The nurse instructs a client on self-care for a new ostomy. Which client behaviors demonstrate that instruction has been effective?

Question

1. Client provides skin care and changes ostomy device.
2. Client states what items are needed to perform ostomy care.
3. Client is unable to identify changes in skin around the stoma.
4. Client tells the nurse that he does not want to do the care.
5. Client asks his wife to learn how to perform the care so he will not have to do it.

Answer 1

Correct Answer: 1,2
Rationale 1: The acquisition of psychomotor skills is best evaluated by observing how well the client carries out a procedure such as self-care for an ostomy.
Rationale 2: In cognitive learning, the client demonstrates acquisition of knowledge by responding appropriately to oral questions.
Rationale 3: The inability to identify changes in the skin around the stoma would indicate that instruction has not been effective.
Rationale 4: The client's stating he does not want to perform self-care to the ostomy would indicate that effective learning did not occur.
Rationale 5: The client's asking his wife to learn the care would indicate that effective learning did not occur.