When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to:
write down the steps as she performs them.
read the listed steps written on a poster board on the wall.
verbalize each step until the steps are memorized.
close her eyes and envision the process.
The Correct Answer is C
A. write down the steps as she performs them.
Writing down the steps may help the patient review later but does not actively engage the patient in learning during the procedure.
B. read the listed steps written on a poster board on the wall.
Reading steps on a poster board can provide visual support but doesn’t actively involve the patient in recalling or practicing the procedure.
C. verbalize each step until the steps are memorized.
Verbalizing each step is an active form of learning that reinforces memory and helps the patient feel more comfortable with the process, making it an effective teaching strategy.
D. close her eyes and envision the process.
Visualization can help with memory, but it may not be as effective as actively verbalizing each step for practical, hands-on tasks.
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Correct Answer is D
Explanation
A. Include another person in the instruction because an 82-year-old person will be unable to master the technique. This is an assumption based on age and is incorrect. Age alone does not determine learning ability; many older adults are fully capable of learning new skills.
B. Provide written material and diagrams alone. While written materials are helpful, they should be supplemented with hands-on practice and guidance, especially for skill-based learning.
C. Speed through the details because age and experience will shorten learning time. Older adults may actually require a slower pace to absorb new information, particularly for complex tasks.
D. Slow the pace and frequently ask questions to assess comprehension. Slowing the pace and asking questions helps ensure the patient has the time needed to process the information and provides the nurse with feedback on understanding.
Correct Answer is C
Explanation
A. "Come and get me if Mr. Jones has a high heart rate." This statement lacks specificity, as “high heart rate” is vague. The assistant may not know what range constitutes “high.”
B. "I need to know if Mr. Jones' blood pressure is elevated."
This statement is also too vague, as the assistant may not understand what is considered "elevated."
C. "If Mr. Jones' heart rate is greater than 100, let me know."
This direction is clear and specific, providing a measurable parameter for the assistant to follow, making it the best option.
D. "Let me know if Mr. Jones' temperature is high."
"High" is vague, as it does not provide a specific value or range for temperature.