Craven Chapter 9: Patient Education and Health Promotion

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? Giving stickers as a reward for task completion Blocking 30 minutes of time for skill teaching Ensuring the client's parents are present Using dolls to demonstrate psychomotor skills

Blocking 30 minutes of time for skill teaching

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

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

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

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

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class? Panel discussion Role-playing Programmed instruction Role modeling

Role-playing

A nurse is working with the Red Cross to assist a family whose home was destroyed by fire. Which statement is most appropriate to assist with this situational crisis? "You have had a tremendous loss. What are your plans for shelter tonight?" "I cannot believe the destruction. I would not know where to begin to rebuild." "Over time this will all just be a memory. You will adjust to the changes." "You have lost everything. I guess family will be taking you in for a while."

"You have had a tremendous loss. What are your plans for shelter tonight?"

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

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

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? "I can lower my blood pressure by losing weight." "I can monitor my caloric intake by measuring portions." "Osteoarthritis in my knees may be because of my weight." "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

"I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

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? "What do you know about support groups?" "I am sure you would feel better if you joined a support group." "I am going to sign you up for a support group." "Support groups are for people like you who are depressed."

"What do you know about support groups?"

A nurse is preparing a discharge education plan for a client who has had abdominal surgery. What would be most important for the nurse to include in this plan? Deep breathing techniques Testing restrictions Activity limitations Ordered treatments

Activity limitations

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? At the time of pain medication administration As the client is sitting quietly, reading a book Immediately before discharge to home When the meal tray arrives

As the client is sitting quietly, reading a book

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

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

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. What would be a most effective method for teaching the toddler not to snatch toys? Enlist the aid of the toddler's parents in education. Give the toddler another toy with which to play. Ask the children to play another game. Tell the toddler that God punishes children who snatch.

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

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. Keep outside distractions to a minimum. Allow for extra time to answer questions. Plan sessions that are short in duration. Keep the lighting in the room dim. Tie in new information with things the group is familiar with.

Keep outside distractions to a minimum. Allow for extra time to answer questions. Plan sessions that are short in duration. Tie in new information with things the group is familiar with.

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? Long-term Developmental Situational Motivational

Motivational

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 this client concerning treatment for osteoarthritis? Formal religious beliefs Orthopedic surgical history Floor plan of the client's dwelling Personal perception of health and aging

Personal perception of health and aging

A client 36 years of age is able to understand the health education when 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? Cognitive Psychomotor Affective Interpersonal

Psychomotor

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? Affective Psychomotor Cognitive Interpersonal

Psychomotor "Because the client learns better by practicing the self-administration of the insulin injection alone, the client's learning style falls in the psychomotor domain."

A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point? Refer the client to outside sources of information. Explore alternatives to prosthesis. Scale back the scope and detail of client education. Revise the education plan that has guided education.

Revise the education plan that has guided education.

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

The nurse and the client

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 general statements for learner objectives that could be accomplished in any amount of time. The nurse writes one or two broad objectives rather than several specific objectives. The nurse plans learner objectives with another nurse before obtaining input from the client and family. 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.

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

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

When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client? Check the client's understanding frequently. Keep the education session short. Provide all the needed education at one time rather than breaking it up. Use verbal and visual modes of communication.

Use verbal and visual modes of communication.

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: physical demonstration. critical thinking. emotions or feelings. muscular movements.

critical thinking.

A nurse is engaged in primary prevention activities as part of an education plan about heart disease for a client. Which activity would be most appropriate? assisting in controlling high cholesterol levels with proper diet assessing for blood pressure abnormalities obtaining blood lipid profile screening tests explaining the need for regular exercise and stress management

explaining the need for regular exercise and stress management

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 facilitate complete recovery from the disease to implement ordered teaching and counseling to help the client develop self-care abilities to ensure the client will return for follow-up care

to help the client develop self-care abilities

A nurse refers a client with a new colostomy to a support group. This nurse is practicing which aim of nursing? Facilitating coping Promoting health Preventing illness Restoring health

Facilitating coping "The client had a life-altering surgery and needs to cope with the change in body image. The nurse's introduction to a support group allows the client to understand that the client is not alone in having a changed body image. Not all clients fully recover from their illness or injury; many need to learn to cope with permanent health alterations. Promoting health is supporting interventions that can lead to keeping a client healthy such as eating fruits and vegetables and exercising. Preventing illness is using interventions to decrease the possibility of getting ill such as hand washing and immunizations. Restoring health is engaging in activities to help the client return to the level of function the client had prior to an illness or surgery."

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? Dysfunctional Family Processes; family contact daily. Altered Mobility; able to tie shoes. Impaired Walking; unilateral neglect. Ineffective Coping; verbalizes support systems.

Ineffective Coping; verbalizes support systems. "When considering appropriate evaluation criteria, be certain they relate directly to the diagnosis and the diagnosis relates to the assessment data. There are no data to support unilateral neglect. Tying shoes evaluates a client's abilities, not mobility. The nurse assesses that the family visits daily, so the family process is functional. Ineffective coping is appropriately evaluated by identification of coping mechanisms, such as support systems."

The nurse is conducting a teaching session regarding HIV/AIDS for adult clients in the community. What consideration(s) will the nurse make when teaching this type of session? Select all that apply. providing adequate lighting and comfortable temperature identifying the time, place, and content for the next teaching session using proper medical terms when describing treatment identifying the length of the session beginning with basic concepts about HIV/AIDS

identifying the length of the session beginning with basic concepts about HIV/AIDS providing adequate lighting and comfortable temperature identifying the time, place, and content for the next teaching session

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? "Tell me about what signs of infection you will report to the health care provider." "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." "Let's see how you irrigate the wound with saline." "I would like you to demonstrate how to change the dressing on your leg."

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

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response? "After I demonstrate it once, your mother will be able to do it." "When 15 minutes have passed, I will ask your mother to show me how to instill the drops." "We can never be completely sure that your mother understands instructions." "I will have you bring your mother back next week to see how things are going."

"When 15 minutes have passed, I will ask your mother to show me how to instill the drops."

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

"You have made an amazing recovery."

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 an age-appropriate level while the television was on in the room Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification

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

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

Cognitive

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education? Use all visual materials when teaching content. Use materials developed previously for citizens. Develop written materials in the client's native language. Use a lecture format to teach content with few questions.

Develop written materials in the client's native language. "With changes in society, nurses are faced with the challenge of teaching clients from different cultural and ethnic backgrounds. One of the strategies is to develop written materials in the native language of the client."

The client is newly diagnosed with type 2 diabetes. After teaching the client about diabetes and how to self-administer insulin, the nurse identifies which client response as a need for additional education? Follow-up visit demonstrates a fasting blood glucose level of 89 mg/dl (4.94 mmol/l). The client reports being careful to rotate injection sites. During the return demonstration, the client draws up insulin, leaving tiny bubbles in the syringe. The client gives a return demonstration of cleaning the side of the finger with alcohol before using a lancet.

During the return demonstration, the client draws up insulin, leaving tiny bubbles in the syringe.

The nurse is working with an older adult client recently diagnosed with Stage 2 ovarian cancer. The nurse is providing some health literature to help the client understand the new diagnosis. When considering internet resources for the client, what should the nurse take into consideration? Select all that apply. Lack of stability of web addresses provides confusion and frustration. Many internet websites may be above the recommended reading level for clients with low literacy. Websites are always current to provide the most up-to-date information. Sites that target multiple audiences (health care providers and clients) provide less individualized information. If the website is on the internet, it is a reliable source

Many internet websites may be above the recommended reading level for clients with low literacy. Sites that target multiple audiences (health care providers and clients) provide less individualized information. Lack of stability of web addresses provides confusion and frustration

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers? Showing charts to the mothers that illustrate the types of breast milk Telling the mothers to avoid taking over-the-counter drugs while breastfeeding Advising the mothers to drink plenty of water Observing a mother expressing the breast milk

Observing a mother expressing the breast milk

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

The client describes signs and symptoms of hypoglycemia. "The client's ability to describe the signs and symptoms of hypoglycemia demonstrates cognitive learning (the storing and recalling of new knowledge in the brain). Demonstrating a skill, such as insulin injection, is an example of psychomotor learning. Affective learning includes changes in attitudes, values, and feelings (e.g., desire to lose weight)."

The nurse is planning client education based on the developmental stage of the client. Which nursing actions best reflect this consideration? Select all that apply. The nurse provides material that is useful immediately to adult clients. The nurse avoids relating education for an adult to a social role. The nurse includes a school-age child in the teaching and learning process. The nurse directs the health education for a 3-year-old to the parents. The nurse provides lengthy explanations of a procedure to a preschool child. The nurse determines the learning needs of the client.

The nurse directs the health education for a 3-year-old to the parents. The nurse includes a school-age child in the teaching and learning process. The nurse determines the learning needs of the client. The nurse provides material that is useful immediately to adult clients.

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

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

Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease? Psychosocial development Motor development Intellectual development Emotional maturity

Intellectual development

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

Reteach the length of time to take the prescription.

The nurse is caring for a 10-year-old client with gastritis. During the health education, which of the following points should the nurse keep in mind with regard to the characteristics of pedagogic learners? They are crisis learners. They think abstractly. They respond to competition. They are goal-oriented.

They respond to competition.