PrepU Chp.8 Client Teaching

A client shares with the nurse how much she appreciates understanding the physiology of her breastfeeding. She states, "I felt very comfortable with what you explained to me and I feel I will be successful at breastfeeding." In affective learning, this represents:

Creating an atmosphere for discussion of feelings

A nurse is working with a client and suspects the client might have a literacy problem. What question would the nurse ask initially to get a better sense of the situation? a) "How do you learn best?" b) "Do you know how to read and write?" c) "Is there anything I should know about your abilities before we begin?" d) "How much education did you complete?"

a) "How do you learn best?"

When is the best time to evaluate one's own teaching effectiveness? a) Immediately after an education session b) 1 month after the education session c) During the education session d) 1 week after the education session

a) Immediately after an education session

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 which of the following? a) Muscular movements b) Emotions or feelings c) Critical thinking d) Physical demonstration

c) Critical thinking

A nurse evaluates whether a middle-aged client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. Which of the following would the nurse most likely use to evaluate the client? a) Simulation b) Written test c) Return demonstration d) Oral test

c) Return demonstration

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 teaching plan for this client? a) Client understanding of illness, motor skills and developmental stage assessed, clarification provided. b) Client's understanding of health assessed, questions answered on age-appropriate level, television on in room. c) Lesson focused for client of school-age developmental level, authoritarian style, client taught at meal time. d) Developmental stage is adult at age 35, information given in short sentences, motor skills not assessed.

a) Client understanding of illness, motor skills and developmental stage assessed, clarification provided.

Which of the following developmental considerations is a nurse assessing when he or she determines that an 8-year-old boy is not equipped to understand the scientific explanation of his disease? a) Intellectual development b) Motor development c) Emotional maturity d) Psychosocial development

a) Intellectual development

A patient is experiencing difficulty in adjusting to a new prosthesis despite conscientious patient teaching by numerous members of the healthcare team. How should the team respond to the patient's lack of learning to this point? a) Revise the teaching plan that has guided education. b) Scale back the scope and detail of patient teaching. c) Explore alternatives to prosthesis. d) Refer the patient to outside sources of information.

a) Revise the teaching plan that has guided education.

Which statement best describes the client most motivated to learn? a) A 29-year-old male; significant other insisting on education. b) A 70-year-old female; learning care so spouse can come home. c) A 52-year-old male; hired to drive client home from clinic. d) A 25-year-old female; just completed a course of physical therapy.

b) A 70-year-old female; learning care so spouse can come home.

The nurse knows which evaluation best represents that the client has learned a new skill? a) Verbalizes items needed and how to perform skill. b) Organizes materials needed and gives return demonstration. c) Nods when asked about process and assists with clean up. d) States understanding and passes a written test.

b) Organizes materials needed and gives return demonstration.

A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style? a) Cognitive domain b) Psychomotor domain c) Interpersonal domain d) Affective domain

b) Psychomotor domain

Before clients can learn, they must believe that they need to learn the information. The nurse recognizes that this is an example of which learning principle? a) Maturation b) Relevance c) Initiative d) Motivation

b) Relevance

The nurse is preparing to teach Lovenox (enoxaparin) for the first time to a client who has never given a self-injection before. Which actions are the most appropriate for the nurse to do first? Select all that apply. a) Weigh the client to select needle size. b) Review medication data sheets. c) Gather supplies for injection teaching. d) Print out injection rotation diagrams. e) Write down instructions for IM injections.

b) Review medication data sheets. c) Gather supplies for injection teaching.

When establishing a teaching-learning relationship with a patient, it is most important for the nurse to remember that effective learning can best be achieved through which concept? a) Assimilation and application of psychomotor concepts is essential b) The patient and the nurse are equal participants c) The nurse must be able to handle criticism during the process d) The nurse is the expert in the teaching-learning environment

b) The patient and the nurse are equal participants

The client reports to the clinic as ordered by her primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and states having read through it before the appointment. Which of the client's statements alerts the nurse to a need for clarification and further education? a) "I can lower my blood pressure by losing weight." b) "Osteoarthritis in my knees may be because of my weight." c) "I will be doing well if I lose between 5 and 10 pounds a week." d) "I can monitor my caloric intake by measuring portions."

c) "I will be doing well if I lose between 5 and 10 pounds a week."

Which of the following guidelines 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) Allow for long-term memory loss c) Allow ample time for psychomotor skills d) Keep the session at 2 to 3 hours

c) Allow ample time for psychomotor skills

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) Home environment b) Educational levels c) Baseline knowledge of these concepts d) Infant bonding

c) Baseline knowledge of these concepts

To meet accreditation standards regarding client care, a health care facility must show evidence of what? a) Financial accounts and statements b) Employee satisfaction surveys c) Client education documentation d) Documentation of indigent care

c) Client education documentation

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) Cognitive domain d) Psychomotor domain

c) Cognitive domain

An elderly female client post 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 patient? a) Altered mobility; able to tie shoes. b) Dysfunctional family processes; family contact daily. c) Ineffective coping; verbalizes support systems. d) Impaired walking; unilateral neglect.

c) Ineffective coping; verbalizes support systems.

Which of the following means of comprehending new information best describes a cognitive learner? a) The learner likes to learn by doing. b) The learner learns through information that appeals to feelings. c) The learner processes information by listening to facts. d) The learner learns by combining three styles of learning.

c) The learner processes information by listening to facts.

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which of the following as a characteristic of an adult learner? a) Previous experiences have little impact on learning. b) Peer group acceptance is a critical issue for this age group. c) Their readiness to learn is often related to a developmental task or social role. d) The material presented should focus on future application.

c) Their readiness to learn is often related to a developmental task or social role.

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating? a) Psychomotor b) Emotional c) Affective d) Cognitive

d) Cognitive

You are the nurse planning to teach tracheostomy care to one of your patients. What is the most important variable in patient teaching that you need to utilize? a) Alleviating the patient's guilt associated with not knowing appropriate self-care b) Building on previous information c) Providing the most up-to-date information available d) Determining the patient's readiness to learn new information

d) Determining the patient's readiness to learn new information

A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent client teaching? a) Use all visual materials when teaching content. b) Use a lecture format to teach content with few questions. c) Use materials developed previously for U.S. citizens. d) Develop written materials in the client's native language.

d) Develop written materials in the client's native language.

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 client to learning about self-care and begin teaching. b) Assess client understanding of self-care and administer medication. c) Give written materials to client and retrieve pain medication. d) Have client rate pain level and reschedule the teaching session.

d) Have client rate pain level and reschedule the teaching session.

Which of the following refers to a person's intellectual ability to remember and apply new information? a) Learning needs b) Motivation c) Learning style d) Learning capacity

d) Learning capacity

A home health nurse states to her patient, "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 patient's progress? a) Health promotion b) Motivation c) Reinforcement d) Positive feedback

d) Positive feedback

A nurse is preparing a teaching plan for an older adult. Which of the following would be least appropriate for the nurse to include in this plan? a) Using visual aids with large printing b) Discussing one idea at a time with the client c) Ensuring a brightly lit room without glare d) Scheduling teaching sessions to last 45 minutes

d) Scheduling teaching sessions to last 45 minutes

A nurse is teaching a patient with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the patient? a) The patient expresses a desire to improve his nutritional intake and lose weight. b) The patient prepares the skin for the administration of an insulin injection. c) The patient demonstrates proper technique for injecting insulin. d) The patient describes signs and symptoms of hypoglycemia.

d) The patient describes signs and symptoms of hypoglycemia.

You are the oncoming nurse, and you have just taken report on your patients for the shift. One of your patients is a patient who is newly diagnosed with diabetes. Which behavior shows this patient's willingness to learn? a) The patient has a family member meet with the dietician to discuss meals. b) The patient allows the nurse to take daily blood sugar. c) The patient declines a slice of pie at lunch. d) The patient requests a visit from the diabetic educator.

d) The patient requests a visit from the diabetic educator.

A nurse is concerned about a client's ability to retain information during education sessions. Which of the following techniques would enhance the retention of material in presentations? a) Speaking very softly b) Including a bibliography c) Using a lecture format d) Using repetition

d) Using repetition