8 and 9 Select all apply
The nurse takes into consideration factors that influence communication when communicating with clients. Which situations accurately reflect communication that considers these variables? Select all that apply.
A nurse uses simple language and demonstrations to explain a procedure to a preschooler. A nurse checks a client's occupation for clues on how this will affect communication but avoids stereotyping the person. A nurse takes into consideration a client's culture when planning how far away to sit when communicating.
A nurse is performing an admission assessment with a non-English speaking client. Which actions can the nurse take to enhance communication? (Select all that apply.)
Use an electronic translator. Contact a telephone-based medical interpreter. Request assistance from an agency interpreter.
When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive?
Facial expressions The face is the most expressive part of the body. Eye contact or the lack thereof, posture, hand gestures, and silence are other methods of nonverbal communication but do not provide as much information about what the person is communicating as do facial expressions.
what are learning places
Andragogy is the art and science of helping adults learn. Pedagogy is the academic discipline that deals with the theory and practice of teaching and how these influence student learning. Psychomotor learning is demonstrated by physical skills such as movement. Affective learning is growth in feelings or emotional areas (attitude or self).
A nurse is teaching a 5-year-old boy who was recently diagnosed with type 1 diabetes. The client's mother, who is the primary caregiver, informs the nurse of having a fear of needles. What acttions are appropriate for the nurse to take to ensure a successful education session? Select all that apply.
Ensuring 20 minutes of uninterrupted teaching time Using a doll to demonstrate giving an insulin injection Providing the client's mother with an informational pamphlet about insulin injection
type of learning
Explanation: This client is clearly expressing a negative feeling about the upcoming treatment: fear. Therefore, the nurse needs to provide teaching that addresses the client's emotional learning needs, or affective learning. Affective refers to emotions or feelings, and affective learning changes beliefs, attitudes, or values. Cognitive learning involves the client's critical thinking and reason. Psychomotor learning involves physically performing a task--learning by doing. Behavioral learning involves learning new, helpful behaviors and unlearning old, unhelpful ones.
Which statements describe the qualities of a helping relationship? Select all that apply.
The helping relationship is built on the client's needs, not on those of the helping person. A helping relationship is dynamic. A helping relationship is purposeful and time limited.
Which nursing actions help improve listening skills when conversing with clients? Select all that apply.
Using facial expressions and body gestures to indicate attention to what the client is saying Thinking before responding to the client, even if this creates a lull in the conversation Listening for themes in the client's comments
The nurse has completed teaching. Which client behaviors demonstrate understanding within the cognitive domain? Select all that apply.
Verbalizes key points of a brochure about diabetes that was read Provides a description of what appropriate wound healing should look like
A nurse is showing an older adult client with severe diabetes the correct method of self-administering an insulin injection. What should be the nurse's comment if the client continues making mistakes when learning how to self-administer an insulin injection? Select all that apply.
"Lots of people have the same concern." "You've just about figured out how to give yourself an injection." "Try to angle the syringe a little more this way."
Which characteristics would indicate a professional relationship? Select all that apply.
An emphasis on addressing the client's needs in the current situation The relationship ending with goal achievement
A nurse is preparing a teaching session about heart failure for a group of older adults. When planning this session, which action would be important for the nurse to integrate into the session? Select all that apply.
Allow for extra time to answer questions. Keep outside distractions to a minimum. Plan sessions that are short in duration.
A nurse needs to complete an assessment and vital signs on a client who has Alzheimer disease. How should the nurse approach this client to gain cooperation? Select all that apply.
Approach the client from the front. Use the client's name. Smile and maintain eye contact.
Which action(s) will the nurse take when preparing for and conducting a teaching session for clients with visual impairment? Select all that apply.
Avoiding the use of materials printed on glossy paper Using a lamp that shines over the clients' shoulders Ensuring that the clients are wearing prescription eyeglasses
The postoperative client refuses a blood transfusion due to religious beliefs. The nurse calls the health care provider for an alternative treatment. What quality is the nurse demonstrating by advocating for the client's needs?
Clients value trustworthiness most in a nurse. Advocacy supports the client's right to the information necessary to make his or her own decisions about treatment options and nursing care. The nurse is demonstrating advocacy by supporting the client's decision to refuse the blood transfusion. Empathy is looking at things from the client's perspective and to be able to share that understanding through verbal and nonverbal communication. An example of empathy would be the nurse listening to the client explaining about the religious beliefs and not trying to convince the client to forgo his or her religious beliefs and take the transfusion for health reasons. Flexibility and efficiency are not demonstrated by advocacy of the client.
The community health nurse is preparing a campaign to educate the public about heart health. Which forms of verbal communication would be effective to use in this campaign? Select all that apply.
Television Radio A public speech Brochures
Which activities take place during the working phase of the nurse-client relationship? Select all that apply.
The client participates actively in the relationship. The client genuinely expresses concerns to the nurse.
Nurses on a hospital burn unit meet as a group to discuss procedures. Which statements accurately describe effective functioning in a group? Select all that apply.
The leader or other group members confront any member who dominates or thwarts the group process. Group members support, praise, and critique one another. Group members elicit mutually respectful relationships.
A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply.
The nurse assesses the learning needs and readiness of the parents. The nurse formulates a verbal or written contract with clients. The nurse relates new learning material to clients' past life experiences to help them to assimilate new knowledge.
A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario?
The working phase
The nurse is caring for a 5-year-old child on the pediatric unit. Which activities would promote the psychomotor skills of this child? Select all that apply.
Building a house with popsicle sticks Assembling blocks Removing the toys from the toy box
The nurse is providing education to parents at a preschool regarding child safety and primary prevention. Which topic(s) would the nurse choose to discuss with the parents to represent primary prevention? Select all that apply.
Car seat restraints Bicycle helmets Immunizations
The nurse-client relationship depends on communication. Effective communication between the nurse and the client encompasses which aspects? Select all that apply.
Spoken words Touch Sight Observation