Chapter 9: Teaching and Counseling
The nurse is assisting a client 55 years of age to understand the anatomy and physiology of the heart following a heart attack. What type of learning is taking place?
-Andragogy -Pedagogy -Psychomotor -Affective
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?
-Long-term counseling -Motivational counseling -Short-term counseling -Professional counseling
The nurse is preparing discharge teaching for a client with diabetes. Which information should the nurse include? Select all that apply.
-Meal planning -Community resources -Appropriate use of a glucometer -Instructions to follow up with the health care provider -Ways to pay for hospitalization and outpatient care charges
When the newly diagnosed client with insulin-dependent diabetes reports never having received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is:
Self-care Deficit related to lack of knowledge about injections. Knowledge Deficit related to lack of knowledge about injections. Deficient Knowledge of Injection Administration as verbalized by the client, related to the lack of instruction and experience. Ineffective Health Care Maintenance related to diabetic instructions.
The nurse observes that a client responds better to health education when the nurse motivates him and assures him about the benefits of the teaching. In which of the following learning domains does the client's learning style fall?
cognitive domain affective domain psychomotor domain interpersonal domain
Which action(s) will the nurse take when preparing for and conducting a teaching session for clients with visual impairment? Select all that apply.
-Using color print on white paper Avoiding standing in front of the clients -Increasing the volume of the microphone -Avoiding the use of materials printed on glossy paper -Using a lamp that shines over the clients' shoulders -Ensuring that the clients are wearing prescription eyeglasses
While applying dressings to a client's wound, the nurse teaches the client about 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 are experts who generously bestow knowledge upon clients. -Nurses barter knowledge of medication with the client for compliance. -The nurse and client relationship is based on mutual sharing and negotiation. -Nurses have control over the client because of their knowledge and expertise.
The nurse is going to teach the parent of a toddler to do cardiopulmonary resuscitation (CPR). What information would be the most important to prepare this education?
-Reasons for learning CPR -Preferred learning style -Baseline knowledge -Access to technology
The nurse completed education with a client. Which documentation entry represents the most complete teaching plan?
-Start warfarin therapy initiated as prescribed; instructed to return to clinic for testing in 2 weeks. -Written and oral instructions given. Return demonstration performed accurately. -Discussed "Therapeutic Lifestyle Changes," printed materials reviewed, follow-up scheduled. -Printed and verbal information provided on gluten-free diet. Questions answered. Verbalizes understanding. Follow-up scheduled.
Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn?
Affective Psychomotor Cognitive Behavioral Explantation: Educating a new mother about the physiology of the breast and its role in milk production is an example of cognitive learning, which involves the client's critical thinking and reason. Affective learning involves the client's beliefs, emotions, and values. Psychomotor learning involves physically performing a task--learning by doing. Behavioral learning involves learning new behaviors and unlearning others.
