A client needs discharge teaching regarding the use of a walker before going home. The client's room is small and adjacent to a soda machine and small lounge area. In planning a teaching session, which is the best thing the nurse can do?

Question

1. Wait until just prior to discharge, then do the teaching in the hospital lobby.
2. Close the door to the client's room and make sure there is no clutter on the floor before the teaching session begins.
3. Take the client to a larger area (treatment room, for example) for teaching, then evaluate on the way back to the client's room.
4. Make sure a physical therapist is available to do the teaching and can see the client before discharge.

Answer 1

Correct Answer: 3
Rationale 1: Noise or interruptions can interfere with concentration, whereas a comfortable environment can promote learning. The hospital lobby does not provide privacy and can be noisy. There also would be little time to reinforce any teaching needs that might be necessary.
Rationale 2: Noise or interruptions can interfere with concentration, whereas a comfortable environment can promote learning.
Rationale 3: Going to a larger area and then evaluating the learning by watching the client ambulate back to the room would be the best way to implement teaching in this particular situation.
Rationale 4: Not all hospitals have a physical therapist available to help implement teaching for clients.