A nurse is planning preoperative teaching for a child scheduled to have a tonsillectomy. The child has a history of attention deficit hyperactivity disorder (ADHD). The nurse uses which of the following teaching techniques with this child?
1. Give instructions verbally and use a picture pamphlet, repeating points more than once
2. Ask other children who have had this procedure to talk to the child
3. Allow the child to lead the session to gain a sense of control
4. Play a television show in the background
1. Give instructions verbally and use a picture pamphlet, repeating points more than once
Rationale:
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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