The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?
A) Ask the client to tell the nurse what is known about caring for the colostomy.
B) Make sure the client's spouse is present before the teaching session begins.
C) Start from the beginning and proceed through all steps required to perform colostomy care.
D) Break the information into small sessions to enhance learning.
Answer: A
The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.
You might also like to view...
A patient is intubated, and sputum for culture and sensitivity is ordered. Which of the following is important for obtaining the best specimen?
a. After the specimen is in the container, dilute thick secretions with sterile water. b. Apply suction when the catheter is advanced to obtain secretions from within the endotracheal tube. c. Do not apply suction while the catheter is being withdrawn because this can contaminate the sample with sputum left in the endotracheal tube. d. Do not clear the endotracheal tube of all local secretions before obtaining the specimen.
The nurse, caring for an older patient who is nearing death, has never taken care of a dying patient before. What is the first thing that the nurse must do prior to caring for this patient?
1. Confirm the patient's code status. 2. Review the facility's policy on postmortem care. 3. Confront personal feelings and fears about death. 4. Confirm that the family has made funeral arrangements.
Transcultural sensitivity in delegation is needed to create a productive multicultural work team
What cultural phenomena must be considered for the biopsychosocial differences between racial and ethnic groups that have susceptibility to disease and physiological differences? A) Space B) Social organization C) Environmental control D) Biological variations
Which nurse is performing primary health care? The nurse who is:
a. providing direct care. b. teaching a client who has had a stroke how to perform range of motion exercises. c. working at a mammography clinic. d. working in a smoking cessation program.