Chapter 3 Prep U

The nurse is teaching an elderly client about heart failure. What action will the nurse do to enhance learning?

frequently repeat the provided information

A client reports experiencing high levels of stress because of a change in employment. Which technique(s) will the nurse recommend to this client to manage stress? Select all that apply.

-yoga -exercise -relaxation training -Benson Relaxation Response -stress modification training

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration.

"Can you repeat for me the information I just reviewed about weighing food portions?"

The nurse is revising a client's plan of care. What is an example of an expected client outcome?

The client will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

Which of the following is an example of adherence to treatment? Select all that apply.

-Maintaining a healthy diet. -Self-monitoring for signs and symptoms of illness -Taking prescribed medications. -Increasing daily activities

Which of the following is accurate regarding wellness? Select all that apply.

-One tries to maximize one's own health. -It requires a conscious commitment. -It is the result of adopting lifestyle behaviors for the attainment of one's highest potential.

The nurse is caring for a group of clients. The nurse begins by identifying the clients with which condition(s) as most in need of health education to aid in the identification and management of complications or exacerbations? Select all that apply.

-Osteoporosis -Multiple sclerosis -spinal cord injury -coronary artery disease

In many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior?

Direct observation of behavior

During a hospital room teaching session about a new medication, the client's friends arrive for a visit. Which action will the nurse take?

Inform the client that teaching will resume later.

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is

Is the client ready to learn?

The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age?

Lipid panel

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change

Maintenance

A community health nurse is organizing community training on healthy behavior change. Which action will the nurse focus on when using the transtheoretical model of change as guidance for the teaching?

Motivation of individuals

The nurse develops a program of increased ambulation for a patient with an orthopedic disorder. This is an example of what component of the nursing process?

Planning

Normal aging results in changes in cognition. Therefore, when teaching an elderly patient how to administer insulin, the nurse should:

Repeat the information frequently for reinforcement.

A nurse is caring for a client who wants to quit smoking. The client tells the nurse he has thrown out all of his cigarettes. Which stage is the client in, according to the transtheoretical model of change?

Action

The nurse is providing discharge instructions to an elderly client. The nurse hands the client a paper about a new medication. The client cannot read. Learning does not occur. In this situation the nurse has failed to assess the

Appropriateness of teaching techniques

A community health nurse is preparing learning materials for an upcoming public seminar for adults. What factors will the nurse consider, based on applying concepts of adult learning readiness? Select all that apply.

-Personal values -Teaching style

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.

-Promoting health -Preventing illness -Health education and maintenance

The nurse is preparing to use the Transtheoretical Model of Change with a client who smokes 2 packs of cigarettes per day. Place in order how the nurse will implement the stages of the model. Use all options.

1. precontemplative 2. contemplative 3. decision making 4. action 5. maintenance 6. termination

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client

In a quiet room

A current trend in health education that significantly influences nursing practice is:

Increased emphasis on patient involvement in their own care.

A hospitalized client reports right lower quadrant abdominal pain at a level of 8 on a 0 to 10 scale. The client is scheduled for an appendectomy. The nurse is teaching the client about use of the incentive spirometer postoperatively verbally and by demonstration. The client is on his side, clutching his abdomen. Learning is not occurring. The nurse has primarily failed to consider the client's

Physical rediness

The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed? You Selected:

Print directions in large, bold type, preferably using black ink.

Health education of a client by the nurse

is an independent function of nursing practice.

The nurse is instructing a client on the preparation and self-administration of insulin. Which technique will the nurse use to facilitate the client's emotional readiness to learn the skill?

teach-back