The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days. When organizing the teaching/learning experience, the nurse should
1. start from the beginning and proceed through all material.
2. break up sessions into shortened time periods.
3. discover what the learner knows before proceeding with further teaching.
4. make sure the client's spouse is present before the teaching session begins.
Correct Answer: 3
Rationale 1: Going over information already taught and learned isn't practicing good time management for the nurse or the client.
Rationale 2: Unless the client has attention problems or may be elderly, breaking up the sessions may not be necessary.
Rationale 3: Nurses should save time in constructing their own teaching sessions and should follow basic guidelines when sequencing the learning experience. The nurse should find out what the learner knows, and then proceed to the unknown. This gives the learner confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form.
Rationale 4: Having the spouse present is always a good idea, but may not be possible all the time.
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