Unit 9 - Prep U ch 9

Which documentation example BEST reflects the complexity of client teaching by the nurse? -"Told client to take antibiotics as ordered." -"Client return demonstrated how to use the glucometer." -"client and spouse taught how to use phone app to count carbohydrates;client return demonstrated carb counting for a hypothetical meal." -"Taught client about peak flows; client verbalized understanding."

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

The nurse is discussing the use of the client-controlled analgesia pump with the postoperative client. Which statement by the client indicates a need for additional education? -"I am able to push the button when I am in pain." -"The dose is set so I cannot overdose myself." -"I should not press the button more often than every 3 to 4 hours." -"The medicine will help me control my pain."

"I should not press the button more often than every 3-4 hours."

while the nurse is caring or a client who is hard or hearing, a family member of the client states, "What do you think is the best way to communicate?" What is the BEST response by the nurse?

"Use flash cards and writing pads"

The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left the client immobile. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the BEST response b the nurse?

"you have made an amazing recovery"

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. -Available resources -size of family -learning style preferences -the client's job -literacy level

-available resources -learning style preferences -literacy level

A client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? select all that apply -correct the client when the client communicates erroneous information. -call the client by the client's preferred name. -use simple words and short sentences when talking with the client. -fill in information when the client has difficulty answering questions. -approach the client from the front of the client.

Approach the client from the front of the client call the client by preferred name use simple words and short sentences when talking with the client

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? -Psychomotor -Affective -Cognitive -Interpersonal

Cognitive

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, Improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provide information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client?

Motivational

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? -Long-term counseling -Motivational counseling -Short-term counseling -Professional counseling

Motivational counseling

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for parents who are breastfeeding/chestfeeding? -showing charts that illustrate the types of human milk -observing human milk being expressed by someone -advising the parents to drink plenty of water while breastfeeding/chestfeeding -advising parents to avoid taking over-the-counter drugs while breastfeeding/chestfeeding

Observing human milk being expressed by someone

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. The client states "I'm not sure how many days I'm supposed to take this antibiotic." What is the nurse's appropriate response? -tell the client to take the antibiotic until symptoms subside. -reteach the length of time to take the prescription -proceed with teaching about the decongestant - ask the client to restate the teaching that was provided

Reteach the length of time to take the prescription.

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way? -gives instructions in multiple ways so the client will understand -provides general teaching instead of specificity regarding diagnosis -uses medical terminology to help the client feel smarter -uses videos, diagrams, and pictures rather than focusing on verbal teaching

Use videos, diagrams, and pictures rather than focusing on verbal technique

a lien states to the nurse, " I understand that I need a mastectomy for the treatment of my breast cancer, but I don't know how I'll feel as a woman who has no breasts." When responding to the client the nurse will need to address which type of learning?

affective

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate? -Delegate the health education to a colleague. -Assess for cultural differences. -Replace one-on-one teaching with written materials. -Boost the morale of the client.

assess for cultural differences

The nurse needs to understand the teaching-learning process when administering ?

educational interventions

as the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the BEST action of the nurse?

have the client rate pain level, and reschedule the teaching session

the nurse is responsible tor providing a 1-hour presentation on sexual health a group of 30 college students. What is the MOST appropriate teaching strategy for the nurse to use?

lecture/discussion

a 46-year-old client experiencing obesity has been diagnosed with hypertension and type 2 diabetes. The client's goals include improving fitness and increasing the likelihood of positive health outcomes. The client recently visited a local fitness club, obtained a membership, and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is this client in related to her weight loss?

preparation

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

the client describes signs and symptoms of hypoglycemia

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. which client statement alerts the nurse to a need for clarification and further equation? -"I can monitor my calorie intake by measuring portions." -"I will be doing well if I lose between 5 and 10 lbs (2.3 and 4.5 kg) per week." -I can lower my blood pressure by losing weight." -"osteoarthritis in my knees may be because of my wieght."

"I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

The parents of a school-age child are meeting with the nurse for health promotional education for their child. The child has the following assessment data: a 7-year-old male with diabetes mellitus type 1 with a hemoglobin A1C level of 8.3%, a body mass index (BMI) of 31.7, and a BMI percentile of 99. What are the most appropriate learning diagnoses for this first session? -Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance. -Deficient Knowledge: Risk for imbalanced nutrition: more than body requirements, and sedentary lifestyle. -Deficient Knowledge: Risk for chronic low self esteem, and risk for unstable blood glucose level. -Deficient Knowledge: Readiness for enhanced nutrition, and risk for disturbed body image.

Deficient Knowledge:Imbalanced nutrition: more than body requirements, and ineffective health maintenance

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? -The nurse plans learner objectives with another nurse before obtaining input from the client and family. -The nurse writes one or two broad objectives rather than several specific objectives. -The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. -The nurse writes general statements for learner objectives that could be accomplished in any amount of time.

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which is the MOST appropriate method for the nurse to use in teaching this client? -refer the client to internet resources on proper bowel health.. -talk to the client's relatives and Get a detailed account of the client's history. -begin the session with a reference to the clients actual experience. -have the client join a small group of other clients with he same problem and facilitate group discussions.

begin the session with a reference to the clients actual experience.

Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease? -psychosocial development -motor development -emotional maturity -intellectual development

intellectual development

The nurse is preparing discharge teaching for a client with diabetes. Which information should the nurse include? Select all that apply. -Meal planning -Appropriate use of a glucometer -Community resources -Instructions to follow up with the health care provider -Ways to pay for hospitalization and outpatient care charges

meal planing community resources appropriate use of glucometer instructions to follow up with the health provider

A home health nurse states to the client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." the nurse is applying which health promotion technique?

positive feedback

A client is meeting with the nurse to discuss options for smoking cessation. Which statement by the nurse is most appropriate for this client? -"There are many options available. Which options have you previously tried?" -"Some people find that reducing cigarette consumption slowly over time is an effective option." -"Most clients are successful when they use over-the-counter nicotine patches or gum." -"What do you see as your biggest hurdle to stopping?"

"What do you see as your biggest hurdle to stopping?"

A nurse is providing teaching to clients in a short-term rehabilitation facility. which examples are common teaching mistakes made by health care professionals? Select all that apply -the nurse ignores the restrictions of the client's environment -the nurse uses medical jargon frequently when discussing the teaching plan -the nurse reviews educational media when planning learner objectives -the nurse fails to accept that clients have the right to change their minds -the nurse evaluates what the client has learned -the nurse negotiates goals with the client

-the nurse fails to accept that clients have the right to change their minds - the nurse uses medical jargon frequently when discussing the teaching plan -the nurse ignores the restrictions of the client's environment

The nurse is completing documentation after an education session with a client. Which statement BEST demonstrates detailed documentation of an effective teaching plan? -spouse taught to flush feed tube before and after medication. Denied further instruction needed -demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique. -discusses wet-to-dry dressing changes, and client stated understanding. -Lecture provided about infection, and client stated understanding what infection is.

Demonstrated cords care to mother, who stand understanding and performed return demonstration using correct technique.

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner? -Previous experiences have little impact on learning. -The material presented should focus on future application. -Their readiness to learn is often related to a developmental task or social role. -Peer group acceptance is a critical issue for this age group.

Their readiness to learn is often related to a developmental task or social role.

the nurse is caring for a client with a. new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing ht e client's cognitive learning needs? -educate the client about the pathophysiology of the disease process -demonstrate techniques for minimizing mobility challenges -assess the client's feelings and emotions surrounding the diagnosis -assess how the diagnosis will affect the client's daily routines

educate the client about the pathophysiology of the disease process

Which response from the client enables the nurse to determine the effectiveness of a recent medication teaching session for an older adult client who is diagnosed with tuberculosis (TB)? -"I can't remember when I have to take my medications, so I have my son come and give me my pills." -"If I stop coughing after 3 months, I can stop taking my TB medication because that means I no longer have the germ in my system." -It is okay to skip some doses if I don't feel well or sick to my stomach." -" I will be taking the T medication for at least 6 months, Because it takes a long time to kill the TB germs."

"I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs."

Which observation during the nursing assessment of a client supports the documentation of low health literacy? -The client is provides a coherent health history. -The client complies with the medication regimen despite financial difficulties. -The client avoids health care screenings and seeks care in the local emergency department. -The client's health forms are complete.

The client avoids healthcare screenings and seeks care in the local emergency department

which client would be the BEST candidate for the nurse to engage in motivational interviewing? -a 66-year-old who is showing improvement in range of motion -a 44-year-old client who brought a food log to weight loss counseling -a 28-year-old with elevated blood glucose for 8 months -a 38-year-old client training to walk a half marathon

a 28-year-old client with elevated blood glucose for 8 months

A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment? -A 51-year-old male who walks to most places because of a lack of transportation, has a low income, and works days -A 36-year-old male who uses public transportation, is unable to read, and wants to confer with a pastor -A 45-year-old female who is unsure of the benefit of psychiatric care, on a fixed income, and has good family support -A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

a 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

which statement describes the person who is likely the MOST motivated to learn?

a 70-year-old female who is the client's spouse and is learning the care sot he client can come home

The nurse is preparing the provide health education to a client with a new diagnosis of diabetes. which action should the nurse perform to crate an effective learning environment?

adopt a position in which the client and nurse are equal participants

The nurse is planning to teach and exercise class to a group of older adults. What guideline should the nurse adopt when planning this education? -provide information in a structured format -keep the session at 2 to 3 hours -allow for a long-term memory loss -allow ample time for psychomotor skills

allow ample time for psychomotor skills

The nurse is teaching a client with diabetes how to inject daily insulin. Which method is most effective in evaluating the teaching? -Provide a teaching session that includes a question and answer discussion. -The nurse uses a brochure to explain how to give an injection. -Ask the client to demonstrate how to self-inject the morning insulin. -Ask the client to repeat the steps of injection in order.

ask the client to demonstrate how to self-inject the morning insulin

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? -Provide teaching that works for the broadest base of clients. -Ask the client, "Do you learn best by observing, valuing, or doing?" -Observe the client's behaviors. -Determine client learning needs based on age and ability to hear effectively.

ask the client, "Do you learn best by observing, valuing, or doing?"

The nurse must instruct a 35-year-old client with Down syndrome about the use of an albuterol rescue inhaler. Which documentation demonstrates appropriate individualization of the education for this client?

assessed the clients understanding of illness; assessed motor skills and developmental stage; provided clarification

A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use the device. The client states, "I'm just too old to learn." What would be most appropriate for the nurse to do to motivate this client? -Fully discuss the rationale for using the walker. -Tell the client how to move the walker as the client ambulates. -Explain how the walker supports the client's lower extremities. -Describe how the walker can improve the client's quality of life.

describe how the walker can improve the client's quality of life

An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. The nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. The client avoids the topic of surgery and attends church weekly. The client's family is supportive of any decisions the client makes regarding health. Which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis? -Personal perception of health and aging -Formal religious beliefs -Orthopedic surgical history -Floor plan of the client's dwelling

personal perception of health and aging

when caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall?

psychomotor

Which strategy should the nurse use when providing education to the older adult client?

remain calm and conduct the teaching session in a quiet environment

A nurse evaluates weather a middle age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the health care provider. What would the nurse MOST likely use to evaluate the client? -return demonstration -oral test -written test -simulation

return demonstration

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? -Long-term counseling -Motivational counseling -Professional counseling -Short-term counseling

short-term counseling

The nurse is providing education to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education? -the client will understand the correct technique for breast self-examination -the client will demonstrate effective breast self-examination technique -the client will describe knowledge of the rationale for breast self-examination -the client will successfully complete education on breast self-examination

the alien will demonstrate effective breast self-examination technique

The nurse is educating a client regarding a new skill. when evaluating the client's knowledge about the topic covered, which BEST represents that the client has learned a new skill? -the client organizes materials needed and gives return demonstration -a client verbalizes items needed and how to perform the skill -the client states understanding and passes a written test -the client nods when asked about the process and assists with cleanup

the client organizes materials needed and gives return demonstration

while applying dressings to a client's wound, the nurse teaches the client about wound c are. To promote the most effective teaching-learning relationship with this client, what would be MOST important for the nurse to keep in mind? -nurses barter knowledge or medication with the client for compliance -nurses have control over the client because of their knowledge and expertise -nurses are experts who generously bestow knowledge upon clients -the nurse and client relationship is based on mutual sharing and negotiation

the nurse and client relationship is based on mutual sharing and negotiation

When a nurse is planning for learning, who must decide who should be included in the learning sessions? -the nurse and client -the healthcare team -the doctor and nurse -the cline and client's family

the nurse and the client

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner? Previous experiences have little impact on learning. The material presented should focus on future application. Their readiness to learn is often related to a developmental task or social role. Peer group acceptance is a critical issue for this age group.

their readiness to learn is often related to a developmental task or social role.