Chapter 21: Teacher and Counselor

Which documentation example best reflects the complexity of client teaching by the nurse?

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

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?

"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 nurse is caring for a hearing impaired client and a family member states, "What do you think is the best way to communicate?" What is the best response by the nurse?

"Use flash cards and writing pads."

Include educational strategies that encourage clients to be active participants.

Andragogy

Cognitive domain

As the client is able to understand the need for a balanced diet after the session and follows the nutritional chart accurately, the client's learning style falls in the cognitive domain. The cognitive domain is a style of processing information by listening to or reading facts and descriptions.

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?

Baseline knowledge of these concepts

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which of the following is the most appropriate method the nurse should use to conduct new learning?

Begin the session with a reference to the client's actual experience. Beginning the session with a reference to the client's actual experience will help provide a link to which the new learning can connect

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

When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized?

Include educational strategies that encourage clients to be active participants.

A nurse is preparing to teach a 6-year-old with a broken arm and her 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 mother and child.

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce his risk for cancer, improve his respiratory status, and enhance the quality of his life. The nurse also shares her 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 his feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client?

Motivational counseling

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 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 education?

Preschool age children (2 to 5 years) have short attention spans. Five- to ten-minute blocks of time are age appropriate. Using dolls to demonstrate psychomotor skills. Ensuring the client's parents are present. Giving stickers as a reward for task completion.

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

Psychomotor

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?

Revise the education plan that has guided education. If evaluation of client education indicates that client learning has not met outcomes, it is appropriate to revise the education plan.

A nurse may attempt to help a patient solve a situational crisis during what type of counseling session?

Short-term counseling

affective domain

The affective domain is a style of processing that appeals to a person's feelings, beliefs, or values.

interpersonal domain

The interpersonal domain is a style of processing that focuses on learning through social relationships.

When a nurse is planning for learning, who must decide who should be included in the learning sessions?

The nurse and the client The nurse and the client should be the individuals who decide who should be included in the learning sessions. The nurse cannot assume that family members are wanted by the client to be included. The client must always be included in the learning session.

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 long-term objective for each diagnosis, followed by several specific objectives.

psychomotor domain

The psychomotor domain is a style of processing that focuses on learning by doing.

The nurse must instruct a 35-year-old client with Down syndrome about use of an albuterol rescue inhaler. Which of the following demonstrates individualization of the education plan for this client?

client understanding of illness, motor skills and developmental stage assessed, clarification provided Distractions to learning, such as the television or meal time, will diminish any education plan. An authoritarian style of teaching does not honor the client as a partner in the learning process. Age does not necessarily determine developmental stage. Assessing developmental stages, understanding of the problems, clarification of difficult areas, and ensuring that the client is physically able to perform the task are all aspects of a well-planned education session for all clients.

The nurse is caring for a 5-year old child on the pediatric unit. Which activities would promote the psychomotor skills of this child?

assembling blocks building a house with popsicle sticks removing the toys from the toy box