Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for pain assessment during hospitalization. Assessment data include the client reports no sleep and increasing agitation overnight. Before teaching, what should the nurse assess first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment

Begin a long lecture while the client is in acute distress.Delegate all teaching without RN evaluation of learning needs.Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.Assume understanding without checking literacy or readiness.

Answer and explanation

Correct answer

C. Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.

Why

Teaching is effective only after safety and learning readiness are confirmed; the RN cannot delegate assessment of learning needs on unstable clients.

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A 66-year-old client in an outpatient clinic is being evaluated for pain assessment during hospitalization. Assessment data include the client reports no sleep and increasing agitation overnight. Before teaching, what should the nurse assess first?

Correct answer

Why

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