ch. 9 teaching and counseling

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

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?"

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 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

Which strategy should the nurse use when providing education to the older adult client? a. Remain calm and conduct the teaching session in a quiet environment. b. Avoid the use of colorful materials and keep the session short. c. Teach in a monotone voice in a quiet environment. d. Teach from books only and remain calm.

a. Remain calm and conduct the teaching session in a quiet environment.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client? a. The client describes signs and symptoms of hypoglycemia. b. The client demonstrates proper technique for injecting insulin. 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.

a. The client describes signs and symptoms of hypoglycemia.

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.

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? a. Long-term counseling b. Motivational counseling c. Short-term counseling d. Professional counseling

b. Motivational counseling

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 organizes materials needed and gives return demonstration. c. The client verbalizes items needed and how to perform the skill. d. The client nods when asked about process and assists with cleanup.

b. The client organizes materials needed and gives return demonstration.

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?"

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.

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