NUR FUND + Prep-U Teaching

A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client? "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." "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?" "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?" "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"

"The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"

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?"

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 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults?

Allow ample time for psychomotor skills.

The nurse is preparing to educate a client newly diagnosed with diabetes about various aspects of home management techniques to maintain control of blood glucose levels. When performing education, what actions should the nurse take when assessing the learning needs of the client? Select all that apply. Determine if the client has a support system in place to assist if necessary Ask the client what areas of weakness he or she has that will prohibit learning Determine the financial status of the client to be sure he or she can afford care Determine if the client is ready to learn about the care of diabetes Ask the client what he or she feels is the greatest learning need to manage diabetic care

Ask the client what he or she feels is the greatest learning need to manage diabetic care Determine if the client has a support system in place to assist if necessary Determine if the client is ready to learn about the care of diabetes

A 20-year-old client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need of a balanced diet and its relationship with a quick recovery. Which domain correctly identifies the client's learning style?

Cognitive domain

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?

Cognitive learning theory

An experienced nurse is educating a client about his disease and how best to promote his optimal health. The nurse is focusing the education on the cognitive domain of learning. The nurse would focus the education on:

Critical Thinking

Educating women on diet and exercise is an example of what type of client education?

Health promotion

An older adult female client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. She is tearful and verbalizes that she feels lonely and abandoned in the hospital unit. The nurse noticed that family visits daily and that there are flowers and cards 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?

Ineffective Coping; verbalizes support systems.

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?

Positive feedback

A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning? Cognitive Affective Psychomotor Simplistic

Psychomotor

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. What is the appropriate nursing response when the client states, "I'm not sure how many days I'm supposed to take this antibiotic." Re-teach the length of time to take the prescription. Proceed with teaching about the decongestant. Ask the client to restate the teaching that was provided. Tell the client to take the antibiotic until symptoms subside.

Re-teach the length of time to take the prescription.

Which strategy should the nurse use when providing education to the older adult client? 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. Teach from books only and remain calm.

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

A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. What would the nurse most likely use to evaluate the client?

Return demonstration

A nurse may attempt to help a patient solve a situational crisis during what type of counseling session? Professional counseling Motivational counseling Long-term counseling Short-term counseling

Short-term counseling

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way?

Talk with animation and vocal inflection, to stimulate the client aurally

A nurse is documenting assessment data for a new client. What is the best source of assessment information for the nurse?

The Client

The nurse identifies which client response as a need for additional education?

The client states, "I only have to worry about lowering the top number of my blood pressure."

While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind? Nurses have control over the client because of their knowledge and expertise. Nurses barter knowledge of medication with the client for compliance. Nurses are experts who generously bestow knowledge upon clients. The nurse and client relationship is based on mutual sharing and negotiation.

The nurse and client relationship is based on mutual sharing and negotiation.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The patient describes signs and symptoms of hypoglycemia.

A client stated, "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? cognitive, pedagogy, and psychomotor skills gerogogy, cognitive, and andragogy cognitive, affective, and psychomotor skills gerogogy, andragogy, and pedagogy

cognitive, affective, and psychomotor skills

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers?

observing a mother expressing the breast milk

The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain?

provides return demonstration of use of inhaler

A nurse is providing teaching to patients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? (Select all that apply.) The nurse negotiates goals with the patient. The nurse uses medical jargon frequently when discussing the teaching plan. The nurse ignores the restrictions of the patient's environment. The nurse evaluates what the patient has learned. The nurse fails to accept that patients have the right to change their minds. The nurse reviews educational media when planning learner objectives.

• The nurse uses medical jargon frequently when discussing the teaching plan. • The nurse fails to accept that patients have the right to change their minds. • The nurse ignores the restrictions of the patient's environment.