Exam 3

The nurse is teaching a child who has recently been diagnosed with asthma how to use a peak flow meter. Which nursing intervention should the nurse implement to facilitate learning? A. Providing praise and encouragement B. Avoiding using the child's name C. Stopping the child from playing with the meter D. Addressing the parent to avoid scaring the child

A - Providing praise and encouragement

The nurse is documenting a teaching session. Which factor should the nurse avoid including? A. The nurse's impression of the patient's ability to learn B. Teaching outcomes and methods of evaluation C. Teaching strategies that were used D. Actual information and skills that were taught

A - The nurse's impression of the patient's ability to learn

A nurse educator is working with a group of nursing students in the lab on the application of personal protective equipment (PPE). The educator emphasizes the importance of appropriate technique when removing the face mask. Which response by the students indicates appropriate understanding? A) "I will touch the mask by the strings only." B) "I will bend the strip at the top of the mask." C) "I will tie the strings in a bow." D) "I will loop the ties over the ears."

A) "I will touch the mask by the strings only."

The nurse is caring for a client who has been diagnosed with high cholesterol. When the nurse plans topics to teach, it is important to keep in mind that adult learners A) Are more oriented to learning when the material is useful immediately. B) Are more likely to adhere to a regimen than are children. C) Usually can find information on their own. D) Do not need to be evaluated for understanding as children do.

A) Are more oriented to learning when the material is useful immediately.

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience? A) Ask the client to tell the nurse what he or she knows about caring for the colostomy B) Make sure the client's spouse is present before the teaching session begins. C) Start from the beginning and proceed through all steps required to perform colostomy care. D) Break the information into small sessions to enhance learning.

A) Ask the client to tell the nurse what he or she knows about caring for the colostomy

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience? A) Ask the client to tell the nurse what he or she knows about caring for the colostomy. B) Make sure the client's spouse is present before the teaching session begins. C) Start from the beginning and proceed through all steps required to perform colostomy care D) Break the information into small sessions to enhance learning.

A) Ask the client to tell the nurse what he or she knows about caring for the colostomy.

A community health nurse runs a clinic that provides health screening mainly to Mexican American and Filipino American clients. The nurse wants to have a class on smoking cessation for interested adults of this group. What action should the nurse take to adjust their time orientation? A) Begin classes when a group of clients has gathered. B) Mail letters ahead of time to make sure clients are informed about the upcoming class. C) Make posters and place them in areas of the community frequented by these groups. D) Make sure that the classes are held at specific times.

A) Begin classes when a group of clients has gathered.

A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of adolescent pregnancies in the community. They have defined the problem and are now focusing on objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe? A) Decision making B) Mutual respect C) Trust D) Communication

A) Decision making

3) A nurse is preparing to teach a group of college students about organ donation. What should the teaching include to follow andragogic concepts? A) Directions about how to become an organ donor B) Past statistics about organ donors C) Information on how this group can influence their parents about organ donation D) Written pamphlets on organ donation

A) Directions about how to become an organ donor

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer. When receiving the shift report, the nurse finds that this family member has been assigned as a client. The nurse who cared for this individual on the outgoing shift states that the client is very demanding and complains a lot. Which action by the staff nurse who is assigned care for the oncoming shift is appropriate? A) Discuss the situation with the charge nurse. B) Resolve to refrain from reacting negatively to the client. C) Tell the client to change the behavior. D) Ask the healthcare provider to help control the client.

A) Discuss the situation with the charge nurse.

A home health nurse is working with a client who has chronic obstructive pulmonary disease. What nursing diagnosis will take the highest priority for implementing client education? A) Impaired Gas Exchange B) Ineffective Breathing Pattern C) Anxiety D) Activity Intolerance

A) Impaired Gas Exchange

Nurse leaders in a local hospital created a neurotrauma (NT) unit healthcare team focused on improving outcomes for stroke clients. This team includes acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dietitians), and representatives from the NT outpatient clinic. The team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the clients, asking the same or similar questions to obtain data needed for the treatment plan. Which type of communication and action is represented in this scenario? A) Parallel communication B) Parallel functioning C) Information exchange D) Coordination and consultation E) Co-management and referral

A) Parallel communication

n arranging community services for a client who is diagnosed with schizophrenia, the nurse case manager discusses options with the assertive community treatment (ACT) team. Which team disciplines should the nurse expect will be part of the client's ACT interdisciplinary team? A) Psychiatrists, nurses, social workers, employment counselors B) Speech pathologists, occupational therapists, nurses, physicians C) Teachers, school administrators, psychiatrists, nurses D) Transportation providers, nurses, physicians, social workers

A) Psychiatrists, nurses, social workers, employment counselors

The nurse is caring for a client who is prone to falls. Which nursing diagnosis would be most appropriate for this client? A) Risk for Injury B) Risk for Suffocation C) Deficient Knowledge D) Risk for Disuse Syndrome

A) Risk for Injury

A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect? A) The client may be unable to read the instructions. B) The client already knows the information. C) The client does not want the written information. D) The client is ready to learn.

A) The client may be unable to read the instructions.

A home health nurse is admitting a new client to the agency. The client was discharged from the hospital with a diagnosis of pulmonary fibrosis. What does the nurse recognize as a priority for the client's initial follow-up care? A) The client will be able to set up and administer a nebulizer treatment by the end of the day. B) The client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days. C) The client will have a positive attitude about the diagnosis by the end of the month. D) The client will have increased activity level by the end of the week

A) The client will be able to set up and administer a nebulizer treatment by the end of the day.

The nurse is providing discharge teaching to a client with a diabetic wound. The nurse understands the importance of including what information? A) What the client learned about changing the dressing while in the hospital B) Teaching the client how to take blood sugars C) The client's ability to self-administer insulin D) The client's reaction to being a diabetic

A) What the client learned about changing the dressing while in the hospital

The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which additional teaching would help the client retain the information? A) Writing down and repeating the information as the nurse teaches B) Having the client wait to ask questions until after the presentation C) Asking another nurse to provide the teaching for the client D) Asking the client to provide more information on learning strategies

A) Writing down and repeating the information as the nurse teaches

A nurse is providing a series of educational workshops for caregivers of clients enrolled in an Alzheimer's day treatment program. What would be appropriate topics?Select all that apply. A) Understanding dementia behaviors B) Caregiver stress relief C) Safety precautions D) Support service information E) Methods for curing the disease

A,B,C,D

An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment. The nurse wants to use evidence from the literature to support her argument. Which of the following are documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply. A) Improved client outcomes B) Reduction in duplication of healthcare services C) Increased overall cost of healthcare services D) Decreased client morbidity and mortality E) Higher level of job satisfaction

A,B,D,E

The nurse is teaching a patient who is newly diagnosed with diabetes. Which statement by the nurse indicates that adherence is more important than compliance? A. "Compliance means that the patient knows that the treatment plan is important to their health, while adherence means that the patient understands the treatment plan." B. "Compliance simply means that the patient follows the doctor's orders, while adherence emphasizes the patient's commitment to the treatment plan." C. "Compliance emphasizes the patient's understanding of the plans, while adherence means that the patient will always follow the treatment plan." D. "Compliance means that the patient is committed to the plan, while adherence means that the patient understands why the treatment plan is important for their health."

B - "Compliance simply means that the patient follows the doctor's orders, while adherence emphasizes the patient's commitment to the treatment plan."

The nurse is teaching a patient diagnosed with hypertension who has been noncompliant with the medication regimen. The patient has been taken to the emergency department 4 times over the past 5 months. Which is the most appropriate question for the nurse to ask? A. "Why are you not taking the medication as prescribed by your doctor?" B. "How do you determine when to take your medication?" C. "Why do you think you have hypertension?" D. "Tell me why you want to control your hypertension."

B - "How do you determine when to take your medication?"

The nurse new to the unit is about to teach a patient a complex procedure prior to discharge. The preceptor asked, "How did you teach the patient?"Which response by the new nurse demonstrates safe teaching? A. "I reviewed the highlights of the procedure and focused on those in my teaching." B. "I reviewed the steps involved and explored the rationale for each prior to teaching." C. "I asked a colleague to teach the patient since I have not done this procedure previously." D. "I printed up the steps of the procedure and gave them to the patient to review."

B - "I reviewed the steps involved and explored the rationale for each prior to teaching."

The nurse at a heart failure clinic is creating an evaluation tool for the following outcome: Patient correctly identifies foods high in sodium. Which tool is appropriate to measure learning? A. Asking the patient to state the daily intake of sodium B. Asking the patient to circle pictures of foods on a printed page that are high in sodium C. Asking the patient to join a support group for heart failure patients D. Asking the patient to select food choices from a box of groceries

B - Asking the patient to circle pictures of foods on a printed page is a good way to measure learning in the cognitive domain.

The nurse is planning teaching for a patient who seems to lack motivation to learn. Which intervention should the nurse view as a barrier to motivation? A. Demonstrating a positive attitude about the patient's ability to learn B. Encouraging the patient to rely on family members for support C. Making the learning experience pleasant and nonthreatening D. Helping the patient to see the relevance of the learning

B - Encouraging the patient to rely on family members for support

The nurse is providing additional smoking cessation teaching to a patient who plans to care for their newborn child. Which factor should the nurse address to facilitate learning for this patient? A. Relevance B. Motivation C. Active involvement D. Positive feedback

B - Motivation

The nurse is teaching preoperative patient methods to avoid infection of their surgical incision during the postoperative period. The patient is scheduled for surgery the following day. As the nurse is speaking, the patient begins to fall asleep. Which nursing response is best? A. Gently awakening the patient and continuing teaching B. Rescheduling the teaching session for a time that is acceptable to the patient C. Allowing the patient to nap for 5 minutes, awaken them, and resuming teaching D. Awakening the patient and politely asking them to pay attention

B - Rescheduling the teaching session for a time that is acceptable to the patient

When evaluating a patient's comprehension of the content learned during a teaching session, the patient is worried that their family doesn't think that the learning is enough. Which step should the nurse take next in applying adult learning theory? A. Building on the patient's previous knowledge of the information B. Revisiting how information applies to the patient C. Explaining the patient's perception of the teaching material will be different from their family's perception of the content D. Considering trying a different way of teaching this material to the patient to help them better understand

B - Revisiting how information applies to the patient

The nurse is planning a teaching session for a patient who is diagnosed with diabetes and needs instruction on measuring blood glucose. Which nursing action utilizes the teach-back method? A. The nurse asks the patient to explain why measuring blood glucose is important. B. The nurse asks the patient to explain the rationale for measuring their blood glucose after teaching the information. C. The nurse asks the patient to explain when to call the primary healthcare provider. D. The nurse watches as the patient demonstrates how to test their blood glucose.

B - The nurse asks the patient to explain the rationale for measuring their blood glucose after teaching the information.

The nurse is assigned to care for a client who will be going home on multiple new medications. The nurse has just completed teaching the client regarding medication administration. What statement by the client best illustrates compliance with the medication plan? A) "I think you should have waited until I was ready to go home. Maybe I'd remember better." B) "I'm glad to know about my new medications. It makes taking them all a lot easier." C) "If I take my medications as prescribed, I'll feel better." D) "I already knew most of what you told me."

B) "I'm glad to know about my new medications. It makes taking them all a lot easier."

Which of the following conflict-related communication styles involves attempting to satisfy the concerns of others while neglecting the self? A) Compromising B) Accommodating C) Avoiding D) Competing

B) Accommodating

A home health nurse is planning care for an adult client who is being discharged from the hospital after experiencing complications of diabetes mellitus. The client requires an extensive dressing change twice per day, help with activities of daily living, and comprehensive education. To ensure these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is the nurse assuming by coordinating this client's care? A) Health educator B) Case manager C) Client advocate D) Health promoter

B) Case manager

A nurse educator is discussing the use of the internet in nursing care. The educator is preparing to teach a group of nursing students how to navigate the internet for researching healthcare information. What does the educator plan to include during lecture? A) A directory of campus internet sites of interest B) How to search for and evaluate health information C) A directory of libraries D) Information technology instruction

B) How to search for and evaluate health information

A nurse is preparing to discharge a client who has experienced a myocardial infarction. The client will have to make many lifestyle changes and the nurse is instructing the client on how to implement a heart-healthy lifestyle. The nurse knows that client education is a(n): A) Dependent function of nursing that needs a healthcare provider's order to implement. B) Important independent nursing function. C) Activity nurses learn on the job. D) Way to establish the client's dependence on the nurse.

B) Important independent nursing function.

A case manager assembles a team of healthcare professionals, including a client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble? A) Intradisciplinary team B) Interdisciplinary team C) Interorganizational team D) Management team

B) Interdisciplinary team

Which of the following individuals would be included on an interdisciplinary healthcare team but not on an interprofessional healthcare team? A) Nurse practitioner B) Laboratory technologist C) Pharmacist D) Physical therapist

B) Laboratory technologist

Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time? A) The view among the general population that nurses' contributions to client care are less important to health and well-being than physicians' contributions B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings C) A general lack of education among health professionals about the ways in which nurse—physician collaboration improves healthcare quality D) A lack of published evidence regarding the effectiveness of collaborative efforts among and between nurses and physicians E) A lack of support at the federal level for efforts to improve healthcare among the general population through increased nurse-physician-client collaboration

B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings

A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager. The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions. Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior. When assessing the staff's group dynamics, which action by the nurse manager is appropriate? A) Insist that this is an appropriate new policy. B) Recognize that the group already has defined behavioral norms. C) Discipline the staff nurses who spoke out. D) Request a transfer to another unit.

B) Recognize that the group already has defined behavioral norms.

A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When planning for this client's continued care, who will the nurse notify regarding the client's postdischarge needs? A) The pharmacy B) The case manager C) The occupational therapist D) The physical therapist

B) The case manager

The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation? A) The language used for teaching B) The need for additional teaching C) The client's questions after the teaching session D) The supplies required for teaching

B) The need for additional teaching

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's care, and the scene is chaotic. The client's parents are extremely anxious and want to know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting? A) To allow for each specialty to practice independently B) To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care C) To allow the primary healthcare provider to make all decisions regarding the client's care D) To prevent the client's parents from trying to change the plan of care

B) To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care

Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.) a. Prescribing a new medication dose b. Health promotion activities c. End-of-life comfort decisions d. Interpreting laboratory resultse. Lifestyle changes to improve health

B,C,E

The nurse is reviewing a pamphlet with a patient who has a pattern of noncompliance and forgetting their reading glasses. Which is the most appropriate action if the nurse suspects the patient of having a low literacy level? A. Offering a pamphlet with larger print B. Offering to review the pamphlet with the patient C. Asking the patient if there is someone who can read the handout for them D. Asking the patient if the they have any questions

B. Offering to review the pamphlet with the patient

The nurse is conducting a class for a group of pregnant women. Which topic should the nurse include in teaching this group with regard to safety of the fetus? A) Pedestrian accidents B) Suffocation in the crib C) Alcohol consumption D) Drowning

C) Alcohol consumption

The nurse is teaching a patient who has a pattern of nonadherence, insists that they already know the information, and consistently forgets their reading glasses. At the end of the teaching session, the nurse provides a handout to him. Which is the most appropriate question for the nurse to ask? A. "Do you have any questions?" B. "Would you like me to read the handout to you?" C. "Would you like me to go over it with you?" D. "Can your wife read the handout to you?"

C - "Would you like me to go over it with you?"

The nurse is providing teaching to a Hispanic patient. The patient states, "I am very worried about what my family would do without me. I just feel like I cannot concentrate on what you are telling me." Which factor is most likely inhibiting the patient's ability to learn? A. Physical disability B. Language C. Emotions D. Culture

C - Emotions

The nurse is providing additional smoking cessation teaching to a patient who has just had their first grandchild and is looking forward to caring for the baby while the parents are at work. Which factor should the nurse address to facilitate learning for this patient? A. Giving the patient something to do with their hands instead of holding a cigarette B. Providing positive feedback to the patient C. Explaining the effect of secondhand smoke on infants D. Explaining the health benefits of smoking cessation

C - Explaining the effect of secondhand smoke on infants

The nurse is teaching a patient with severe osteoarthritis of the hands how to self-administer insulin injections. Which is the most important barrier to learning that the nurse must consider? A. Environment B. Emotions C. Psychomotor ability D. Cultural aspects

C - Psychomotor ability

The nurse has been assigned to conduct a community education fair to a group of students at a local high school. Which topic is mostappropriate for this audience? A. Injury and accident prevention B. Fall prevention C. Sunscreen use D. Sleep safety

C - Sunscreen use

The nurse has completed teaching for a patient who has recently been diagnosed with prediabetes and has been prescribed an oral antidiabetic medication. Which learning outcome is most appropriate? A. The patient chooses to fill the prescription. B. The patient participates in selecting treatment options. C. The patient correctly describes the treatment plan. D. The patient changes their eating habits.

C - The patient correctly describes the treatment plan.

The nurse is writing a plan of care for a patient. Which statement best reflects correct application of the guidelines for writing learning outcomes? A. The patient will be taught the signs and symptoms of diabetes. B. The patient will no longer be depressed and will believe that they are valuable. C. Upon conclusion of the teaching session, the patient will verbally identify three types of low-impact exercise. D. Within 30 days, the patient will feel less pain and will be exercising more frequently.

C - Upon conclusion of the teaching session, the patient will verbally identify three types of low-impact exercise.

A nurse is working in a neonatal intensive care unit. The nurse wants to teach a mother of a premature baby how to give her baby a bath. Which statement by the mother reflects a readiness to learn? A) "You'll give us written instructions before we go home, correct?" B) "When my baby is just a little bigger, I'll feel more comfortable giving him a bath." C) "I want to make sure my husband is here, in case I don't hear everything that's said." D) "I'm so afraid I'll hurt my baby with all these tubes and wires."

C) "I want to make sure my husband is here, in case I don't hear everything that's said."

The nurse is teaching a client how to properly administer a new medication. The client goal for this teaching is compliance with the medication regimen. What client statement best illustrates compliance? A) "I already knew most of what you told me." B) "If I take my medications as prescribed, I'll feel better." C) "Knowing how to take a new medication properly makes the process much easier." D) "I think you should have waited until I was ready to go home. Maybe I'd remember better."

C) "Knowing how to take a new medication properly makes the process much easier."

The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations."

C) "Let's discuss other options that might work well for you and your family."

A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which response by the nurse indicates an understanding of the client's position and a willingness to collaborate regarding the discharge plan? A) "You are not being cooperative in your plan of care." B) "This plan of care was ordered by the physician." C) "Let's talk about your objections and possible solutions or alternatives." D) "I will ask your family to help convince you that this plan of care is best."

C) "Let's talk about your objections and possible solutions or alternatives."

A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements. Which client is exhibiting the highest motivation to learn? A) A client who has been there the longest and is a great "coach" for newcomers B) A client who has been struggling with following nursing directives regarding discharge goals C) A client who is excited to learn ambulation techniques D) The client who has just moved in and is already eager for discharge

C) A client who is excited to learn ambulation techniques

The nurse is preparing for the discharge of a client who will require physical therapy (PT) for rehabilitation following a total knee replacement. After reading the healthcare provider's order for PT, what should the nurse do next? A) Set up outpatient appointments for the client with the hospital's PT department B) Call home health and schedule a therapist to visit the client's home for PT C) Inform the client about the settings in which PT may occur and have the client choose the venue D) Teach the client's family the exercises that will be included in the client's PT regimen

C) Inform the client about the settings in which PT may occur and have the client choose the venue

________ occurs when two or more individuals show or feel honor or esteem toward one another, and it is an important element of successful collaborative practice. A) Trust B) Conflict management C) Mutual respect D) Effective communication

C) Mutual respect

The nurse managers in a community hospital have been charged with reviewing the job descriptions of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain client care activities to UAP by nurses. To which group, organization, or individual would the committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAP? A) The hospital's Chief Nursing Officer B) The hospital's Chief Executive Officer C) The state board of nursing D) The American Nurses Association

C) The state board of nursing

A home healthcare nurse is planning care for an older adult client. Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply. A) Assertive community treatment (ACT) B) YMCA C) Programs of All-Inclusive Care for the Elderly (PACE) D) Outpatient clinic E) Meals on Wheels

C,D

The nurse is developing a teaching plan for adult patients with hypertension.Which statement by the nurse indicates understanding of a key principle of effective teaching? A. "To help keep the patients from feeling intimidated, I should avoid setting goals for them." B. "I should choose one method of teaching and use that throughout this class." C. "To avoid distractions, I should ask the patients to hold their questions until I'm finished teaching and then have a question-and-answer session." D. "I need to find out the ages of the patients who will be attending this class."

D - "I need to find out the ages of the patients who will be attending this class."

The nurse has completed teaching for a patient who has recently been diagnosed with prediabetes and has been placed on a calorie-restricted diet. Which patient statement indicates successful teaching for the cognitive domain? A. "I will put the dietary list you gave me on the refrigerator for reference." B. "My wife will be sure to buy foods that are low in carbohydrates and fats." C. "I will try to change my diet as you have recommended." D. "I will change my diet to include more vegetables and chicken."

D - "I will change my diet to include more vegetables and chicken."

The nurse is explaining a concept to colleagues. One colleague seems to struggle with the deeper meaning of the concept and asks why it is important to understand the concept on such a deep level. Which response by the nurse is best? A. "It is important that the nurse be able to relay main points and overviews to the patient." B. "As long as at least one nurse on the unit fully understands, that nurse can be designated to provide patient teaching." C. "If a nurse does not understand a concept fully, an option is to give a brochure to the patient to address questions." D. "Inaccurate or incomplete understanding by the nurse can be a safety concern for the patient."

D - "Inaccurate or incomplete understanding by the nurse can be a safety concern for the patient."

The nurse is planning teaching for a patient who was recently diagnosed with colon cancer and scheduled for surgery.Which question should the nurse ask to assess the patient's readiness to learn? A. "Who would you like to be present when we discuss the procedure?" B. "What would you like to know about the procedure?" C. "Why do you think you developed colon cancer?" D. "Is this a good time to discuss the procedure that you are scheduled to have tomorrow?"

D - "Is this a good time to discuss the procedure that you are scheduled to have tomorrow?"

When evaluating a patient's comprehension of the content during the third teaching session on diet and nutrition, the patient states, "My friend says I don't know anything about what foods are good for me." Which nursing response bestreflects application of adult learning theory? A. "Let's review what you know and build on that." B. "Because of individual differences, your perception of the teaching material will be different from your friend's perception of the content." C. "Perhaps we should try a different way of teaching this material to you to help you better understand." D. "Perhaps we should explore how knowledge of diet and nutrition applies to you."

D - "Perhaps we should explore how knowledge of diet and nutrition applies to you."

The nurse has been assigned to conduct a community education fair at a local elementary school. Which topic is mostappropriate to include? A. Alcohol and drug use B. Fall prevention C. Responsible sexual behaviors D. Accident and injury prevention

D - Accident and injury prevention

The nurse is conducting a teaching session at a local community center. Which is the most appropriate action for the nurse during the session? A. Asking simple questions of older adults to assess their current understanding B. Conversing with adolescents to assess for slow recall or limited psychomotor skills C. Observing adults for information about motor and intellectual development D. Asking simple questions to school-age children to assess their current understanding

D - Asking simple questions to school-age children to assess their current understanding

The nurse is teaching a postoperative patient about using an incentive spirometry device. Upon conclusion of the session, the patient points to the incentive spirometer and asks, "What is that thing?" Which nursing action is the most appropriate? A. Providing the patient with written instructions that describe using the incentive spirometer B. Asking another healthcare provider to assist with teaching the patient C. Concluding the session and scheduling an additional teaching session for a later time D. Demonstrating with instruction and asking the patient to return demonstration

D - Demonstrating with instruction and asking the patient to return demonstration

A patient is demonstrating a lack of motivation to learn.Which intervention should the nurse implement? A. Informing the patient that learning is necessary B. Making the learning experience straightforward C. Assessing the patient's ability to learn D. Encouraging self-direction and independence

D - Encouraging self-direction and independence

The nurse is planning teaching for an adult patient about an upcoming surgery. Which factor should the nurse consider? A. Because it concerns the patient's health, motivation can be assumed. B. Effective teaching changes patient habits. C. All learning styles should be included in the teaching plan. D. Materials are often written at a reading level above that of the average adult.

D - Materials are often written at a reading level above that of the average adult.

The nurse is preparing teaching material for patients on a unit that are diagnosed with stroke and cognitive deficits. The nurse plans to utilize the theory of multiple intelligences. Which approach should the nurse not include? A. Musical B. Kinesthetic C. Naturalist D. Memorization

D - Memorization

The nurse has been working in a community clinic and feels that some of the patients may have low health literacy levels. Which behavior confirms the nurse's suspicion? A. Consistently following the healthcare provider's instructions B. Asking many questions during teaching C. Forgetting to bring reading glasses to an appointment D. Reliance on friends or family members to read documents aloud

D - Reliance on friends or family members to read documents aloud

A nurse is caring for a child who is hospitalized with asthma. The nurse is preparing discharge teaching, as the client will be going home on nebulizer treatments and an inhaler. The family members speak little English. In addition to enlisting an interpreter to help with the language barrier, what should be a priority for the nurse? A) Provide written instructions before discharge. B) Make sure the parents can set up the treatments for their child. C) Make sure the child comes back for the follow-up appointment. D) Address any healing beliefs the family has.

D) Address any healing beliefs the family has.

The nursing student is planning an educational program for a senior project. The program is focusing on cancer detection education for a community group. What should the nursing student plan to include in order to address the various learning styles of the target group? A) A lecture using many examples for each learning need B) Multicolored brochures with bright colors C) A game board, with client matching terms D) Audiovisuals, examples, group discussions, and activities

D) Audiovisuals, examples, group discussions, and activities

A nursing student has been assigned to present a teaching project to the class, using each of Bloom's domains. The student has planned several activities to include when presenting the project to the class. Which activity or activities are within the affective domain?Select all that apply. A) Class members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class. B) Class members must list the technical skills they have learned. C) Class members must demonstrate a favorite nursing skill for the class. D) Class members must reflect on how they felt the first time they provided direct client care. E) Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.

D) Class members must reflect on how they felt the first time they provided direct client care. E) Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.

A nurse conducted a safety class for a group of elderly clients in the community on fall prevention. The nurse determines that the clients understood safety teaching for the home when the nurse visits and finds that a client has: A) Placed all meat in the freezer. B) Changed the locks on the doors. C) Placed scatter rugs in the kitchen. D) Installed safety strips in the shower.

D) Installed safety strips in the shower.

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do? A) Teach the client about nutrition and joint exercises. B) Ask the client about the reasons for this goal. C) Tell the client that activity limitations are inevitable with rheumatoid arthritis. D) Provide referrals to other professionals who can help the client meet this goal.

D) Provide referrals to other professionals who can help the client meet this goal.

A nurse who is caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. What is the most likely reason why the nurse is experiencing conflict regarding this situation? A) The resident seems unsure of the prescription. B) The nurse only takes prescription orders from attending healthcare providers. C) The nurse does not like first-year residents. D) The nurse may not trust the resident to make the best care decisions.

D) The nurse may not trust the resident to make the best care decisions.

The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client says, "I already know what you are attempting to teach because I looked everything up on the internet." What is the best action by the nurse? A) Document that the client understands teaching. B) Teach the client's support system how to perform the procedure. C) Give the client printed learning materials. D) Watch the client perform a return demonstration of the skill.

D) Watch the client perform a return demonstration of the skill.

Nurses who demonstrate mindsight are able to A) focus on being "in the moment" so that they can dedicate their full attention to the events and emotions they are currently experiencing B) predict events that will occur in the future with reasonable certainty. C) interpret events and emotions from another person's perspective D) recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently.

D) recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently.

The nurse is teaching a patient who was recently diagnosed with heart disease about dietary changes that should be made. The patient is having difficulty concentrating. Which factor is most likely inhibiting the patient's ability to learn? A. Language B. Culture C. Physical disability D. Emotions

D. Emotions

The home health nurse has made a visit to a client who is receiving several therapies by health team members in the home for arthritis and postoperative care. Upon return to the home health office, what does the nurse plan to do? a. Communicate the client's status to the rest of the team. b. Review the cases on the schedule for the next day. c. Report to the manager the findings of the home visit. d. Call the client to reinforce teaching that was introduced that day.

a. Communicate the client's status to the rest of the team.

A 73-year-old client is in the hospital for pneumonia for the third time in six months. During the nursing history, the nurse discovers that the client has few financial resources, lives alone, and has not received needed immunizations. To provide excellence in care, what should the nurse prioritize? a. Request consultations with other disciplines. b. Recommend that the client remains in the hospital until well. c. Request an order from the physician for long-term care. d. Tell the client of the need to move to long-term care.

a. Request consultations with other disciplines.

Which guideline in organizing learning experiences is most appropriate when teaching clients about self-catheterization? a. Teach the basics before any variations of self-catheterization. b. Demonstrate while explaining the procedure. c. Start by giving a lecture and visual presentation. d. Cover all the aspects of catheterization.

a. Teach the basics before any variations of self-catheterization.

The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? a. The occurrence of a patient event resulting in death or serious injury b. Decreased ability to document expenses of care provided c. Longer time to begin surgical cases d. Increased time to discharge patients to outpatient care

a. The occurrence of a patient event resulting in death or serious injury

The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which concept is most important for management to develop first? a. Post educational posters about how well collaboration is being performed b. Highlight that no single profession can meet the needs of all patients c. Provide meetings for each department on how their role affects patients d. Begin implementing evaluations of collaborative skills on annual performance reviews

b. Highlight that no single profession can meet the needs of all patients

One of the nurse's responsibilities in client education is to: a. Insist that all clients use the Internet for medical information. b. Inform clients of reputable Internet sites for health care information. c. Tell clients that if they do not know how to use the Internet, they should take a course. d. Tell clients that the Internet is not useful in providing medical advice.

b. Inform clients of reputable Internet sites for health care information.

A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration? a. Vertical violence b. Lateral violence c. Descending violence d. Personal violence

b. Lateral violence

The nurse is preparing to teach an adult client to self-administer insulin at home. The nurse recognizes that this type of skill is representative of which domain of learning? a. Sensorimotor b. Psychomotor c. Cognitive d. Affective

b. Psychomotor

When performing collaborative health care, what must the nurse implement? a. Assume a leadership role in directing the healthcare team. b. Rely on the expertise of other healthcare team members. c. Be physically present for the implementation of all aspects of the care plan. d. Delegate decision-making authority to each healthcare provider.

b. Rely on the expertise of other healthcare team members.

The nurse is teaching a client about a disease process. The nurse validates that the client understands the teaching by documenting which information? a. A family member's opinion b. The responses of the client c. That the teaching was done d. That feedback questionnaires were used

b. The responses of the client

The nurse and physician are explaining that home care that will be needed by a patient after discharge. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse? a. "Let me review what is needed again." b. "It is important that you do what the physician has prescribed." c. "What concerns do you have about the prescribed care?" d. "I can come back after you talk with your spouse about the care."

c. "What concerns do you have about the prescribed care?"

Which of the following is not an example of a nursing diagnosis for learning needs as evidenced by the client's primary concern or problem? a. Health-seeking behavior b. Noncompliance c. Anxiety related to knowledge deficit d. Deficient knowledge

c. Anxiety related to knowledge deficit

The primary care physician has recommended to the nurse that the client be discharged to a rehabilitation center for further care. The nurse discusses the recommendation with the family and client, who decide that this is not what they want to do. What is the nurse's next action? a. Tell the family that this is the physician's order. b. Notify the case manager that the family is noncompliant. c. Discuss available acceptable options with the family. d. Notify the physician about the family's decision.

c. Discuss available acceptable options with the family.

The nurse is caring for a patient with a progressive, degenerative muscle illness. The patient states that she would like to remain in her home with her daughter as long as possible. What action should the nurse take? a. Teach the patient muscle strengthening and stretching exercises. b. Tell the patient to make plans to move to an assisted-living facility. c. Discuss resources to help the patient and make appropriate referrals. d. Ask the patient to come in for daily physical therapy.

c. Discuss resources to help the patient and make appropriate referrals.

In teaching a client about heart disease, the client may need to know the effects of smoking before recognizing the need to stop smoking. In this situation, what factor can best facilitate client learning? a. Readiness b. Active involvement c. Motivation d. Allotted time

c. Motivation

The nurse is giving instructions to a client who does not speak English. The client does not have an interpreter to assist. What is the best alternative? a. Give written instructions in English and tell the client to have them interpreted at home by a friend or family member. b. Respect the misinterpretation of the client as a cultural aspect as it can be uncomfortable for the client to question the nurse. c. Obtain pamphlets, teaching materials, and instructions of any teaching in the language of the client. d. Have the client make written notes in their native language of any teaching demonstrations performed by the nurse.

c. Obtain pamphlets, teaching materials, and instructions of any teaching in the language of the client.

patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement? a. "I will have to do whatever the physician says I need to do." b. "Once a plan is developed, it cannot be changed." c. "My insurance will not pay if I don't do what you want me to do." d. "We can work together to adjust my plan as we need to."

d. "We can work together to adjust my plan as we need to."

Which statement correctly describes the nurses' role in collaboration? a. State boards of nursing mandate that collaboration can only occur in hospitals. b. Collaboration should occur only with physicians. c. Collaboration occurs only between nurses with the same level of education. d. Collaboration may occur in health-related research.

d. Collaboration may occur in health-related research.

A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate? a. Interprofessional b. Shared governance c. Interorganizational d. Mentoring

d. Mentoring

When a nurse is evaluating the learner for behavior changes, the nurse knows that: a. Modification is what the client knows. b. New behavior should replace the old behavior immediately. c. Evaluation can only occur via direct observation. d. New behavior may emerge gradually.

d. New behavior may emerge gradually.

Which client behavior may cause a nurse to suspect a literacy problem? a. The client displays a pattern of compliance. b. The client reads the instructions slowly. c. The client recognizes that he or she does not know the information. d. The client displays a pattern of making excuses for not reading the instructions.

d. The client displays a pattern of making excuses for not reading the instructions.

Which patient scenario describes the best example of professional collaboration? a. The nurse, physician, and physical therapist have all visited separately with the patient. b. The nurse, physical therapist, and physician have all developed separate care plans for the patient. c. The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation. d. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.

d. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.

When preparing to perform client teaching, the nurse will accomplish more with the client if: a. The client has an acute problem. b. The nurse gives written instructions. c. The nurse uses medical language. d. There is a rapport between the client and nurse.

d. There is a rapport between the client and nurse.