Nurs 222 CoursePoint Chapter 9

Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia indicates a physical inability to learn? a) "May I have something to eat?" b) "The pain in my chest has gone." c) "I am having difficulty breathing." d) "Finally, I am getting medical attention."

c) "I am having difficulty breathing."

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

c) Short-term counseling

A home health nurse states to her client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." What technique is the nurse using to compliment the client's progress? a) Reinforcement b) Motivation c) Health promotion d) Positive feedback

d) Positive feedback

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate? a) "What do you know about support groups?" b) "Support groups are for people like you who are depressed." c) "I am sure you would feel better if you joined a support group." d) "I am going to sign you up for a support group."

a) "What do you know about support groups?"

A client states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty." When responding to the client, the nurse will need to address which type of learning? a) Affective b) Psychomotor c) Cognitive d) Behavioral

a) Affective

The nurse is assisting a client 55 years of age to understand the anatomy and physiology of the heart following a heart attack. What type of learning is taking place? a) Andragogy b) Pedagogy c) Psychomotor d) Affective

a) Andragogy

A nurse is working with a 15-year-old client with sickle cell anemia. The client was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care? a) Asking only the client's parents to be present at the education session. b) Including a note about who was taught this new information in the client's chart. c) Assuring the client that the conversation is confidential except under extreme circumstances. d) Answering questions openly and honestly.

a) Asking only the client's parents to be present at the education session.

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

a) Assess for cultural differences.

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? a) Assessing importance b) Eicit-provide-elicit c) Evoking change talk d) Prioritizing

a) Assessing importance

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's teaching? a) Blocking 30 minutes of time for skill teaching. b) Using dolls to demonstrate psychomotor skills. c) Ensuring the client's parents are present. d) Giving stickers as a reward for task completion.

a) Blocking 30 minutes of time for skill teaching.

Before starting the education process, the nurse should determine the preferred learning style, age and developmental level, capacity to learn, motivation level, readiness to learn, and learning needs of the client. How does this help the nurse in the client's health education? a) By implementing effective teaching. b) By fulfilling the client's requirements. c) By assisting the client's learning. d) By reducing chances of any miscommunication.

a) By implementing effective teaching.

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? a) Cognitive b) Affective c) Psychomotor d) Interpersonal

a) Cognitive

A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? a) Demonstrating the technique for insulin self-injection. b) Describing the signs and symptoms of low blood sugar. c) Explaining what to do if hypoglycemia occurs. d) Reviewing with the client appropriate foods to eat.

a) Demonstrating the technique for insulin self-injection.

Which topics would the nurse be most likely to explore with a client with the aim of restoring health? Select all that apply. a) Education of a client about living with a suprapubic catheter. b) Postoperative teaching for the client after prostate surgery. c) Informing the client regarding community resources. d) Instruction to a group of clients about performance of CPR. e) Orientation to treatment center and staff. f) The medical and nursing regimens and how the client can participate in care.

a) Education of a client about living with a suprapubic catheter. b) Postoperative teaching for the client after prostate surgery. e) Orientation to treatment center and staff. f) The medical and nursing regimens and how the client can participate in care.

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 actions are appropriate for the nurse to take to ensure a successful education session? Select all that apply. a) Ensuring 20 minutes of uninterrupted teaching time. b) Asking the client's mother to leave the room to avoid distractions. c) Using a doll to demonstrate giving an insulin injection. d) Providing the client's mother with an informational pamphlet about insulin injection.

a) Ensuring 20 minutes of uninterrupted teaching time. c) Using a doll to demonstrate giving an insulin injection. d) Providing the client's mother with an informational pamphlet about insulin injection.

An older adult client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. The client is tearful and reports feeling lonely and abandoned in the hospital unit. The family visits daily, and flowers and cards are in the room. Documentation in the chart indicates that the client's pastor has been by twice in the past week to visit. Which nursing diagnosis and outcome criteria need to be addressed immediately for this client? a) Ineffective Coping; verbalizes support systems. b) Impaired Walking; unilateral neglect. c) Altered Mobility; able to tie shoes. d) Dysfunctional Family Processes; family contact daily.

a) Ineffective Coping; verbalizes support systems.

A nurse is forming an education plan for a client who is being discharged from the nursing unit after cardiac catheterization. Which diagnosis and intervention are most appropriate for this client? a) Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion. b) Knowledge Deficient: Altered urinary output related to catheterization. c) Knowledge Deficient: Impaired mobility related to lying flat for 8 hours. d) Knowledge Deficient: Risk for ineffective breathing pattern related to incisional pain.

a) Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion.

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. a) The nurse fails to accept that clients have the right to change their minds. b) The nurse negotiates goals with the client. c) The nurse uses medical jargon frequently when discussing the teaching plan. d) The nurse ignores the restrictions of the client's environment. e) The nurse evaluates what the client has learned. f) The nurse reviews educational media when planning learner objectives.

a) The nurse fails to accept that clients have the right to change their minds. c) The nurse uses medical jargon frequently when discussing the teaching plan. d) The nurse ignores the restrictions of the client's environment.

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? a) Their readiness to learn is often related to a developmental task or social role. b) Peer group acceptance is a critical issue for this age group. c) The material presented should focus on future application. d) Previous experiences have little impact on learning.

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

A nurse is caring for a slightly overweight client whose lipid panel revealed elevated cholesterol levels. The client was prescribed a statin by the health care provider. Which statement by the client would indicate a health literacy level that would enable the client to make appropriate health decisions to lower cholesterol levels? a) "I am going to switch from using butter to using margarine to flavor my food." b) "In addition to this cholesterol medication, I plan to reduce my consumption of red meat and other saturated fats and start walking again." c) "Since I am going to be taking this cholesterol medication, I do not need to worry about what I eat." d) "I am going to take this new medication whenever I eat fatty foods."

b) "In addition to this cholesterol medication, I plan to reduce my consumption of red meat and other saturated fats and start walking again."

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. a) "Why are you repeatedly holding the injection at the wrong angle?" b) "Lots of people have the same concern." c) "You've just about figured out how to give yourself an injection." d) "It will be better if you ask someone responsible to administer the injection." e) "Try to angle the syringe a little more this way."

b) "Lots of people have the same concern." c) "You've just about figured out how to give yourself an injection." e) "Try to angle the syringe a little more this way."

While the nurse is caring for a hearing impaired client, and 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? a) "Use words that begin with 'f,' 's,' 'k,' and 'sh' to communicate." b) "Use flash cards and writing pads." c) "Limit communication to avoid frustration." d) "Encourage family members to increase their vocal pitch."

b) "Use flash cards and writing pads."

Which statement describes the person who is likely the most motivated to learn? a) A 29-year-old male whose significant other is insisting on the client receiving the education. b) A 70-year-old female who is the client's spouse and is learning the care so the client can come home. c) A 52-year-old male who has been hired to drive the client home from the clinic. d) A 25-year-old female who just completed a course of physical therapy.

b) A 70-year-old female who is the client's spouse and is learning the care so the client can come home.

The nurse is planning to provide teaching to a client who is recovering from abdominal surgery. When is the most appropriate time to teach the client? a) When the meal tray arrives. b) As the client is sitting quietly, reading a book. c) At the time of pain medication administration. d) Immediately before discharge to home.

b) As the client is sitting quietly, reading a book.

An experienced nurse is educating a client about the client's disease and how best to promote optimal health. The nurse is focusing the education on the cognitive domain of learning. Given this focus, the nurse would incorporate the client's: a) Emotions or feelings b) Critical thinking c) Muscular movements d) Physical demonstration

b) Critical thinking

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? a) Ask the client to restate the teaching that was provided. b) Reteach the length of time to take the prescription. c) Tell the client to take the antibiotic until symptoms subside. d) Proceed with teaching about the decongestant.

b) Reteach the length of time to take the prescription.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client? a) The client demonstrates proper technique for injecting insulin. b) The client describes signs and symptoms of hypoglycemia. c) The client expresses a desire to improve nutritional intake and lose weight. d) The client prepares the skin for the administration of an insulin injection.

b) The client describes signs and symptoms of hypoglycemia.

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)? a) "It is okay to skip some doses if I don't feel well or sick to my stomach." b) "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." c) "I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs." d) "I can't remember when I have to take my medications, so I have my son come and give me my pills."

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

A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client? a) "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?" b) "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." c) "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?" d) "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?"

c) "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

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? a) "Let me document that you can walk." b) "Those physical therapists work wonders. c) "You have made an amazing recovery." d) "Are you supposed to be out of the wheelchair?"

c) "You have made an amazing recovery."

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

c) Ask the client, "Do you learn best by observing, valuing, or doing?"

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? a) Refer the client to internet resources on proper bowel health. b) Have the client join a small group of other clients with the same problem and facilitate group discussions. c) Begin the session with a reference to the client's actual experience. d) Talk to the client's relatives and get a detailed account of the client's history.

c) Begin the session with a reference to the client's actual experience.

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? a) Affective b) Psychomotor c) Cognitive d) Interpersonal

c) Cognitive

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn? a) Affective b) Psychomotor c) Cognitive d) Behavioral

c) Cognitive

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? a) Cognitive b) Affective c) Psychomotor d) Interpersonal

c) Psychomotor

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept? a) The nurse is the expert in the teaching-learning environment. b) The nurse must be able to handle criticism during the process. c) The client and the nurse are equal participants. d) Assimilation and application of psychomotor concepts is essential.

c) The client and the nurse are equal participants.

The nurse is providing instructions to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education? a) The client will demonstrate self-efficacy and improved body image. b) The client will have restoration of breast function. c) The client will be able to perform proper breast self-examination for breast cancer detection and prevention. d) The client will demonstrate improved coping skills.

c) The client will be able to perform proper breast self-examination for breast cancer detection and prevention.

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

c) The nurse and the client

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

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

The nurse has provided education to a client about home care for an open surgical wound on the lower left extremity. When evaluating learning through the cognitive domain, what statement by the nurse would be appropriate? a) "I would like you to demonstrate how to change the dressing on your leg." b) "Let's see how you irrigate the wound with saline." c) "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." d) "Tell me about what signs of infection you will report to the health care provider."

d) "Tell me about what signs of infection you will report to the health care provider."

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) A 45-year-old female who is unsure of the benefit of psychiatric care, on a fixed income, and has good family support. b) A 51-year-old male who walks to most places because of a lack of transportation, has a low income, and works days. c) A 36-year-old male who uses public transportation, is unable to read, and wants to confer with a pastor. d) A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment.

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

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? a) Taught lesson at a school-age developmental level in an authoritarian style while the client was at meal time. b) Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills. c) Assessed the client's understanding of health and answered questions on an age-appropriate level while the television was on in the room. d) Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification.

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

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? a) Deficient Knowledge: Readiness for enhanced nutrition, and risk for disturbed body image. b) Deficient Knowledge: Risk for chronic low self esteem, and risk for unstable blood glucose level. c) Deficient Knowledge: Risk for imbalanced nutrition: more than body requirements, and sedentary lifestyle. d) Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance.

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

The nurse is completing documentation after an education session with a client. Which statement best demonstrates detailed documentation of an effective teaching plan? a) Discussed wet-to-dry dressing changes, and client stated understanding. b) Spouse taught to flush feeding tube before and after medication. c) Denied further instruction needed. d) Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique. e) Lecture provided about infection, and client stated understanding what infection is.

d) Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique.

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? a) Tell the client how to move the walker as the client ambulates. b) Explain how the walker supports the client's lower extremities. c) Fully discuss the rationale for using the walker. d) Describe how the walker can improve the client's quality of life.

d) Describe how the walker can improve the client's quality of life.

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

d) The client avoids health care screenings and seeks care in the local emergency department.

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

d) The client organizes materials needed and gives return demonstration.

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? a) The nurse writes one or two broad objectives rather than several specific objectives. b) The nurse writes general statements for learner objectives that could be accomplished in any amount of time. c) The nurse plans learner objectives with another nurse before obtaining input from the client and family. d) The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

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

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

d) Uses videos, diagrams, and pictures rather than focusing on verbal teaching.