ch 9 teaching and counseling

A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which of the client's following statements suggests that nurses' education has resulted in affective learning?

"I'm starting to see how my lifestyle has caused me to end up here."

The nurse has been working with a client for several days during the client's recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?

"What changes will you make around your house to reduce the chance of future falls?"

A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners?

A focus on the immediate application of new material

A nurse is writing learning outcomes for a client recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply.

Assembles Demonstrates

When caring for a client, the nurse gives day-to-day examples to explain certain points of the health education. The nurse also notes the client's concentration level and educates when the client is active. Which category does the client fall into?

Attention and concentration

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?

Baseline knowledge of these concepts

Which of the following is an essential component of the definition of learning?

Can be measured

What word or phrase best describes an effective counselor?

Caring

To meet accreditation standards regarding client care, a health care facility must show evidence of what?

Client education documentation

According to Rosenstock, which of the following are health beliefs critical for client motivation? Select all that apply.

Clients view themselves as susceptible to the disease in question. Clients view the disease as a serious threat. Clients believe there are actions they can take to reduce the probability of contracting the disease.

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?

Cognitive

When the newly diagnosed, insulin-dependent diabetic client tells the nurse that he has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is what?

Deficient knowledge of injection administration as verbalized by the client, related to the lack of instruction and experience

A mother of a toddler wants to learn how to do CPR. What education strategy would be most effective in helping her learn?

Demonstration

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 device. The client states, "I'm just too old to learn." Which of the following would be most appropriate for the nurse to do to motivate this client?

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

A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent client teaching?

Develop written materials in the client's native language.

A nurse educating a new mother on how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the education plan. Which of the following are guidelines based on this acronym? Select all that apply.

Edit client information. Act on every teaching moment. Clarify often.

A nurse notices that a toddler is constantly snatching toys from the hands of other preschool children at the health care facility, placing the toddler and other children at risk for injury. Which of the following would be a most effective method for teaching the toddler not to snatch toys?

Enlist the aid of the toddler's parents in education.

What is the most critical element of documentation of education?

Evidence that learning has occurred

A nurse refers a client with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?

Facilitating coping

Developing an education plan is comparable to what other nursing activity?

Formulating a nursing care plan

A nurse is educating an elderly client with diabetes and his family members about the importance of a nutritious diet. The nurse knows that client education promotes which of the following purposes? Select all that apply.

Helps the nurse to restore optimal health in the client Helps the client to cope with alterations in health status

A male client age 42 years recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurse's best response to this client?

Ignore the behavior and recommend a behavior modification program.

When is the best time to evaluate one's own teaching effectiveness

Immediately after an education session

When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized?

Include educational strategies that encourage clients to be active participants

Which of the following strategies might a nurse use to increase compliance with education?

Include the client and family as partners.

What client characteristic is important to assess when using the health belief model as the framework for teaching?

Motivation to learn

A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs?

Preventing illness Restoring health Maintaining and promoting health

At completion of the health education for a client, the nurse documents the details of the health education in the client's medical record. What can be determined by this documentation?

Proof of compliance with education standards

A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style?

Psychomotor domain

A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this client?

Readiness for Enhanced Parenting

A student is developing an education plan for her assigned client. The student wants to educate the client on what symptoms to report after chemotherapy. What would the student need to do first?

Review information available in writing and on the Internet.

An older adult client is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip. What type of counseling would the nurse conduct?

Short-term

A nurse is using motivational interviewing to find out why a client refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this client?

So, you feel that you are not ready to start a program this week...?

A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?

To help the client develop self-care abilities

The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the Ask Me 3 tool. Which of the following is an Ask Me 3 question? Select all that apply.

What is my main problem? What do I need to do? Why is it important for me to do this?