A nurse needs to begin teaching about crutch walking with a 14-year-old patient. Which action should the nurse take first?
a. Motivate the patient to comply with the use of crutches.
b. Prevent diseases and learn good health promotion activities for crutch walking.
c. Allow the entire health care team to give the patient a variety of strategies for crutch walking.
d. Determine the patient's level of knowledge and perception of the learning needed for crutch walking.
D
Determining a patient's level of knowledge is the first step. Assess the patient's level of knowledge, intellectual skills, and literacy level before beginning a teaching plan. The first step is not to motivate a patient. A patient's motivation to learn is an important factor; however, a patient's motivation helps to determine if the patient is prepared and willing to learn, not what needs to be taught. Health education is not focused on disease prevention as a primary goal, but on assisting patients to achieve optimal levels of health. Although the entire health care team may be involved with patient education, the educator must select the appropriate teaching strategy for the patient's ability to learn.
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