Professional Roles 2
During a teaching session about early recognition of the signs and symptoms of colon cancer, the client states, "I think ''feces' means 'poop.' Is that right?" How should the nurse respond? "Let's move on with the teaching." "No, the correct term is 'feces.'" "'Feces' is also called 'stool.'" "Yes, that's right."
"yes that's right"
A community health nurse is designing a teaching plan for college students about smoking cessation. What information would be most appropriate for the nurse to include? Quizzes and verbal assessments Client goals, including that all smokers will stop smoking within one week of completing the class General information that applies to learners of all ages and backgrounds Accurate educational content that is at least 10 years old
Quizzes and verbal assessments
The home health nurse is teaching an older adult client how to use an automatic blood pressure monitoring device. Which teaching strategy reflects the nurse's correct application of lifespan considerations for this client? Encouraging the client to rest as opposed to asking her to perform a return demonstration of skills Scheduling the session as a one-on-one meeting between the nurse and the client Using written materials that feature large print, black ink, and reflective, bright white paper Designing content that targets individuals with a fifth- to sixth-grade reading level
Designing content that targets individuals with a fifth- to sixth-grade reading level
The school nurse is developing a client teaching plan for high school students that addresses the prevention of sexually transmitted infections. Which resources are appropriate for use when designing the plan? (Select all that apply.) An online blog with no stated author A nursing colleague A family practice physician An infectious disease textbook written by a physician An article in a nursing journal
A nursing colleague A family practice physician An infectious disease textbook written by a physician An article in a nursing journal
Which statement best describes the influence of the Internet on teaching and learning in the healthcare setting? Because of client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not. Due to the widespread use of Internet technology, the nurse should incorporate computer-based learning into every teaching plan. Because the Internet offers information that is mostly incorrect, the nurse must anticipate the need to reeducate all clients. Due to the widespread use of Internet technology, all clients should be trained to use a computer-based approach to learning.
Because of client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not.
A 73-year-old female Native American client is hospitalized with an exacerbation of chronic obsructive pulmonary disease (COPD). The client, who has a 55 pack-year history, reports that she still smokes cigarettes. She also reports that she smokes tobacco during certain important religious rituals and tribal celebrations. Which nursing interventions best reflect the nurse's application of humanist theory of learning? (Select all that apply.) Considering the client's tobacco use from the standpoint of her religious beliefs Encouraging the client's family members and loved ones to praise the client for not smoking Exploring how the client's cultural background influences her decision to continue to smoke Recognizing that the client has personal characteristics, such as stoicism and mistrust for traditional medicine, that may influence her perception of the nurse's teaching Explaining to the client how smoking cessation at this stage of life still promotes lung healing, and can lead to fewer exacerbations of COPD and improved quality of life
Considering the client's tobacco use from the standpoint of her religious beliefs Exploring how the client's cultural background influences her decision to continue to smoke
The nurse is planning a teaching session on diet and nutrition for a group of teenage mothers who are students at a local high school. When planning the teaching, which client-specific factors should the nurse seek to learn? Gender Cultural background Age Level of education
Cultural background
Which teaching strategy best exemplifies a characteristic of effective teaching? Using one teaching method for the client Avoiding goal-setting to prevent intimidating the client Minimizing question-answer interactions to avoid distracting the client Evaluating the client's comprehension of the content
Evaluating the client's comprehension of the content
A 64-year-old male client is admitted for treatment of dehydration and diagnosed with diabetes. While the nurse is teaching the client about the signs and symptoms of hypoglycemia, the client's wife states, "While you two are talking, I'm going to get some coffee." Which nursing action best reflects application of the adult learning theory? Recognizing that the client's wife has personal characteristics, such as impatience and appreciation for coffee, that influence her perception of the nurse's teaching Explaining to the client's wife that she may be the first to recognize the signs and symptoms of her husband's hypoglycemia, which may help him get treatment sooner Considering the wife's lack of interest in the teaching from the standpoint of biologic, psychologic, cultural, social, and spiritual perspectives; including her marital beliefs and social status Giving the client's wife a cup of coffee if she stays for the teaching
Explaining to the client's wife that she may be the first to recognize the signs and symptoms of her husband's hypoglycemia, which may help him get treatment sooner
Which strategies are appropriate for inclusion in the teaching plan for a pediatric client? (Select all that apply.) Addressing the pediatric client primarily through the use of terms of endearment, such as "sweetheart" Exposing the pediatric client to healthcare personnel who are dressed in uniforms, surgical masks, and scrubs prior to the client's hospital admission Including the pediatric client's caregiver in the teaching session Gearing instructions toward the comprehension level of the pediatric client's parent or caregiver Demonstrating relevant treatments or procedures using stuffed animals
Exposing the pediatric client to healthcare personnel who are dressed in uniforms, surgical masks, and scrubs prior to the client's hospital admission Including the pediatric client's caregiver in the teaching session Demonstrating relevant treatments or procedures using stuffed animals
Which factors influence the nurse's choice of educational content and have the most impact on required documentation of educational sessions? Client-specific characteristics Federal regulations Widespread availability of Internet resources Advances in health care and research
Federal regulations
The nurse is teaching a 7-year-old client about hand washing. The client is resistant to washing her hands after playing with her pet hamster. Which teaching strategy reflects the nurse's application of the behaviorist theory of learning? Explaining to the client how the benefits of handwashing apply to her Recognizing that the client has personal characteristics, such as shyness and love of animals, that influence her perception of the nurse's teaching Asessing the client's aversion to handwashing through viewing her from biologic, psychologic, cultural, social, and spiritual standpoints, including her health status and psychologic state Giving the client a healthy treat each time she washes her hands after playing with her pet hamster
Giving the client a healthy treat each time she washes her hands after playing with her pet hamster
The nurse is planning a seminar that emphasizes health promotion. Which topics are most appropriate for inclusion in the teaching? (Select all that apply.) Nutrition Stress management Grief and loss Fertility Growth and development
Nutrition Stress management Fertility Growth & development
A nurse educator is planning a seminar about the mentorship process. Which techniques reflect correct understanding of factors that promote learning? (Select all that apply.) Organizing the content in a simple-to-complex order Ensuring that the content is relevant to the nurse educator's personal experience Adjusting the temperature of the learning environment so that the participants are comfortable Actively engaging the participants in the learning process Repeating key concepts and facts throughout the teaching/learning process
Organizing the content in a simple-to-complex order Adjusting the temperature of the learning environment so that the participants are comfortable Actively engaging the participants in the learning process Repeating key concepts and facts throughout the teaching/learning process
A 21-year-old male pharmacy student is admitted to the ED for treatment of a sprained right ankle. Following treatment, the client is prescribed ibuprofen to reduce pain and swelling. As the nurse begins teaching about the maximum dose of ibuprofen, the client states, "I already know this stuff. Can you finish my discharge paperwork so I can get out of here?" Which nursing approaches reflect the application of cognitive theory? (Select all that apply.) Telling the client, "If you let me finish teaching you about ibuprofen, I'll quickly complete your discharge paperwork." Recognizing the client's knowledge base and intelligence level as an important consideration in the nurse's choice of teaching content Recognizing the client's disinterest in teaching as being shaped by his history of unpleasant social interactions Considering the client's teaching preferences from the standpoint of his psychologic state Realizing the effects of the client's spiritual beliefs on his learning
Recognizing the client's knowledge base and intelligence level as an important consideration in the nurse's choice of teaching content Realizing the effects of the client's spiritual beliefs on his learning
The nurse is developing a teaching plan for a client with asthma. To promote client learning, which strategy should the nurse implement? Encourage the client to wait at least 24 hours before applying new knowledge and skills. Instruct the client to wait until the teaching session has ended before asking questions about the content. Organize the teaching content in a complex-to-simple fashion. Repeat the key concepts and facts.
Repeat the key concepts and facts
When planning client education activities, which factors would affect the nurse's choice of content and teaching method? (Select all that apply.) Socioeconomic background of the client Cultural background of the nurse Widespread availability of Internet resources Federal and state regulations Advances in health care and research
Socioeconomic background of the client Widespread availability of Internet resources Federal and state regulations Advances in health care and research
The clinical nurse educator is teaching nursing students about methods of evaluating the client's degree of learning. Which statement should the educator include in the teaching? "Written tests are acceptable, but online tests should be avoided." "Direct observation of behavior is the only acceptable form of client evaluation." "Self-reports are acceptable forms of client evaluation. " "Oral questioning is not an objective means of evaluation."
"Self-reports are acceptable forms of client evaluation. "
Which potential barrier to learning is culturally based? Critical illness Values Shortened attention span Sensorimotor deficits
values
The nursing student asks the nurse educator which elements are included in evaluation of a teaching plan's effectiveness. How should the educator respond? "Choice of content is included in the evaluation." "Feedback questionnaires from the client are not useful in the evaluation process." "The degree to which the plan facilitated the nurse's achievement of the learning outcomes is part of the evaluation." "Teaching strategies are not evaluated."
"Choice of content is included in the evaluation."
During a medical-surgical clinical rotation, the nurse educator is teaching students how to develop client learning outcomes. Which statements should the educator include in the teaching? (Select all that apply.) "Client-specific characteristics, such as age, gender, and cultural background, should be incorporated in the client learning outcomes." "Be sure that each desired client action and response is measurable." "To motivate the client, learning outcomes should include goals that reflect the highest level of accomplishment." "Avoid using words such as 'believes,' 'knows,' 'appreciates,' and 'understands' in the client learning outcomes." "The nursing interventions, including the planned topics of teaching, should be clearly stated in the client learning outcomes."
"Client-specific characteristics, such as age, gender, and cultural background, should be incorporated in the client learning outcomes." "Be sure that each desired client action and response is measurable." "Avoid using words such as 'believes,' 'knows,' 'appreciates,' and 'understands' in the client learning outcomes."
The nurse is developing a teaching plan for clients with hypertension. Which statement by the nurse indicates correct understanding of the principles of effective teaching? "To help keep the clients from feeling intimidated, I should avoid setting goals for them." "To avoid distractions, I should ask the clients to hold their questions until I'm finished teaching, then have a question-and-answer session." "I need to find out the ages of the clients who will be attending this class." "I should choose one method of teaching and use that throughout this class."
"I need to find out the ages of the clients who will be attending this class."
The nurse at a college health center is discharging a 19-year-old female client following her annual sports physical and gynecological exam. As the nurse is completing the client's discharge teaching, the client states, "I read online that you can't get pregnant while you're on your period." Which information should the nurse include in her response? (Select all that apply.) "That's foolishness. Of course you can get pregnant while you're on your period." "Don't believe what you read on the Internet. Almost all online information is incorrect." "I'm glad you brought this up. A lot of people believe that you can't get pregnant while you're on your period, but you can." "Tell me more about your understanding of the times when a woman is most likely to get pregnant." "Most of what you'll find on the Internet is accurate, but that is not. Where did you read that you couldn't get pregnant while you were on your period?"
"I'm glad you brought this up. A lot of people believe that you can't get pregnant while you're on your period, but you can." "Tell me more about your understanding of the times when a woman is most likely to get pregnant."
While teaching a 32-year-old client about colostomy care, the nurse notes the client has tears in his eyes. The client states, "I can't believe I have to live with this thing for the rest of my life." Which nursing response best reflects the nurse's understanding of factors that inhibit learning? "I'm sorry you have to go through this. Understanding how to take care of yourself should make it a little easier for you, so let's talk a little more about how to clean your colostomy site." "Let's reschedule this teaching session for later. I'll check back with you to pick a time. Right now, please tell me more about what you're feeling." "You've been through a lot. As soon as we're finished, I'd like to ask your nurse practitioner to give you a counseling referral." "I hear you saying that you're upset. I'll reschedule your teaching for tomorrow morning. Now, please tell me more about how you feel."
"Let's reschedule this teaching session for later. I'll check back with you to pick a time. Right now, please tell me more about what you're feeling."
The nurse educator is teaching a group of students about learning environments. Which statement should the educator include? "Private residences do not qualify as teaching environments because the client is away from the clinical setting." "Community health organizations are not legally considered to be teaching environments." "Managed care facilities do not recognize the nurse's role as teacher; therefore, client education is not required in these facilities." "Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the learner."
"Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the learner."
During a seminar, the nurse educator is asked how the Internet affects the selection of content and teaching methods used in client education. Which is the best response? "Because the Internet is infrequently used to access health-related information, it does not have much effect on selecting content and teaching methods." "The Internet offers content that is both accurate and inaccurate. When choosing client education materials, we take this into consideration." "Almost all of the information presented on the Internet is inaccurate, but it still affects the selection of content used in client education." "Health-related information on the Internet is accurate, and it does not affect the selection of content and teaching methods."
"The Internet offers content that is both accurate and inaccurate. When choosing client education materials, we take this into consideration."
