26. A nurse is teaching an elderly client with right hemiplegia and severe speech impairment how to dress. An appropriate first step in the teaching would be to:
26. A nurse is teaching an elderly client with right hemiplegia and severe speech impairment how to dress. An appropriate first step in the teaching would be to:
. Ask the client to put on a shirt.
. Demonstrate the correct way to put on a shirt.
. Explain the difficulties in putting on a shirt.
. Give verbal instructions on dressing techniques.
Test-Taking Tip
Choose the option that is different from the others. Three options involve "talk"; only one "shows" how to put on the shirt.
Content Area: Geriatrics, Cardiovascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Self-care
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Answer 1 is incorrect because the client needs to see how to manage the right-sided hemiplegia. Answer 2 is correct because demonstration is the best approach to teaching this client. Answer 3 is incorrect because the client does not need to know the difficulties but rather the best approach. Answer 4 is incorrect because there may be some processing problems following a stroke; verbal instructions may not be clear to the client.