teaching + counseling--PrepU

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

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

The nurse is teaching a client with diabetes how to inject daily insulin. Which method is most effective in evaluating the teaching? A. Ask the client to demonstrate how to self-inject the morning insulin. B. The nurse uses a brochure to explain how to give an injection. C. Provide a teaching session that includes a question and answer discussion. D. Ask the client to repeat the steps of injection in order.

A. Ask the client to demonstrate how to self-inject the morning insulin.

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which is the most appropriate method for the nurse to use in teaching this client? A. Begin the session with a reference to the client's actual experience. B. Refer the client to internet resources on proper bowel health. C. Talk to the client's relatives and get a detailed account of the client's history. D. Have the client join a small group of other clients with the same problem and facilitate group discussions.

A. Begin the session with a reference to the client's actual experience.

The client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? Select all that apply. A. Call the client by the client's preferred name. B. Correct the client when the client communicates erroneous information. C. Use simple words and short sentences when talking with the client. D. Fill in information when the client has difficulty answering questions. E. Approach the client from the front of the client.

A. Call the client by the client's preferred name. C. Use simple words and short sentences when talking with the client. E. Approach the client from the front of the client.

The nurse is preparing discharge teaching for a client with diabetes. Which information should the nurse include? Select all that apply. A. Meal planning B. Instructions to follow up with the health care provider C. Ways to pay for hospitalization and outpatient care charges D. Community resources E. Appropriate use of a glucometer

A. Meal planning B. Instructions to follow up with the health care provider D. Community resources E. Appropriate use of a glucometer

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

B. "You have made an amazing recovery."

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. A daughter who is a registered nurse and lives in a different state B. A brother who visits daily, does laundry, and cooks all meals for the client C. A sister who lives next door to the client and telephones for updates frequently D. A son who works full time and is trying to save time off for emergencies

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

A nurse is working with a 15-year-old client with sickle cell anemia. The client was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care? A. Answering questions openly and honestly B. Asking only the client's parents to be present at the education session C. Including a note about who was taught this new information in the client's chart D. Assuring the client that the conversation is confidential except under extreme circumstances

B. Asking only the client's parents to be present at the education session

The nurse is providing education to parents at a preschool regarding child safety and primary prevention. Which topic(s) would the nurse choose to discuss with the parents to represent primary prevention? Select all that apply. A.Health education for children with an autism spectrum disorder B. Bicycle helmets C. Immunizations D. Car seat restraints E. Developmental screening

B. Bicycle helmets C. Immunizations D. Car seat restraints

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. A. The client's job B. Learning style preferences C. Available resources D. Size of family E. Literacy level

B. Learning style preferences C. Available resources E. Literacy level

A pediatric nurse provides education to numerous clients. Which group of children benefits most from being involved in the teaching-learning process? A. Toddlers B. School-age children C. Preschoolers D. Infants

B. School-age children

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

B. The nurse and the client

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: A. physical demonstration. B. critical thinking. C. emotions or feelings. D. muscular movements.

B. critical thinking.

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? A. Assessed the client's understanding of health and answered questions on an age-appropriate level while the television was on in the room B. Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills C. Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification D. Taught lesson at a school-age developmental level in an authoritarian style while the client was at meal time

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

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? A. Interpersonal B. Psychomotor C. Cognitive D. Affective

C. Cognitive

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? A. Separate the mother and the child; teach the mother and then let the mother teach the child. B. Provide the mother with written materials; teach the child about keeping the cast dry. C. Include the child in the education; ask questions of both the mother and the child. D. Focus mainly on the mother; ask the child a couple of simple questions.

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

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? A. Developmental B. Situational C. Motivational D. Long-term

C. Motivational

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

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

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? A. Professional counseling B. Motivational counseling C. Short-term counseling D. Long-term counseling

C. Short-term counseling

A client is reluctant to learn to do finger sticks for home international normalized ratio (INR) monitoring. What is the best statement by the nurse? A. Most people are afraid of sticking themselves. B. Are you worried about the pain? C. Tell me what you know about these tests. D. Why don't you want to do this?

C. Tell me what you know about these tests.

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? A. The nurse writes one or two broad objectives rather than several specific objectives. B. The nurse plans learner objectives with another nurse before obtaining input from the client and family. C. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. D. The nurse writes general statements for learner objectives that could be accomplished in any amount of time.

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

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

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

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

D. A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the 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? A. Provide information in a structured format. B. Keep the session at 2 to 3 hours. C. Allow for long-term memory loss. D. Allow ample time for psychomotor skills.

D. Allow ample time for psychomotor skills.

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate? A. Boost the morale of the client. B. Delegate the health education to a colleague. C. Replace one-on-one teaching with written materials. D. Assess for cultural differences.

D. Assess for cultural differences.

An occupational health nurse is planning in-service training sessions for the employees. Which teaching topic would be most appropriate to cover with these clients? A. The need for immunizations B. Safe sex C. Infection control D. Cardiopulmonary resuscitation

D. Cardiopulmonary resuscitation

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? A. Adaptive learning theory B. Developmental learning theory C. Behavioral learning theory D. Cognitive learning theory

D. Cognitive learning theory

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

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

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way? A. Elongate the teaching session to be sure the client understands. B. Provide less health teaching because of the language barrier. C. Request family members to serve as translators. D. Talk with animation and vocal inflection to stimulate the client aurally.

D. Talk with animation and vocal inflection to stimulate the client aurally.

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

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