A nurse is caring for a school-age client who is scheduled to have a tonsillectomy the next day. The nurse has planned a preoperative teaching session for the child, who has a history of attention-deficit/hyperactivity disorder (ADHD)
Which teaching technique is most appropriate for this client?
A) Play a television show in the background.
B) Ask other children who have had this procedure to talk to the child.
C) Allow the child to lead the session to gain a sense of control.
D) Give instructions verbally and use a picture pamphlet, repeating points more than once.
Answer: D
A teaching session for a child with ADHD should foster attention. Giving instructions verbally and in written form, repeating the main points, will improve learning for a child with ADHD. Talking to other children who have had this procedure may not foster understanding, because this child has ADHD. A child who has difficulty concentrating should not lead the session even though the child needs to feel in control. The environment should be quiet, with minimal distractions. Distractions such as noise from a television should be minimized.
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