A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which client exhibits the highest motivation?
1. A client who has been struggling with following nursing directives regarding discharge goals
2. The client who has just moved in and is already eager for discharge
3. A client who is excited to learn about his new prosthesis
4. A client who has been there the longest and is a great "coach" for newcomers
3. A client who is excited to learn about his new prosthesis
Rationale:
Motivation is the desire to learn and influences how quickly and to what extent a person learns. It is generally greatest when a person recognizes a need and believes the need will be met through learning. The client who is excited to learn about his prosthesis understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a "coach" for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be "bucking" the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.
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