The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing
Which statement by the nurse will most likely elicit a positive response from the patient and family?
a. "You're doing that all wrong. Let me show you how to do it."
b. "I don't know who showed you how to change a dressing, but you're not doing it right. Let me show you again."
c. "You're hesitant about changing the dressing like I was before I was shown an easier way; would you like to see?"
d. "I used to change the dressing the same way you are doing it: the wrong way. I'll show you the right way to do it."
ANS: C
When the nurse is confident and skillful instead of coming across as an authority on the subject, the patient's/family's defenses will be down, making the patient/family more willing to listen without feeling embarrassed. Respectful communication is necessary. Saying that you're doing it wrong, you're not doing it right, or the wrong way is not respectful or necessary.
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a. Early adolescence b. Middle adolescence c. Late adolescence d. The entire adolescent period
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A) The patient's calcium will rise dramatically due to pituitary stimulation. B) The oxygen will increase the patient's intracranial pressure and create confusion. C) The oxygen may cause the patient to hyperventilate and become acidotic. D) Using oxygen may result in the patient developing carbon dioxide narcosis and hypoxemia.
Two days after a child is treated with permethrin [Nix] for head lice, a parent calls the clinic to report seeing nits and a few live lice on the child's scalp. The nurse will tell the parent to:
a. ask the provider about using benzyl alco-hol [Ulesfia]. b. cut the areas of the child's hair where nits are present. c. retreat the child's hair with permethrin [Nix]. d. use a fine-toothed comb to remove nits and live lice.