The nurse is planning to instruct a patient on the anatomy of the heart so that he will understand what type of surgery he needs. The best teaching strategy for the nurse to use would be:
1. Discussion with printed materials.
2. Role modeling.
3. Demonstration.
4. Self-discovery.
Discussion with printed materials.
Rationale: The patient is in need of cognitive knowledge about the anatomy of the heart. The teaching strategy that supports cognitive learning is discussion with printed materials. Role modeling is a strategy for affective learning. Demonstration and self-discovery are strategies to support psychomotor learning.
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The nurse is admitting a Native American patient with uncontrolled hypertension and type 1 diabetes to the unit
During the initial assessment, the patient informs the nurse that he has been seeking assistance and care from the shaman in his community. The nurse recognizes that the patient's blood pressure and his blood sugar level are elevated upon admission. What is the nurse's best response to the patient's indication that his care provider is a shaman? A) "Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization." B) "It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches." C) "Don't worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital." D) "I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels."
A nurse is assessing an older patient with new onset confusion using the Confusion Assessment Method (CAM). The nurse understands that in order to have a diagnosis of delirium when using the CAM, the patient must exhibit which of the following?
(Select all that apply.) a. Acute onset of symptoms or fluctuating course b. Inattention c. Disorganized thinking d. Altered level of consciousness e. Alteration in level of physical activity
Which of the following findings is normal regarding assessment of the fontanels?
1. The nurse notes that the 2-week-old infant's fontanels are slightly pulsing. 2. The 2-year-old child's anterior fontanel remains unclosed. 3. The 1-month-old infant's posterior fontanel has closed. 4. The 10-month-old infant's anterior fontanel is shaped like a triangle.
A pleural chest tube is inserted to treat a patient with tension pneumothorax. The nurse assists the physician as multiple doses of a local anesthetic are administered prior to tube insertion
Which of the following observations by the nurse warrants immediate physician attention? 1. The patient complains of pain during anesthetic injections. 2. The patient's systolic blood pressure changes from 156 to 138 mm hg. 3. The patient's heart rate decreases from 100 beats per minute to 65 beats per minute. 4. The patient's respiratory excursion remains the same.