prepu ch5

A nurse is teaching a client cast care for a fractured arm. The nurse recognizes the client is using the cognitive domain of learning when the client:

makes a decision about the type of sling.

The nurse caring for a diabetic client must teach the client how to administer insulin injections. Which factor would be important to foster?

motivation

The nurse recognizes that client teaching regarding medications must be started immediately upon admission. The nurse understands that repetition and multiple teaching sessions enhance learning and also helps with what?

nurse to assess what the client is actually learning.

The nursing instructor is teaching students about writing a teaching plan. Which of the following does the instructor suggest to the students to use as a framework for developing a teaching plan?

nursing process

A client is admitted to a local health care facility for the treatment of a wound on the thigh. The nurse dresses the client's wounds and teaches the client how to change the dressing at home. Which learning domain does this involve?

psychomotor domain

Which the primary focus of the teaching plan?

The client's learning needs

A client states that she became nauseous after taking ampicillin 2 years ago. The nurse considers this an example of which?

adverse reaction

When teaching a client about prescribed medication therapy, which information would the nurse include? Select all that apply.

adverse reactions to report expected drug effect dosage

When providing care to a client who has been prescribed an antibiotic, the nurse knows that which statement by the client indicates the need for additional education?

"I will stop taking my antibiotic if I develop diarrhea."

The nursing student is learning about the teaching/learning process. The instructor realizes the need for further instruction when the student makes which statement?

"The cognitive domain includes attitudes, feelings, beliefs, and opinions of the client or caregiver."

During client teaching a client tells the nurse, "I had to do something like this before with another medication." The nurse interprets this statement as indicating which type of learning?

cognitive domain

The nurse asks the client to verbalize understanding of the dosage and duration of medications to be taken at home after discharge from the nursing home. Which phase of the nursing process is occurring?

evaluation

Which are essential to include when teaching a client about a new prescription for warfarin? Select all that apply.

Adverse reactions to report Any special precautions Expected therapeutic response

The client was admitted with a new onset of heart failure. She is concerned how it will affect her life and if she will be able to follow the treatment plan. Which of the domains of learning would be most effective to develop a therapeutic relationship?

Affective

The nurse is teaching the client and family members about drugs, drug containers, and drug storage. Some of the things that the nurse should include in this teaching plan are which? (Select all that apply.)

All drugs must be kept out of reach of children and pets. A prescription must never to saved for later use unless the provider so advises.

Most adult clients learn new skills or knowledge best when nurse use which approaches?

Allowing the client to "do" or "use" the information

Before a nurse teaches a client about medications, which factors should be considered? (Select all that apply.)

Any obstacles or barriers of the client to learn about the medication. The client's ability to ability to learn information.

A nurse is helping the client learn a new drug regimen after coronary artery bypass grafting. What would be the best way to determine the client's understanding?

Ask the client to state in his or her own words what was said.

The client is being discharged from the hospital on five new medications. What is the best method for the nurse to ensure client comprehension and understanding?

Break information into smaller sessions.

When beginning a teaching plan for a client's new medication, what things should the nurse look for when first assessing the needs of the client? (Select all that apply.)

Client's or family member's ability to learn, accept, and use the information Any barrier or obstacles to learning

The nurse knows that before teaching, assessing a client's ability to learn is crucial. Assessment also determines possible barriers to learning. Which could be a barrier preventing a client from learning?

Culture of health knowledge

The client newly diagnosed with diabetes is doing a return demonstration of an insulin injection. When the client draws up the cloudy insulin before the clear insulin, the nurse makes which diagnosis for the client?

Deficient knowledge

A client with an irritation of the eye has been prescribed eye drops. The client needs to be educated to self-administer the medication. Which would be most appropriate for the nurse to do to promote client teaching? Select all that apply.

Demonstrate the drug administration technique for the client. Supervise while the client is practicing the technique. Allow the client to perform and practice the task.

A client must have motivation to learn. A way that the nurse can improve a client's motivation is which?

Educating the client about the disease process

An LPN is caring for a client with hypertension. The collaborative care plan has the following nursing diagnosis: Effective Individual Therapeutic Regimen Management. Which nursing intervention addresses this nursing diagnosis?

Effective Individual Therapeutic Regimen Management

A female client diagnosed with diabetes 15 years ago is being prepared for discharge from the hospital following an appendectomy. When the nurse does the discharge teaching, the client states that her blood glucose level remains normal most of the time. Which nursing diagnosis would be appropriate for this client?

Effective therapeutic regimen management

The nurse understands that the effectiveness of the medication teaching plan is associated with which phase of the nursing process?

Evaluation

Which method may be used to identify limited health literacy?

Have the client perform a teach back of medication education.

When teaching the client about a new medication, what should the nurse include? Select all that apply.

Indications Side effects Dosage and route

Which should the nurse identify before developing an effective teaching plan for a client? Select all that apply.

Information the client needs to know The client's ability to learn Any barriers or obstacles to learning

A nurse is discussing drug safety measures with an elderly client and her daughter/caregiver. The client is to be discharged after being hospitalized for a drug reaction. Which should the nurse emphasize as a safety measure?

Leave all medications in their original labelled containers.

The client's blood sugars remain elevated. The client states he is following his diabetic diet. The nurse suspects which of the following?

Limited health literacy

The client states that he frequently forgets to take his medication. The nurse might assist the client to increase compliance by which? Select all that apply.

Provide a daily calendar. Provide a drug organizer.

A client is 72 years old and lives with his wife. During a teaching session, it becomes evident to the nurse that the client and wife are having difficulty remembering the names of his medication. Which would be an effective and safe way to help them?

Refer to the drug by shape or color, if appropriate.

A nurse has been helping a client learn a new drug regimen before discharge. Which techniques will help ensure the sessions are successful?

Repetition