Professional Roles 2

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During a teaching session about early recognition of the signs and symptoms of colon​ cancer, the client​ states, "I think​ ''feces' means​ 'poop.' Is that​ right?" How should the nurse​ respond? ​"Let's move on with the​ teaching." ​"No, the correct term is​ 'feces.'" ​"'Feces' is also called​ 'stool.'" ​"Yes, that's​ right."

"yes that's right"

A community health nurse is designing a teaching plan for college students about smoking cessation. What information would be most appropriate for the nurse to​ include? Quizzes and verbal assessments Client​ goals, including that all smokers will stop smoking within one week of completing the class General information that applies to learners of all ages and backgrounds Accurate educational content that is at least 10 years old

Quizzes and verbal assessments

The home health nurse is teaching an older adult client how to use an automatic blood pressure monitoring device. Which teaching strategy reflects the​ nurse's correct application of lifespan considerations for this​ client? Encouraging the client to rest as opposed to asking her to perform a return demonstration of skills Scheduling the session as a​ one-on-one meeting between the nurse and the client Using written materials that feature large​ print, black​ ink, and​ reflective, bright white paper Designing content that targets individuals with a​ fifth- to​ sixth-grade reading level

Designing content that targets individuals with a​ fifth- to​ sixth-grade reading level

The school nurse is developing a client teaching plan for high school students that addresses the prevention of sexually transmitted infections. Which resources are appropriate for use when designing the​ plan? ​(Select all that​ apply.) An online blog with no stated author A nursing colleague A family practice physician An infectious disease textbook written by a physician An article in a nursing journal

A nursing colleague A family practice physician An infectious disease textbook written by a physician An article in a nursing journal

Which statement best describes the influence of the Internet on teaching and learning in the healthcare​ setting? Because of​ client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not. Due to the widespread use of Internet​ technology, the nurse should incorporate​ computer-based learning into every teaching plan. Because the Internet offers information that is mostly​ incorrect, the nurse must anticipate the need to reeducate all clients. Due to the widespread use of Internet​ technology, all clients should be trained to use a​ computer-based approach to learning.

Because of​ client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not.

A​ 73-year-old female Native American client is hospitalized with an exacerbation of chronic obsructive pulmonary disease​ (COPD). The​ client, who has a 55​ pack-year history, reports that she still smokes cigarettes. She also reports that she smokes tobacco during certain important religious rituals and tribal celebrations. Which nursing interventions best reflect the​ nurse's application of humanist theory of​ learning? ​(Select all that​ apply.) Considering the​ client's tobacco use from the standpoint of her religious beliefs Encouraging the​ client's family members and loved ones to praise the client for not smoking Exploring how the​ client's cultural background influences her decision to continue to smoke Recognizing that the client has personal​ characteristics, such as stoicism and mistrust for traditional​ medicine, that may influence her perception of the​ nurse's teaching Explaining to the client how smoking cessation at this stage of life still promotes lung​ healing, and can lead to fewer exacerbations of COPD and improved quality of life

Considering the​ client's tobacco use from the standpoint of her religious beliefs Exploring how the​ client's cultural background influences her decision to continue to smoke

The nurse is planning a teaching session on diet and nutrition for a group of teenage mothers who are students at a local high school. When planning the​ teaching, which​ client-specific factors should the nurse seek to​ learn? Gender Cultural background Age Level of education

Cultural background

Which teaching strategy best exemplifies a characteristic of effective​ teaching? Using one teaching method for the client Avoiding​ goal-setting to prevent intimidating the client Minimizing​ question-answer interactions to avoid distracting the client Evaluating the​ client's comprehension of the content

Evaluating the​ client's comprehension of the content

A​ 64-year-old male client is admitted for treatment of dehydration and diagnosed with diabetes. While the nurse is teaching the client about the signs and symptoms of​ hypoglycemia, the​ client's wife​ states, "While you two are​ talking, I'm going to get some​ coffee." Which nursing action best reflects application of the adult learning​ theory? Recognizing that the​ client's wife has personal​ characteristics, such as impatience and appreciation for​ coffee, that influence her perception of the​ nurse's teaching Explaining to the​ client's wife that she may be the first to recognize the signs and symptoms of her​ husband's hypoglycemia, which may help him get treatment sooner Considering the​ wife's lack of interest in the teaching from the standpoint of​ biologic, psychologic,​ cultural, social, and spiritual​ perspectives; including her marital beliefs and social status Giving the​ client's wife a cup of coffee if she stays for the teaching

Explaining to the​ client's wife that she may be the first to recognize the signs and symptoms of her​ husband's hypoglycemia, which may help him get treatment sooner

Which strategies are appropriate for inclusion in the teaching plan for a pediatric​ client? ​(Select all that​ apply.) Addressing the pediatric client primarily through the use of terms of​ endearment, such as​ "sweetheart" Exposing the pediatric client to healthcare personnel who are dressed in​ uniforms, surgical​ masks, and scrubs prior to the​ client's hospital admission Including the pediatric​ client's caregiver in the teaching session Gearing instructions toward the comprehension level of the pediatric​ client's parent or caregiver Demonstrating relevant treatments or procedures using stuffed animals

Exposing the pediatric client to healthcare personnel who are dressed in​ uniforms, surgical​ masks, and scrubs prior to the​ client's hospital admission Including the pediatric​ client's caregiver in the teaching session Demonstrating relevant treatments or procedures using stuffed animals

Which factors influence the​ nurse's choice of educational content and have the most impact on required documentation of educational​ sessions? ​Client-specific characteristics Federal regulations Widespread availability of Internet resources Advances in health care and research

Federal regulations

The nurse is teaching a​ 7-year-old client about hand washing. The client is resistant to washing her hands after playing with her pet hamster. Which teaching strategy reflects the​ nurse's application of the behaviorist theory of​ learning? Explaining to the client how the benefits of handwashing apply to her Recognizing that the client has personal​ characteristics, such as shyness and love of​ animals, that influence her perception of the​ nurse's teaching Asessing the​ client's aversion to handwashing through viewing her from​ biologic, psychologic,​ cultural, social, and spiritual​ standpoints, including her health status and psychologic state Giving the client a healthy treat each time she washes her hands after playing with her pet hamster

Giving the client a healthy treat each time she washes her hands after playing with her pet hamster

The nurse is planning a seminar that emphasizes health promotion. Which topics are most appropriate for inclusion in the​ teaching? ​(Select all that​ apply.) Nutrition Stress management Grief and loss Fertility Growth and development

Nutrition Stress management Fertility Growth & development

A nurse educator is planning a seminar about the mentorship process. Which techniques reflect correct understanding of factors that promote​ learning? ​(Select all that​ apply.) Organizing the content in a​ simple-to-complex order Ensuring that the content is relevant to the nurse​ educator's personal experience Adjusting the temperature of the learning environment so that the participants are comfortable Actively engaging the participants in the learning process Repeating key concepts and facts throughout the​ teaching/learning process

Organizing the content in a simple-to-complex order Adjusting the temperature of the learning environment so that the participants are comfortable Actively engaging the participants in the learning process Repeating key concepts and facts throughout the​ teaching/learning process

A​ 21-year-old male pharmacy student is admitted to the ED for treatment of a sprained right ankle. Following ​ treatment, the client is prescribed ibuprofen to reduce pain and swelling. As the nurse begins teaching about the maximum dose of​ ibuprofen, the client​ states, "I already know this stuff. Can you finish my discharge paperwork so I can get out of​ here?" Which nursing approaches reflect the application of cognitive​ theory? ​(Select all that​ apply.) Telling the​ client, "If you let me finish teaching you about​ ibuprofen, I'll quickly complete your discharge​ paperwork." Recognizing the​ client's knowledge base and intelligence level as an important consideration in the​ nurse's choice of teaching content Recognizing the​ client's disinterest in teaching as being shaped by his history of unpleasant social interactions Considering the​ client's teaching preferences from the standpoint of his psychologic state Realizing the effects of the​ client's spiritual beliefs on his learning

Recognizing the​ client's knowledge base and intelligence level as an important consideration in the​ nurse's choice of teaching content Realizing the effects of the​ client's spiritual beliefs on his learning

The nurse is developing a teaching plan for a client with asthma. To promote client​ learning, which strategy should the nurse​ implement? Encourage the client to wait at least 24 hours before applying new knowledge and skills. Instruct the client to wait until the teaching session has ended before asking questions about the content. Organize the teaching content in a​ complex-to-simple fashion. Repeat the key concepts and facts.

Repeat the key concepts and facts

When planning client education​ activities, which factors would affect the​ nurse's choice of content and teaching​ method? ​(Select all that​ apply.) Socioeconomic background of the client Cultural background of the nurse Widespread availability of Internet resources Federal and state regulations Advances in health care and research

Socioeconomic background of the client Widespread availability of Internet resources Federal and state regulations Advances in health care and research

The clinical nurse educator is teaching nursing students about methods of evaluating the​ client's degree of learning. Which statement should the educator include in the​ teaching? ​"Written tests are​ acceptable, but online tests should be​ avoided." ​"Direct observation of behavior is the only acceptable form of client​ evaluation." ​"Self-reports are acceptable forms of client evaluation.​ " ​"Oral questioning is not an objective means of​ evaluation."

​"Self-reports are acceptable forms of client evaluation.​ "

Which potential barrier to learning is culturally​ based? Critical illness Values Shortened attention span Sensorimotor deficits

values

The nursing student asks the nurse educator which elements are included in evaluation of a teaching​ plan's effectiveness. How should the educator​ respond? ​"Choice of content is included in the​ evaluation." ​"Feedback questionnaires from the client are not useful in the evaluation​ process." ​"The degree to which the plan facilitated the​ nurse's achievement of the learning outcomes is part of the​ evaluation." ​"Teaching strategies are not​ evaluated."

​"Choice of content is included in the​ evaluation."

During a​ medical-surgical clinical​ rotation, the nurse educator is teaching students how to develop client learning outcomes. Which statements should the educator include in the​ teaching? ​(Select all that​ apply.) ​"Client-specific characteristics, such as​ age, gender, and cultural​ background, should be incorporated in the client learning​ outcomes." ​"Be sure that each desired client action and response is​ measurable." ​"To motivate the​ client, learning outcomes should include goals that reflect the highest level of​ accomplishment." ​"Avoid using words such as​ 'believes,' 'knows,'​ 'appreciates,' and​ 'understands' in the client learning​ outcomes." ​"The nursing​ interventions, including the planned topics of​ teaching, should be clearly stated in the client learning​ outcomes."

​"Client-specific characteristics, such as​ age, gender, and cultural​ background, should be incorporated in the client learning​ outcomes." ​"Be sure that each desired client action and response is​ measurable." ​ "Avoid using words such as​ 'believes,' 'knows,'​ 'appreciates,' and​ 'understands' in the client learning​ outcomes."

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

​"I need to find out the ages of the clients who will be attending this​ class."

The nurse at a college health center is discharging a​ 19-year-old female client following her annual sports physical and gynecological exam. As the nurse is completing the​ client's discharge​ teaching, the client​ states, "I read online that you​ can't get pregnant while​ you're on your​ period." Which information should the nurse include in her​ response? ​(Select all that​ apply.) ​"That's foolishness. Of course you can get pregnant while​ you're on your​ period." ​"Don't believe what you read on the Internet. Almost all online information is​ incorrect." ​"I'm glad you brought this up. A lot of people believe that you​ can't get pregnant while​ you're on your​ period, but you​ can." ​"Tell me more about your understanding of the times when a woman is most likely to get​ pregnant." ​"Most of what​ you'll find on the Internet is​ accurate, but that is not. Where did you read that you​ couldn't get pregnant while you were on your​ period?"

​"I'm glad you brought this up. A lot of people believe that you​ can't get pregnant while​ you're on your​ period, but you​ can." ​"Tell me more about your understanding of the times when a woman is most likely to get​ pregnant."

While teaching a​ 32-year-old client about colostomy​ care, the nurse notes the client has tears in his eyes. The client​ states, "I​ can't believe I have to live with this thing for the rest of my​ life." Which nursing response best reflects the​ nurse's understanding of factors that inhibit​ learning? ​"I'm sorry you have to go through this. Understanding how to take care of yourself should make it a little easier for​ you, so​ let's talk a little more about how to clean your colostomy​ site." ​"Let's reschedule this teaching session for later.​ I'll check back with you to pick a time. Right​ now, please tell me more about what​ you're feeling." ​"You've been through a lot. As soon as​ we're finished,​ I'd like to ask your nurse practitioner to give you a counseling​ referral." ​"I hear you saying that​ you're upset.​ I'll reschedule your teaching for tomorrow morning.​ Now, please tell me more about how you​ feel."

​"Let's reschedule this teaching session for later.​ I'll check back with you to pick a time. Right​ now, please tell me more about what​ you're feeling."

The nurse educator is teaching a group of students about learning environments. Which statement should the educator​ include? ​"Private residences do not qualify as teaching environments because the client is away from the clinical​ setting." ​"Community health organizations are not legally considered to be teaching​ environments." ​"Managed care facilities do not recognize the​ nurse's role as​ teacher; therefore, client education is not required in these​ facilities." ​"Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the​ learner."

​"Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the​ learner."

During a​ seminar, the nurse educator is asked how the Internet affects the selection of content and teaching methods used in client education. Which is the best​ response? ​"Because the Internet is infrequently used to access​ health-related information, it does not have much effect on selecting content and teaching​ methods." ​"The Internet offers content that is both accurate and inaccurate. When choosing client education​ materials, we take this into​ consideration." ​"Almost all of the information presented on the Internet is​ inaccurate, but it still affects the selection of content used in client​ education." ​"Health-related information on the Internet is​ accurate, and it does not affect the selection of content and teaching​ methods."

​"The Internet offers content that is both accurate and inaccurate. When choosing client education​ materials, we take this into​ consideration."


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