What outcome should a nurse observe to ensure effective communication with an older adult patient?

The outcome emphasizing that the patient repeats back the instructions to the nurse is crucial for ensuring effective communication, especially with older adult patients. This process is known as "teach-back" and serves as a method to confirm the patient's understanding of the information shared. By having the patient articulate the instructions in their own words, the nurse can assess whether the information was conveyed clearly and comprehensively. This approach not only demonstrates the patient's understanding but also empowers them to engage actively in their care.

In contrast, simply following instructions verbally or nodding would not adequately demonstrate comprehension, as they do not necessarily confirm that the patient has fully grasped the instructions. Agreeing to all instructions without questions might suggest compliance but does not indicate true understanding, which is vital for managing their health effectively. Thus, active participation in the teach-back method is the most reflective measure of effective communication in this context.