Fundamentals Chapter 9: Teaching and Counseling 1-4

Cognitive

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? Affective Psychomotor Cognitive Interpersonal

lecture/discussion

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women? Role play Lecture/discussion Demonstration Test taking

Cognitive, affective, and psychomotor

A client states, "I understand when the nurse explains the possible complications of my illness. I am appreciative of what insulin does to my body, and I can now give myself insulin." Which domains of learning does the nurse identify for this client as having been successfully addressed by education? Cognitive, affective, and psychomotor Cognitive, pedagogical, and psychomotor Gerogogical, cognitive, and andragogical Gerogogical, andragogical, and pedagogical

Positive feedback

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? Reinforcement Motivation Health promotion Positive feedback

A brother who visits daily, does laundry, and cooks all meals for the client

A nurse has permission from the homebound client to educate any of the family members about providing care for the client. Which family member is the most appropriate choice? A son who works full time and is trying to save time off for emergencies A brother who visits daily, does laundry, and cooks all meals for the client A sister who lives next door to the client and telephones for updates frequently A daughter who is a registered nurse and lives in a different state

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

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

Blocking 30 minutes of time for skill teaching

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

The client describes signs and symptoms of hypoglycemia.

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 demonstrates proper technique for injecting insulin. The client expresses a desire to improve nutritional intake and lose weight. The client prepares the skin for the administration of an insulin injection.

Include the child in the education; ask questions of both the mother and the child.

A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients? Include the child in the education; ask questions of both the mother and the child. Focus mainly on the mother; ask the child a couple of simple questions. Provide the mother with written materials; teach the child about keeping the cast dry. Separate the mother and the child; teach the mother and then let the mother teach the child.

"I realize now just how important it is to watch how much salt I use."

A nurse is reviewing the teaching plan about heart failure with a client. The nurse determines that learning in the affective domain has been achieved based on which client statement? "I realize now just how important it is to watch how much salt I use." "I can identify the signs or symptoms of heart failure." "I understand why I need to take a water pill." "I know to call my provider if my ankles swell."

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

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

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

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 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.

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

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.

Personal perception of health and aging

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

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

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." "Osteoarthritis in my knees may be because of my weight." "I can monitor my caloric intake by measuring portions." "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

uses videos, diagrams, and pictures rather than focusing on verbal teaching

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

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 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. identifying the length of the session beginning with basic concepts about HIV/AIDS using proper medical terms when describing treatment providing adequate lighting and comfortable temperature identifying the time, place, and content for the next teaching session

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

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

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

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."

"You have made an amazing recovery."

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 of the wheelchair?"

The nurse and the client

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

Cognitive

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? Cognitive Affective Psychomotor Interpersonal

The client and the nurse are equal participants.

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? The nurse is the expert in the teaching-learning environment. The nurse must be able to handle criticism during the process. The client and the nurse are equal participants. Assimilation and application of psychomotor concepts is essential.

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

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

Intellectual development

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? Intellectual development Motor development Emotional maturity Psychosocial development

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

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."

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

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

critical thinking.

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

The client organizes materials needed and gives return demonstration.

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.

Observing a mother expressing the breast milk

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