Which factors should the nurse assess to determine a patient's ability to learn?
a. Developmental capabilities and physical capabilities
b. Sociocultural background and motivation
c. Psychosocial adaptation to illness and active participation
d. Stage of grieving and overall physical health
A
Developmental and physical capabilities reflect one's ability to learn. Sociocultural background and motivation are factors in readiness to learn. Psychosocial adaptation to illness and active participation are factors in readiness to learn. Readiness to learn is related to the stage of grieving. Overall physical health does reflect ability to learn; however, because it is paired here with stage of grieving (which is a readiness to learn factor), this is a wrong answer.
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The nurse is reinforcing teaching for a patient who has had a right total hip replacement. Which of the following statements by the patient would indicate a correct understanding of the teaching?
a. "Keep legs apart." b. "Move right leg closer to the left leg." c. "Do not bear any weight on the left leg." d. "Lie prone in bed."
After a stroke, a client has ataxia. What intervention is most appropriate to include on the client's plan of care?
a. Ambulate only with a gait belt. b. Encourage double swallowing. c. Monitor lung sounds after eating. d. Perform post-void residuals.
What are included in age-related cardiovascular changes? (Select all that apply.)
a. Cardiac murmurs b. Widened pulse pressure c. Pulse decreasing in force d. Dyspnea e. Chest pain
The nurse is aware that a shortage of organs exists. She knows that which of the following statements is true?
a. Anyone who is comfortable approaching the family should discuss the option of organ donation. b. Brain death determination is required before organs can be retrieved for transplant. c. Donation of selected organs after cardiac death is ethically acceptable. d. Family members should consider withdrawing life support so that the patient can become an organ donor.