Davis ch16 (Patient Education) (wk 9)

(Edge) The nurse is providing teaching to a teenager with attention-deficit hyperactivity disorder (ADHD) about a newly diagnosed chronic illness. What should be included in the plan of care? Select all that apply. A) Provide 10-minute teaching sessions three times a day B) Reassess teaching plan and revise as needed C) Provide reading material with detailed definitions of terms D) Provide a quiet environment without distractions E) Revisit the previously learned material before proceeding

(Everything except C) A) Provide 10-minute teaching sessions three times a day B) Reassess teaching plan and revise as needed D) Provide a quiet environment without distractions E) Revisit the previously learned material before proceeding

(Edge) A client recovering from a traumatic brain injury (TBI) with short-term post-traumatic amnesia and impaired mobility is preparing for discharge. Considering the nature of this client's injury, how should the nurse proceed with discharge education on using a walker and signs of disorientation, confusion, chronic pain, and ataxia? Select all that apply. A) Provide teaching in brief, frequent learning sessions B) Present information slowly C) Use repetition D) Be satisfied with slower progress E) Omit certain components that may be extraneous

(Everything except E; do not omit info) A) Provide teaching in brief, frequent learning sessions B) Present information slowly C) Use repetition D) Be satisfied with slower progress

(Edge) The nurse is planning for a teaching session with a client who is eager to learn more about managing diabetes. Which combination of teaching approaches will allow for the highest retention? Select all that apply. A) Provide pamphlets about injections for reading B) Verbalize how to give an injection C) Demonstrate giving an injection D) Show a video on giving an injection E) Have the client self-administer an injection

(everything except B) A) Provide pamphlets about injections for reading C) Demonstrate giving an injection D) Show a video on giving an injection E) Have the client self-administer an injection

(Edge) What is the best explanation of TEACHING? A) An interactive process involving planning and implementing instructional activities that meet intended outcomes as well as activities that allow the learner to learn B) A change in behavior, knowledge, skills or attitudes to reach common goals C) A result of motivation to learn that involves planned or spontaneously occurring situations, events or exposures D) Using teaching, counseling, and behavioral modification together to achieve effective client learning

A) An interactive process involving planning and implementing instructional activities that meet intended outcomes as well as activities that allow the learner to learn

(Edge) Why is the role of teaching clients and families and ensuring their proper education important in healthcare? Select all that apply. A) Empowers autonomy B) Allows client/family to perform self-care C) Allows for informed decisions regarding healthcare D) Empowers family to make decisions for clients E) Allows for evaluation of client's cognition and readiness for discharge

A) Empowers autonomy B) Allows client/family to perform self-care C) Allows for informed decisions regarding healthcare

(Edge) The nurse is preparing to teach a client about a new blood pressure medication that has been prescribed. What should the nurse consider when determining the Right Content for the teaching session? Select all that apply. A) Has the client taken this or a similar medication before? B) What is the client's learning level? C) Is the environment quiet, free of distractions, and private? D) Does the client understand the need to take this medication? E) Is the learner free of pain and anxiety?

A) Has the client taken this or a similar medication before? B) What is the client's learning level? D) Does the client understand the need to take this medication? (C concerns right context, E right time)

(Edge) When educating a client, which are important factors to consider regarding the client's ability to learn and retain information? Select all that apply. A) Literacy level of client B) Desire and motivation C) Developmental and physical limitations D) Barriers to communication E) Culture and religious practices F) Family dynamics

A) Literacy level of client B) Desire and motivation C) Developmental and physical limitations D) Barriers to communication E) Culture and religious practices

(Post) Determining a client's level of pain prior to a teaching session would be assessing for which of the five rights of teaching? A) Right time B) Right goal C) Right context D) Right method

A) Right time

(Edge) The student nurse is teaching a client with heart failure about healthy food options. When asked to choose between a hamburger and baked chicken, the client states that eating baked chicken is better than eating a hamburger. In this situation, which element represents feedback? A) The client stating that eating baked chicken is better than eating a hamburger B) The student nurse listing the food options for the client C) The student nurse asking the client to choose between options D) The client observing and listening to options

A) The client stating that eating baked chicken is better than eating a hamburger

(Edge) A client has just been shown when and how to self-administer epinephrine (EpiPen). How can the nurse ensure the client fully understands and can self-inject it when needed? A) the client can verbally explain why it is important, as well as demonstrate the proper use of the Epipen B) The client verbally explains how to administer epinephrine by pointing to areas of the body that are infection sites C) The client demonstrates the movements of self-injection D) The client repeats the importance of why epinephrine is to be used in an allergic reaction

A) the client can verbally explain why it is important, as well as demonstrate the proper use of the Epipen

5) After demonstrating the application of a leg splint, the nurse says to the client, "Here, now you try." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Active involvement

The nurse is trying to impress on Jonathan, an obese 28-year-old, the importance of losing weight to improve his health. Which learning domain needs to be addressed first? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Affective

(Edge) Which description best explains LEARNING? A) An interactive process involving planning and implementing instructional activities that meet intended outcomes as well as activities that allow the learner to learn B) A change in behavior, knowledge, skills or attitudes to reach common goals C) A result of motivation to learn that involves planned or spontaneously occurring situations, events or exposures D) Using teaching, counseling, and behavioral modification together to achieve effective client learning

B) A change in behavior, knowledge, skills or attitudes to reach common goals

(Post) When determining the right goal, what should the nurse consider? Select all that apply. A) That the goal is obtainable by the nurse B) Active learner involvement in planning C) Agreed-upon mutual goals D) Realistic objectives E) Exclusion of the significant other's input

B) Active learner involvement in planning C) Agreed-upon mutual goals D) Realistic objectives

(Post) The client states, "I don't care if I get better; my father died of heart disease and so will I." Which learning domain needs to be addressed initially? A) Cognitive B) Affective C) Readiness D) Timing

B) Affective

(Edge) What is the benefit of having a client learn in the psychomotor learning domain? A) Clients are able to analyze information to create ways to meet their own healthcare needs B) Clients tend to value what they have learned and understand and implement skills and changes, thus experiencing both affective and cognitive learning C) Clients have a sense of a feeling of accomplishment, which builds autonomy D) Clients can remember more factual information

B) Clients tend to value what they have learned and understand and implement skills and changes, thus experiencing both affective and cognitive learning

(Post) Which are included in the five rights of teaching? (Select all that apply.) A) Patient B) Goal C) Context D) Time E) Method

B) Goal C) Context D) Time E) Method

(Edge) A nurse has demonstrated the proper cleaning and dressing change techniques for a client's wound. The nurse has the client then demonstrate the proper technique and repeat the instructions on when to change the dressing and why. By allowing the client to demonstrate learning, which type of educational learning has been practiced? A) Cognitive B) Psychomotor C) Affective D) Practical

B) Psychomotor

(Edge) Place the levels of Bloom's taxonomy for higher order thinking skills from lowest to highest. A) Understanding B) Remembering C) Applying D) Evaluating

B) Remembering A) Understanding C) Applying D) Evaluating

(Edge) A 3-year-old is going to have a myringotomy with tubes in the left ear. Which teaching strategy is most appropriate for this developmental stage? A) Developing a teaching module in which the child can determine what will happen next B) Using play and placing a bandage on a doll's ear C) Encouraging the child to vocalize what they have learned D) Discussing with the child what will happen and describing each step and who will be involved

B) Using play and placing a bandage on a doll's ear (discussion more appropriate for older children)

(Post) The nurse is providing feedback for a client after several teaching sessions about wound care and dressing changes he will have to perform at home. Which feedback statement would be best? A) "I can see that you are not retaining the information we discussed. Let's go over it again." B) "You must remember that when you contaminate, infection can occur." C) "You did an excellent job washing your hands this time. Let's go over your dressing placement again." D) "I'll give you a pamphlet to review once you get home."

C) "You did an excellent job washing your hands this time. Let's go over your dressing placement again."

3) The nurse needs to teach the side effects of chemotherapy to Jim, a 68-year-old newly diagnosed with colon cancer. Which learning domain is being addressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Cognitive

(Edge) The nurse is teaching a client to perform a complex dressing change on the foot. After completing the procedure, the nurse says, "That was excellent. We'll do it one more time before discharge tomorrow." The client asks why they need to do it again if it was excellent. How should the nurse reply? A) "It's not necessary, you are good." B) "You can always find ways to improve your technique" C) "I just want to know that you can do it again." D) "Repetition of a task allows you to retain information better."

D) "Repetition of a task allows you to retain information better."

After a teaching session with Jim about his chemotherapy, the nurse asks him to review what he learned. Finding some errors in his understanding, the nurse says, "Don't forget; it is also important to watch for bleeding and swollen gums in your mouth." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Feedback

Lu tells the nurse, "I'm looking forward to losing weight with my new diet and getting my life back on track." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Motivation

The nurse needs to teach 13-year-old Brittany how to give herself insulin injections. Which learning domain is being addressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Psychomotor

Samantha tells the nurse, "I'm really worried about my procedure and cannot learn about my medications now." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Readiness

The nurse schedules another teaching session for Julio. He says, "We just did that yesterday." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Repetition

The nurse continues a teaching plan for Brittany's insulin injections. Brittany says, "It's been several days since I did this last. I'm not sure I remember what to do." Which factor is being expressed? (Psychomotor, Affective, Cognitive, Timing, Feedback, Active involvement, Motivation, Repetition, Readiness)

Timing