The nurse is instructing a client on self-administration of insulin. Which statement regarding feedback will be most beneficial to the client?
1. "You know, there are children who can learn to do this."
2. "Maybe it would be better if we taught your spouse to help you with this."
3. "Next time, dart the needle in your skin, instead of pushing it in."
4. "If you don't learn this, you can't be discharged."
Correct Answer: 3
Rationale 1: Ridicule or sarcasm can lead to withdrawal from learning, as in reminding an adult client that a child can perform the task or of not being discharged until the skill is learned.
Rationale 2: Statements about having somebody else learn the technique may also cause the learner to avoid the teaching moment and to avoid learning the technique altogether.
Rationale 3: Feedback should be meaningful to the learner and should support the desired behavior through praise, positively worded corrections, and suggestions of alternative methods.
Rationale 4: Ridicule or sarcasm can lead to withdrawal from learning, as in reminding an adult client that a child can perform the task or of not being discharged until the skill is learned.
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