CH. 21 - Nurse as Teacher & Counselor

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents? A. Baseline knowledge of these concepts B. Infant bonding C. Educational levels D. Home environment

A. Baseline knowledge of these concepts

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

A. Short-term counseling

Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia, indicates a physical inability to learn? A. "May I have something to eat?" B. "I am having difficulty breathing." C. "Finally, I am getting medical attention." D. "The pain in my chest has gone."

B. "I am having difficulty breathing."

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

D. Cognitive domain

The nurse is educating a client regarding a new skill. When evaluating the client's knowledge about the topic covered, what best represents that the client has learned a new skill? A. The client organizes materials needed and gives return demonstration. B. The client nods when asked about process and assists with clean up. C. The client states understanding and passes a written test. D. The client verbalizes items needed and how to perform skill.

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

A nurse is forming an education plan for a client who is being discharged from the nursing unit after cardiac catheterization. Which diagnosis and intervention are most appropriate for this client? A. Knowledge Deficient: Impaired mobility related to lying flat for 8 hours B. Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion C. Knowledge Deficient: Altered urinary output related to catheterization D. Knowledge Deficient: Risk for ineffective breathing pattern related to incisional pain

B. Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion

Which of the nurse's actions is most likely to promote a client's compliance with their antiretroviral drug regimen for the treatment of human immunodeficiency virus (HIV)? A. Refer to the characteristics of the HIV virus when explaining how antiretrovirals treat HIV. B. Emphasize the consequences of noncompliance at various points in client teaching. C. Use interactive and learner-appropriate teaching techniques. D. Ensure that teaching materials are evidence-based and explicitly referenced.

C. Use interactive and learner-appropriate teaching techniques.

A nurse is working with a 15-year-old client with sickle cell anemia. He 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. asking only the client's parents to be present at the education session B. ensuring the client that the conversation is confidential except under extreme circumstances C. answering questions openly and honestly D. including a note about who was taught this new information in the client's chart

A. asking only the client's parents to be present at the education session

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? A. Determine client learning needs based upon age and ability to hear effectively. B. Provide teaching that works for the broadest base of clients. C. Observe the client's behaviors. D. Ask the client, "Do you learn better by seeing how to use an inhaler, believing how the inhaler works, or showing me how to use the inhaler after I show you?".

D. Ask the client, "Do you learn better by seeing how to use an inhaler, believing how the inhaler works, or showing me how to use the inhaler after I show you?".

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.) A. The nurse fails to accept that patients have the right to change their minds. B. The nurse negotiates goals with the patient. C. The nurse reviews educational media when planning learner objectives. D. The nurse evaluates what the patient has learned. E. The nurse ignores the restrictions of the patient's environment. F. The nurse uses medical jargon frequently when discussing the teaching plan.

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

The nurse is using Teach-Back to evaluate the client's understanding of new information given during discharge. Which statement indicates the use of this technique? A. "Please repeat to me the different signs and symptoms of stroke." B. "Use the instructions on this paper to clean your wounds at home." C. "Is someone able to review the instructions with you?" D. "Will you promise to read these instructions when you go home?"

A. "Please repeat to me the different signs and symptoms of stroke."

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

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

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

C. Tell me what you know about these tests.

Which developmental consideration is a nurse assessing when determining that an 8-year-old boy is not equipped to understand the scientific explanation of his disease? A. Psychosocial development B. Motor development C. Emotional maturity D. Intellectual development

D. Intellectual development

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? A. Revise the education plan that has guided education. B. Explore alternatives to prosthesis. C. Refer the client to outside sources of information. D. Scale back the scope and detail of client education.

A. Revise the education plan that has guided education.

When deciding what information the patient needs to meet the learner objectives successfully, the nurse is planning which part of the teaching plan? A. Learning activities B. Content C. Learning domains D. Teaching strategies

B. Content

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. Professional counseling B. Motivational counseling C. Long-term counseling D. Short-term counseling

B. Motivational counseling

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

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

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." A. Tell the client to take the antibiotic until symptoms subside. B. Proceed with teaching about the decongestant. C. Re-teach the length of time to take the prescription. D. Ask the client to restate the teaching that was provided.

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

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

D. The client describes signs and symptoms of hypoglycemia.