(4) Teach the basic concepts first when there are variations or adjustments in
a procedure, then proceed to the variations or adjustments. Learners may become
confused if they have to consider variations and adjustments before understanding the
basic concepts of a procedure. For example, teach a patient how to insert a Foley
catheter before teaching him what to do if the catheter stops draining.
The role of the practical nurse varies with the situation. Practical nurses actively
participate as team leaders, managers, and teachers. The traditional skills of nurses were
psychomotor skills involving use of the hands. Individualizing care and communicating
activities require nurses to use affective skills. Cognitive skills are required in all aspects
of the nursing process. These expanded nursing roles have established new dimensions
for nursing practice.