An example of a factor that would impede a patient's learning is:
a. Poverty.
b. Limited health insurance.
c. Being an older adult.
d. Heavy sedation.
ANS: D
Nurses need to be sensitive to the teaching needs of those at risk for disparities in health care: persons of a different race or ethnic group, women, children, older adults, rural residents, and those with limited or no health insurance, low health literacy, and/or low socioeconomic status. It is important that lower expectations for persons who are disadvantaged, have a low literacy level, or have limited English proficiency are not unintentionally communicated.
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A patient is administered diltiazem (Cardizem) IV followed by propranolol (Inderal) IV. What effect will this medication combination produce?
A) Hypertensive crisis B) Anaphylaxis C) Heart block D) Bradycardia
To teach effectively, nurses must recognize that:
a. age and socioeconomic status play a large role in understanding. b. 90% of Americans possess rudimentary literary skills. c. the ability to comprehend is a very new concept in health care. d. most health care teaching is effective and understood.
The nurse is caring for a client in the intensive care unit that is on life support measures. The family members are opposed in their decision to take the client off of life support. What option does the nurse discuss with the nurse manager?
A) Ask the family to go out of the unit and make a decision that is final. B) Contact the ethics committee for their input. C) Have the physician inform the family that they are not responsible for the decision. D) Taking the client off of life support when the family is not present.
Which are appropriate considerations when the nurse is assessing the learning needs of a patient? (Select all that apply.)
a. Cultural background b. Family history c. Level of education d. Readiness to learn e. Health beliefs