The nurse has completed the teaching session for a client with a new colostomy. Which feedback statement by the nurse is the most appropriate?
a. "I realize that you had a tough time today, but it will get easier with practice."
b. "You cleaned the stoma well. Now you need to practice putting on the appliance."
c. "You seem to understand what I taught you today. What else can I help you with?"
d. "You seem uncomfortable. Do you want your daughter to care for your ostomy?"
B
The nurse should provide both approval and room for improvement in feedback after a teaching session. Feedback should be objective and constructive, and not evaluative. Reassuring the client that things will improve does not offer anything concrete for the client to work on, nor does it let him or her know what was done well. The nurse should not make the client convey learning needs because the client may not know what else he or she needs to understand. The client needs to become the expert in self-management of the ostomy, and the nurse should not offer to teach the daughter instead of the client.
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