A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

The client's belief that his needs will be met through education

The client seeking family approval by agreeing to a teaching plan

The nurse explaining the need for education to the client

The nurse's empathy about the client having to self-inject

Answer and Explanation

The Correct Answer is A

A.   The client's belief that his needs will be met through education reflects intrinsic motivation, which is likely to enhance the client's commitment to learning and self-care.
B.   Seeking family approval may be a motivator, but it is an external factor, and intrinsic motivation is generally more effective for sustained behavior change.
C.   While the nurse explaining the need for education is important, the client's personal belief and understanding of the value of education are key for motivation.
D.   The nurse's empathy is essential for building rapport, but the client's belief in the benefits of education is more directly related to motivation.

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Correct Answer is D

Explanation

A. A client with diminished vision ambulating in well-lit areas may be at risk for falling but is not at the greatest risk among the options provided.
B. A client who received a diuretic 30 min ago may experience orthostatic hypotension, which can increase the risk of falling, but it is not the highest risk.
C. A client who requires assistance with ambulation is generally at a lower risk than a client who has recently experienced a tonic-clonic seizure.
D. A client who had a tonic-clonic seizure 2 hr ago is at the greatest risk for falling due to potential residual weakness, disorientation, or postictal state following the seizure.

A. "Raise the index finger if gagging occurs during insertion." B. "Bear down during insertion." C. Say "stop" if a burning sensation is felt inside the nose." D. Inhale forcefully during insertion."

Correct Answer is C

Explanation

A. Raising the index finger is not a typical response for managing gagging during NG tube insertion.

B. Bearing down during insertion is not an appropriate instruction and may increase the risk of complications.
C. Instructing the client to say "stop" if a burning sensation is felt inside the nose allows for communication and prompt action to ensure the client's comfort and safety.
D. Inhaling forcefully during insertion is not a recommended action and may interfere with the procedure.

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A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

Explanation

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