The nurse is preparing to reinforce teaching provided to an old-old client about a new illness. What should the nurse keep in mind when providing this teaching?
1. People in this age range are cognitively impaired and unable to learn new information.
2. Patient teaching is not effective.
3. Individuals in this age range learn at the same rate as young-old adults.
4. May need teaching at a slower pace, with visual aids and repetition.
Answer: 4
1. All people in this age range are not cognitively impaired.
2. Patient teaching is effective at every age.
3. Learning may be impaired due to vascular and sensory changes.
4. Due to neurovascular and sensory losses, older adults need adjustment in teaching methods, although they still have the ability to learn.
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Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:
1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three ? go' and give you your shot. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done, you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."
Nurse managers are able to respond better to ethical dilemmas when they have access to the organization's:
a. mission and vision. b. patient safety plan. c. medical staff bylaws. d. ethics committee.
A nursing student is aware of the importance of critical thinking, especially in clinical situations. When applying the principles of critical thinking to a situation, the student should begin by asking:
A) "What did I do the last time I encountered a similar situation?" B) "Why do I need to act in this situation?" C) "What are the consequences of making the wrong decision in this situation?" D) "What are the facts that I know about this situation?"
A patient tells the nurse that she does not want to pass on a disease that is genetic in origin to any future children. How should the nurse respond to this patient?
A. "A complete genetic study could help guide you in your decision making." B. "Adoption is always a possibility." C. "I suppose, then, that you are not going to have any children." D. "Are you sure that the disease is genetic in origin?"