teaching to their feedback. This fosters effective communication and enhances learning.
D) Ask the client open-ended questions during the session:
Open-ended questions encourage clients to express their thoughts and provide more detailed responses. This approach helps the nurse assess the client’s understanding and identify any areas where further explanation might be needed. It also promotes a more interactive and engaging teaching process.
E) Use the teach-back method during the session:
The teach-back method involves asking the client to repeat the information in their own words to confirm their understanding. This technique is effective in reinforcing learning and identifying any gaps in the client’s comprehension, ensuring they are well-informed about their medication.
A) Provide educational material written at a 9th-grade reading level:
While providing educational material at an appropriate reading level is important, it is not selected here because the question focuses on strategies to use during the teaching session rather than the written material itself.
B) Begin the session with the least important information:
Beginning with the least important information is not an effective teaching strategy. It is better to start with the most critical points to ensure the client understands the essential aspects of their medication.
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Related Questions
Correct Answer is B
Explanation
A) Explain the purpose for the medications:
While explaining the purpose of the medications is important, it is crucial first to understand the reason behind the client's refusal. This can help tailor the explanation to address specific concerns or misconceptions.
B) Ask the client why he is refusing to take the medications:
Asking the client about their reasons for refusing the medications is a critical first step. This approach allows the nurse to address any concerns, educate the client, and potentially find alternative solutions or treatments that the client may be more willing to accept.
C) Tell the client the physician wants him to take the medications:
Simply telling the client that the physician wants them to take the medications does not address the underlying reasons for the refusal. It is important to engage with the client to understand their perspective and address any concerns they might have.
D) Document that the client refuses the medications:
Documentation of the refusal is necessary for legal and medical records, but it should not be the initial action. Understanding the client’s reasons for refusal and attempting to address those reasons should be prioritized before documenting the refusal.
Correct Answer is B
Explanation
A) Platelets 190,000/mm³:
A platelet count of 190,000/mm³ is within the normal range (typically 150,000 to 450,000/mm³). This result does not indicate a need for immediate concern in the context of warfarin therapy.
B) PT 45 seconds:
A prothrombin time (PT) of 45 seconds is significantly elevated. This indicates that the blood's clotting ability is excessively prolonged, which could increase the risk of bleeding complications in a client taking warfarin. Immediate notification to the provider is necessary to potentially adjust the dosage or investigate further.
C) Hgb 16 g/dL:
A hemoglobin level of 16 g/dL is within the normal range for adults (typically 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females). This result does not warrant concern in relation to warfarin therapy.
D) Hct 44%:
A hematocrit level of 44% is within the normal range (generally 40% to 50% for males and 36% to 48% for females). This result does not indicate an issue related to warfarin therapy.
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