N2 ch. 9

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 Learning style preferences Literacy level Size of family The client's job

Available resources Learning style preferences Literacy level

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 plan for this client? Taught lesson at a school-age developmental level in an authoritarian style while the client was at meal time Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills Assessed the client's understanding of health and answered questions on

Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification

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

Short-term counseling Short-term counseling would help a client solve a situational crisis. A client experiencing a developmental crisis, for example, might need long-term counseling. Motivational counseling is an evidence-based counseling approach that involves discussing feelings and incentives with the client. Professional counseling is a general term.

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 the client's cognitive learning needs? Assess how the diagnosis will affect the client's daily routines Assess the client's feelings and emotions surrounding the diagnosis Educate the client about the pathophysiology of the disease process Demonstrate techniques for minimizing mobility challenges

Educate the client about the pathophysiology of the disease process

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? Redirect the client to learning about self-care and begin education. Give written materials to the client and administer pain medication. Have the client rate pain level, and reschedule the teaching session. Assess the client's understanding of self-care and administer medication.

Have the client rate pain level, and reschedule the teaching session.

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for parents who are breastfeeding/chestfeeding? Advising parents to avoid taking over-the-counter drugs while 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

Observing human milk being expressed by someone Observing is one of the levels of psychomotor skills, which involves watching an experienced person perform a physical skill. Telling, showing, and advising are examples of addressing the cognitive domain, which helps the individuals process information by listening or reading facts.

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's health forms are complete. 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 avoids health care screenings and seeks care in the local emergency department.

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

The nurse is responsible for providing a 1-hour presentation on sexual health to a group of 30 college students. What is the most appropriate teaching strategy for the nurse to use? Role play Lecture/discussion Demonstration Case studies

Lecture/discussion Lecture/discussion is appropriate for this topic, audience, and group size. A lecture is a formal presentation of information by a teacher to a group of learners. This format is most effective when communicating facts. Role play would not be an appropriate teaching strategy for this topic, as key points cannot be acted out, or for this size of a group, as there are too many students for each one to be able to participate in role play. Demonstration would not be appropriate, either, as the topic does not focus on particular skills that can be demonstrated. Case studies may be used in the lecture but using them as the sole basis of learning would not normally be possible on only one hour.

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

Meal planning Community resources Appropriate use of a glucometer Instructions to follow up with the health care provider the social worker will work with the client on methods of payment, if necessary.

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 The most appropriate counseling for the situation at hand would be motivational counseling. With motivational counseling, the nurse would discuss feelings and incentives with the client. Short-term counseling focuses on the immediate problem or concern of the client or family. It can be a relatively minor concern or a major crisis, but in any case, it needs immediate attention. Long-term counseling extends over a prolonged period. A client might need the counsel of the nurse at daily, weekly, or monthly intervals. A client experiencing a developmental crisis, for example, might need long-term counseling. Professional counseling is a general term.

A client with a body mass index (BMI) of 40.3 kg/m2 states, "I know I need to get rid of this fat. I just don't know how." Which is the best assessment for the nurse to make at this time? The client's understanding of BMI Past interventions for weight loss Dietary intake of the client that day History of obesity in family members

Past interventions for weight loss Gaining insight into the client's knowledge of obesity and family history of obesity may be helpful, but they do not address the client's statement of not knowing how to lose weight. Dietary intake for one day is not as helpful as a daily log, which gives a better overview of dietary habits. Assessing the client's past actions for weight loss addresses the client's immediate concern, takes advantage of a teachable moment, and helps establish a baseline of what the client understands about weight loss. With this understanding, the nurse has a starting point to begin educating the client.

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 successfully complete education on 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 demonstrate effective breast self-examination technique This client education is focused on teaching the client a psychomotor skill for the purpose of early detection of breast cancer. Therefore, an appropriate learning outcome would be that the client is able to perform the skill properly. Understanding cannot be gauged without a demonstration by the client. Stating correct information does not prove the client can perform this psychomotor action.

Which documentation example best reflects the complexity of client teaching by the nurse? "Told client to take antibiotic as ordered." "Client return demonstrated how to use glucometer." "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."

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal." The nurse should document who the teaching was provided to, what was taught, the teaching method, and the evidence of learning. The other answer choices are not as comprehensive and, therefore, are not the best examples of teaching.

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 by the nurse? "Let me document that you can walk." "Those physical therapists work wonders. "You have made an amazing recovery." "Are you supposed to be out o

"You have made an amazing recovery."

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 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 Maintenance Precontemplation Contemplation

Preparation This client is in the preparation stage, as the client is actively making changes to lose weight. During the precontemplation stage, the client is not even thinking about or considering making a change. During the contemplation stage, the client is considering making a change. During the preparation stage, the client has decided to make a change and is preparing for it. During the maintenance stage, the client attempts to maintain the change in lifestyle begun in an earlier stage.

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. 1. The nurse fails to accept that clients have the right to change their minds. 2. The nurse negotiates goals with the client. 3. The nurse uses medical jargon frequently when discussing the teaching plan. 4.The nurse ignores the restrictions of the client's environment. 5. The nurse evaluates what the client h

1,3,4 1. The nurse fails to accept that clients have the right to change their minds. 3. The nurse uses medical jargon frequently when discussing the teaching plan. 4.The nurse ignores the restrictions of the client's environment.

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. 1. The nurse fails to accept that clients have the right to change their minds. 2. The nurse negotiates goals with the client. 3. The nurse uses medical jargon frequently when discussing the teaching plan. 4. The nurse ignores the restrictions of the client's environment. 5.The nurse evaluates what the client has

1. The nurse fails to accept that clients have the right to change their mind 3. The nurse uses medical jargon frequently when discussing the teaching plan. 4. The nurse ignores the restrictions of the client's environment.

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? Assess for cultural differences. Boost the morale of the client. Delegate the health education to a colleague. Replace one-on-one teaching with written materials.

Assess for cultural differences When the client is having difficulty learning, it may be possible that the client does not understand the language that the nurse speaks. In such a case, the nurse should take the necessary steps to break the cultural barrier and then proceed with the education. Written materials can enhance many clients' learning, but will not necessarily overcome many of the common barriers to understanding, including cultural and linguistic factors. The nurse should take action to overcome any barriers to the learning process before delegating to a colleague. The client's morale is not pertinent to the client's difficulty understanding the teaching..

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

Orthopedic surgical history Personal perception of health and aging Floor plan of the client's dwelling Formal religious beliefs Personal perception of health and aging Knowing about the client's orthopedic history, religious beliefs, and barriers to mobility in the home are all helpful for an overall plan of care, but do not address individualism. Gaining insight into the client's own perceptions of health and aging, however, will allow the nurse to tailor the plan of care to the client's personal needs.

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. Avoid the use of colorful materials and keep the session short. Teach in a monotone voice in a quiet environment. Teach from books only and remain calm.

Remain calm and conduct the teaching session in a quiet environment. Remaining calm and conducting the teaching session in a quiet environment would decrease anxiety or distractions that interfere with learning for the older adult. Keeping the session short will increase concentration, but is not unique to older adults. The nurse is to use colorful materials in a variety of ways and the nurse's tone and pitch should vary.

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 states understanding and passes a written test. The client organizes materials needed and gives return demonstration. The client verbalizes items needed and how to perform the skill. The client nods when asked about process and assists with cleanup.

The client organizes materials needed and gives return demonstration Confirmation that a client has learned a skill requires more than the client verbalizing understanding, passing a written test, nodding, or assisting with cleanup. Being able to gather all equipment needed for a skill and then perform it demonstrates proficiency..

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

The nurse and the client The nurse and the client should be the individuals who decide who should be included in the learning sessions. The nurse cannot assume that family members are wanted by the client to be included. The client must always be included in the learning session.

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 writes one or two broad objectives rather than 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 writes one long-term objective for each diagnosis, followed by several specific objectives. The statement that best describes the proper method for writing objectives would be that the nurse writes one long-term objective for each diagnosis, followed by several specific objectives. The nurse would not use general statements that could be accomplished in any amount of time because this action is not addressing the specific needs of the client, and the setting in which the client is in. The nurse would not plan learner objectives with another nurse and would not always obtain input from the family of the client. The objectives need to be specific so the outcomes can be measured in the evaluation phase.

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? 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. The material presented should focus on future application. Previous experiences have little impact on learning.

Their readiness to learn is often related to a developmental task or social role. An adult's readiness to learn is often related to a developmental task or social role. The previous experience of the adult is a rich resource for learning. Most adults' orientation to learning is that material should be useful immediately. Peer group acceptance is a critical issue for the adolescent group and not adults.

The nurse is preparing to provide health education to a client with a new diagnosis of diabetes. Which action should the nurse perform to create an effective learning environment? Adopt a position of empathy while still communicating that the nurse is the expert in the teaching-learning environment. Be prepared to handle criticism during the teaching-learning process. Adopt a position in which the client and the nurse are equal participants. Prioritize the assimilation and application of psycho

Adopt a position in which the client and the nurse are equal participants. Effective learning occurs when clients and health care professionals are equal participants in the teaching-learning process, not when the nurse is viewed as the expert. Although it is important for the nurse to be able to handle criticism and to understand and apply psychomotor concepts when teaching, these are not as important as viewing the client and nurse as equal participants.

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? Cognitive Affective Psychomotor Interpersonal

Cognitive As the client is able to understand the need for a balanced diet after the session and follows the nutritional chart accurately, the client is demonstrating successful learning in the cognitive domain. Learning in the cognitive domain involves processing information by listening to or reading facts and descriptions. Learning in the affective domain involves appealing to a person's feelings, beliefs, or values. Learning in the psychomotor domain involves learning by doing. Interpersonal is not a domain of learning but a type of communication in which ideas are exchanged between two or more people.

"Do you understand what asthma is?" "How are you supposed to take your medication?" "Are you having trouble getting your medications filled?" "Do you have any questions about what you are supposed to do?" "How are you supposed to take your medication?" The teach-back method assesses health literacy, seeking to confirm that the learner understands the health information received from the health professional. The question about how to take the medication reflects this method. Clients and caregive

A nurse is assessing a client who has come to the clinic for a follow-up appointment. The client was diagnosed with asthma several months ago and has missed several appointments since that time. The client also has not been following the medication plan and has not kept the appointment for allergy testing. The nurse suspects that the client may be experiencing problems with health literacy. The nurse teaches the client about the condition and prescribed treatment. Which question from the nurse would help to assess the client's health literacy about the condition?

Motivational Motivational counseling involves discussing feelings and incentives with the client. Long-term counseling extends over a period of time. Developmental counseling occurs when a client is going through a developmental stage or passage. Situational counseling occurs when a client faces an event or situational crisis.

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, provides 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 Long-term Developmental Situational

The 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. Approach the client from the front of the client. Call the client by the client's preferred name. Use simple words and short sentences when talking with the client. Correct the client when the client communicates erroneous information. Fill

Approach the client from the front of the client. Call the client by the client's preferred name. Use simple words and short sentences when talking with the client. When communicating with a client who has Alzheimer disease, the nurse must use techniques that will facilitate communication. The nurse will approach from the front of the client to obtain the attention of the client. Coming from the side or the back of the client may startle or agitate the client. Using the client's preferred name will also gain the client's attention. The nurse will use simple words and short sentences to allow the client to understand the nurse. The nurse must show patience and allow the client time to respond. The client may have difficulty finding the correct words or expressing thoughts. Correcting the client or providing information may confuse or agitate the client even more.

A client informs the nurse about being committed to quitting smoking to improve health. During discussion, the nurse asks the client "on a scale of 0 to 10, how likely are you to attend a support group?" Which strategy of motivational interviewing is the nurse using with the client? Assessing importance Elicit-provide-elicit Evoking change talk Prioritizing

Assessing importance Using the 0 to 10 scale is a key aspect of assessing importance with motivational interviewing. It helps the nurse to understand the client's feelings toward the recommended activity and can help start a conversation about why the client chose that rating number-and what the nurse could do to increase the number. In the elicit-provide-elicit strategy, the nurse elicits information from the client about a topic, provides teaching on the topic, and then further elicits information from the client. Evoking change talk is when the nurse presents a potential change to the client for consideration. Prioritizing is helping a client determine how to order one's priorities.

Which action(s) will the nurse take when preparing for and conducting a teaching session for clients with visual impairment? Select all that apply. Using color print on white paper Avoiding standing in front of the clients Increasing the volume of the microphone 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

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