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The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

A.

have the patient explain the procedure to the nurse to assess understanding

B.

give the patient a day to allow him to process and absorb the information.

C.

have the patient practice the procedure with the nurse helping.

D.

give the patient written materials to study and learn the procedure.

Answer and Explanation

The Correct Answer is C

A. Have the patient explain the procedure to the nurse to assess understanding.
This could be a helpful way to assess knowledge, but it doesn’t provide practical, hands-on experience immediately after the demonstration.

 

B. Give the patient a day to allow him to process and absorb the information.
Delaying practice may reduce the effectiveness of learning by increasing the chance of forgetting details.

 

C. Have the patient practice the procedure with the nurse helping.
Practicing the skill right away reinforces learning and allows the nurse to provide guidance and feedback.

 

D. Give the patient written materials to study and learn the procedure.
Written materials can be helpful but should complement, not replace, hands-on practice.


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Correct Answer is B

Explanation

A. Speaking in simple sentences, as if to a child. This is inappropriate and could be perceived as patronizing, which may hinder communication. Older adults should be treated with respect, not as children.

B. Speaking slowly in order to allow the patient to process the message. Older adults may need more time to process information, so speaking slowly can aid understanding without appearing patronizing.

C. Addressing him by his first name to encourage a therapeutic relationship. Addressing older adults by their first names may be seen as disrespectful or overly familiar, unless the patient specifically requests it.

D. Standing in the doorway rather than entering the room to give the older adult patient more privacy. Standing in the doorway may create a physical barrier and distance, which can hinder effective communication and rapport.

Correct Answer is D

Explanation

A. interrupting frequently.
Interrupting can make adolescents feel disrespected and unheard, which may hinder effective communication and trust.

B. using active listening.
Active listening is essential in communication, especially with adolescents, as it shows respect and builds rapport. The nurse should not avoid this.

C. offering advice.
Offering unsolicited advice can lead to resistance or defensiveness in adolescents. It’s often better to guide them towards their own conclusions.

D. asking embarrassing questions.
Asking questions perceived as embarrassing may make adolescents uncomfortable, leading to reduced openness and cooperation. It is important to be sensitive and respectful when choosing questions to avoid making them feel awkward or judged.

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