Chapter 27 NCLEX

How can the nurse best assess a client's style of learning? 1. Ask the client how he or she learns best 2. Use a variety of teaching strategies 3. Observe the client's interactions with others 4. Ask a family member

1. Ask the client how he or she learns best- Individuals learn in various ways, and the individual knows how learning has occurred in the past

A client needs to learn to self-administer insulin injections. Which statements reflect possible low literacy skills? Select all that apply 1. I will read the information later- I'm too tired right now 2. I've watched my brother give his own shots. I know how to do it. 3. Just show my wife 4. Do you have a video showing how I should give myself the shot? 5. I don't understand this one section in the handout

1. I will read the information later- I'm too tired right now 2. I've watched my brother give his own shots. I know how to do it. 3. Just show my wife 4. Do you have a video showing how I should give myself the shot?

A nurse is scheduling a teaching situation. Which client is most ready to learn? 1. A 45 year old man whose doctor just informed him that he has cancer 2. A 3 year old child whose parents are reading a story book about going to the hospital 3. A 60 year old female who received medication 5 minutes ago fr relief of abdominal pain 4. A 70 year old man, recovering from a stroke, who has returned from physical therapy

2. A 3 year old child whose parents are reading a story book about going to the hospital- The client is most ready to learn is experiencing or has recently experienced the least amount of stress or is the least preoccupied with other concerns.

Which learning activity reflects Bloom's affective domain? 1. Administering an injection 2. Accepting the loss of a limb 3. Inserting a catheter 4. Learning how to read

2. Accepting the loss of a limb

A client is scheduled to have a diagnostic procedure. Which questions by the nurse will most likely produce a "teachable moment"? Select all that apply 1. Have you eve had this procedure before? 2. What are your concerns about this procedure? 3. What would you like to know about the procedure? 4. Are you prepared for this procedure? 5. What have you heard or read about the procedure?

2. What are your concerns about this procedure? 3. What would you like to know about the procedure? 5. What have you heard or read about the procedure? These are open ended questions that will give opportunity to provide information that will help the nurse assess level of knowledge and subsequently provide/discuss needed information with the client.

A client's learning outcome is "client will verbalize medication names, purpose, and appropriate precautions". Which documented statement reflects evidence of learning? 1. Taught name, purpose, and precautions for the new cardiac medication; seemed to understand. 2. Written information about the medication provided and reviewed; corrected responses were given to follow up questions 3. Written information read to client; stated he would read it when he got home 4. Asked questions about the medication; satisfied with the information

2. Written information about the medication provided and reviewed; corrected responses were given to follow up questions

A primary care provider admitted a client experiencing hypertensive crisis because of failure to take his prescribed medications. To determine learning needs, which client assessment by the nurse would have the highest priority? 1. Age 2. Perception of the effects of hypertension 3. Ability to purchase needed medication 4. Support system

3. Ability to purchase needed medication

Which is the best method of helping a client newly diagnosed with diabetes to learn the dietary requirements associated with the disease? 1. Provide a videotape that addresses the dietary requirements associated with the disease 2. Ask a nutritionist to visit the client to present information and handouts about the diabetic diet 3. Ask the client to make a list of her favorite foods and how to work them into her diet 4. Have the client attend a group meting for clients with diabetes to discuss their adaptation to this chronic health condition

3. Ask the client to make a list of her favorite foods and how to work them into her diet

A 74 year old client who takes multiple medications tells the nurse, "I have no idea what that little yellow pill is for." What is the best nursing diagnosis for this client? 1. Deficient Knowledge 2. Health-Seeking Behavior 3. Deficient Knowledge (Medication Information) 4. Noncompliance

3. Deficient Knowledge (Medication Information)

A client has a learning outcome of "Select foods that are low in fat content." Which statement reflects that the client has met this outcome? 1. I understand the importance of maintaining a low-fat diet 2. I feel better about myself now 3. See how I revised my favorite recipe to be lower in fat 4. Since changing my diet, my husband is also losing weight

3. See how I revised my favorite recipe to be lower in fat