An older adult client is preparing for discharge following a myocardial infarction (MI). The nurse is reviewing the prescribed cardiac diet and exercise instructions with the client. Which action should the nurse implement while teaching?
Provide handouts written at a 12th grade reading level.
Use background music to promote relaxation.
Turn on overhead lights while giving instructions.
Stand behind the client to avoid intimidation.
The Correct Answer is C
A. Provide handouts written at a 12th grade reading level: Educational materials should be written at an appropriate reading level for the client, typically 6th to 8th grade for older adults, to promote understanding. Handouts at a 12th-grade level might be too complex.
B. Use background music to promote relaxation: While this could potentially help reduce anxiety for some people, it may also be distracting for others during important health teaching. The priority is clear and focused communication.
C. Turn on overhead lights while giving instructions: Proper lighting is essential, especially for older adults who may have visual impairments. Bright, direct lighting can help ensure the client clearly sees instructional materials and feels more comfortable during teaching.
D. Stand behind the client to avoid intimidation: Standing behind the client can be intimidating and might make the interaction feel less personal. It's important to engage the client in a way that encourages open communication, typically by sitting or standing at eye level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tie the knot with a double turn or square knot: While using a secure knot is important, the most critical factor is that the knot can be easily and quickly released in an emergency. A half bow knot may be inadequate for rapid release, but the primary focus should be ensuring quick accessibility.
B. Ensure that the knot can be quickly released: This is the most important action to ensure the safety of the client. In the event of an emergency, such as difficulty breathing or a need to quickly remove restraints, the knot must be easily undone without delay.
C. Move the ties so the restraints are secured to the side rails: Tying restraints to side rails is inappropriate because the side rails can move, which may result in injury. Restraints should be attached to a stationary part of the bed frame.
D. Ensure that the restraints are snug against the client's wrists: While restraints should be applied snugly to prevent injury, they should not be too tight. The primary concern here is ensuring that the restraints are safely and quickly releasable, not just snug.
Correct Answer is B
Explanation
A. Offer the client to move to a quiet room first: Changing the environment may reduce distractions, but it does not directly support the client’s immediate attempt to communicate. The priority is to respond to the client’s active effort to speak in the moment.
B. Allow the client time to complete her sentence: Allowing extra time promotes autonomy, reduces frustration, and respects the communication process for clients with aphasia. It gives the client space to formulate thoughts without pressure or interruption, which supports language recovery and expression.
C. Pull up a chair and sit quietly with the client: Sitting quietly can offer emotional support, but it may be perceived as passive when the client is actively trying to communicate. The nurse should take a facilitative role by giving the client time to speak, rather than only offering silent presence.
D. Provide a list of phrases to express herself properly: Providing phrases may overwhelm or confuse the client, especially during spontaneous attempts to speak. Aphasia affects word retrieval, and prompting with choices may interrupt the client's cognitive effort.
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