pt 2 exam 2 prepu

Blocking 30 minutes of time for skill teaching

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's teaching? Giving stickers as a reward for task completion Using dolls to demonstrate psychomotor skills Ensuring the client's parents are present Blocking 30 minutes of time for skill teaching

educational interventions.

The nurse needs to understand the teaching-learning process when administering:

role playing

allows the learner to experience, relive, or anticipate an event. The nurse explains the scenario and then allows the individual to play out the scene.

situational counseling

occurs when a client faces an event or situational crisis.

uses videos, diagrams, and pictures rather than focusing on verbal teaching

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way? uses medical terminology to help the client feel smarter gives instructions in multiple ways so the client will understand uses videos, diagrams, and pictures rather than focusing on verbal teaching provides general teaching instead of specificity regarding diagnosis

Role Playing

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class? Role modeling Panel discussion Role-playing Programmed instruction

The nurse and the client

When a nurse is planning for learning, who must decide who should be included in the learning sessions? The nurse and the client The doctor and nurse The health care team The client and the client's family

Allow ample time for psychomotor skills.

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults? Keep the session at 2 to 3 hours. Allow ample time for psychomotor skills. Provide information in a structured format. Allow for long-term memory loss.

Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance.

The parents of a school-age child are meeting with the nurse for health promotional education for their child. The child has the following assessment data: a 7-year-old male with diabetes mellitus type 1 with a hemoglobin A1C level of 8.3%, a body mass index (BMI) of 31.7, and a BMI percentile of 99. What are the most appropriate learning diagnoses for this first session? Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance. Deficient Knowledge: Readiness for enhanced nutrition, and risk for disturbed body image. Deficient Knowledge: Risk for imbalanced nutrition: more than body requirements, and sedentary lifestyle. Deficient Knowledge: Risk for chronic low self esteem, and risk for unstable blood glucose level.

The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client? "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?" "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?" "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?" "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it."

Assessing importance

A client informs the nurse about being committed to quitting smoking to improve health. During discussion, the nurse asks the client "on a scale of 0 to 10, how likely are you to attend a support group?" Which strategy of motivational interviewing is the nurse using with the client? Evoking change talk Eicit-provide-elicit Assessing importance Prioritizing

Psychomotor

A nurse assisting a new mother in the act of breastfeeding represents which form of learning? Cognitive Simplistic Psychomotor Affective

Return demonstration

A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. What would the nurse most likely use to evaluate the client? Written test Return demonstration Simulation Oral test

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

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 as a characteristic of an adult learner? Peer group acceptance is a critical issue for this age group. The material presented should focus on future application. Their readiness to learn is often related to a developmental task or social role. Previous experiences have little impact on learning.

Personal perception of health and aging

An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. The nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. The client avoids the topic of surgery and attends church weekly. The client's family is supportive of any decisions the client makes regarding health. Which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis? Orthopedic surgical history Personal perception of health and aging Formal religious beliefs Floor plan of the client's dwelling

Your incision may look bad right now, but when it heals you will have a small scar about 3 in (7.5 cm) long that will fade over time.

An adolescent client is being taught about changing an abdominal dressing as part of the education for care at home. On removing the dressing and seeing the surgical incision, the client becomes tearful. Which statement by the nurse is most appropriate to address the client's distress? I am sorry if it hurts. The next time the dressing needs to be changed, we will give you some pain medication before we do it. Changing the dressing may look hard, but it is something you can learn to do. Next time the dressing needs to be changed, you can do it yourself, and I will be here to help you. Your incision may look bad right now, but when it heals you will have a small scar about 3 in (7.5 cm) long that will fade over time. Your incision may look bad, but it is not infected. The redness along the incision line is normal the day after surgery and there is no reason to worry about it.

States, "I feel comfortable using my walker"

The nurse has completed teaching. Which client behavior demonstrates understanding within the affective domain? Verbalizes key points of a brochure about diabetes that was read Provides return demonstration of use of an inhaler Provides a description of how appropriate wound healing should look States, "I feel comfortable using my walker"

Identify and recommend some credible websites appropriate to the spouse's learning needs.

The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request? Identify and recommend some credible websites appropriate to the spouse's learning needs. Direct the spouse to online databases such as the Cumulative Index to Nursing and Allied Health Literature. Provide the spouse with print-based materials that are clearly referenced and reflect the spouse's learning style. Encourage the spouse to avoid online resources due to the unregulated nature of the Internet.

Motivational counseling

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? Long-term counseling Professional counseling Motivational counseling Short-term counseling

Psychomotor

When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? Interpersonal Psychomotor Cognitive Affective

Ask the client, "Do you learn best by observing, valuing, or doing?"

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? Ask the client, "Do you learn best by observing, valuing, or doing?" Observe the client's behaviors. Provide teaching that works for the broadest base of clients. Determine client learning needs based on age and ability to hear effectively.

Talk with animation and vocal inflection to stimulate the client aurally.

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way? Request family members to serve as translators. Elongate the teaching session to be sure the client understands. Provide less health teaching because of the language barrier. Talk with animation and vocal inflection to stimulate the client aurally.

Intellectual development

Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease? Psychosocial development Motor development Emotional maturity Intellectual development

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

Which documentation example best reflects the complexity of client teaching by the nurse? "Told client to take antibiotic as ordered." "Taught client about peak flows; client verbalized understanding." "Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal." "Client return demonstrated how to use glucometer."

Ask the client to recall after approximately 15 minutes.

he nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught? Ask the client to recall after approximately 15 minutes. Ask the client to administer the doses of drug himself. Observe the change in client's behavior for a month. Test the client on the health education and information imparted.

Role modeling

involves a nurse's behaviors and the client observing and learning from these behaviors

a panel discussion

involves a presentation of information by two or more people.

motivational counseling

involves discussing feelings and incentives with the client.

cognitive learning

involves engagement of the client's critical thinking and reason.

Affective learning

involves engagement of the client's emotions.

simplistic

is not a formal type of learning

developmental counseling

occurs when a client is going through a developmental stage or passage

psychomotor learning

the muscular movements learned to perform new skills and procedures,

The contract serves to meet the client's learning outcomes.

A nurse is developing a contractual agreement with a client. Which statement is true of a contractual agreement? The contract is a formal agreement. The contract serves to meet nursing goals. The contract serves to meet the client's learning outcomes. The contract is legally binding.

During the admission process Limited hospitalization time demands that nurses begin teaching as soon as possible. The client should be educated during the process of admission regarding what to expect, patient rights, etc. The client should be educated prior to diagnostic testing. Waiting until immediately prior to discharge to begin teaching does not give the opportunity for return demonstration or to adequately determine whether the education was successful.

The nurse is caring for a client who has been admitted for a new diagnosis of hypertension. When should the nurse begin client teaching? After all of the diagnostic testing has been completed During the admission process After having venipuncture for laboratory work Immediately prior to discharge

Ask the client to demonstrate how to self-inject the morning insulin.

The nurse is teaching a client with diabetes how to inject daily insulin. Which method is most effective in evaluating the teaching? Ask the client to repeat the steps of injection in order. The nurse uses a brochure to explain how to give an injection. Provide a teaching session that includes a question and answer discussion. Ask the client to demonstrate how to self-inject the morning insulin.

You have made an amazing recovery."

The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left the client immobile. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the best response by the nurse? "Are you supposed to be out of the wheelchair?" "You have made an amazing recovery." "Let me document that you can walk." "Those physical therapists work wonders.

Observing a mother expressing the breast milk

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers? Advising the mothers to drink plenty of water Observing a mother expressing the breast milk Telling the mothers to avoid taking over-the-counter drugs while breastfeeding Showing charts to the mothers that illustrate the types of breast milk

Cognitive

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? Cognitive Affective Interpersonal Psychomotor

creating an atmosphere for discussion of feelings.

A client shares with the nurse how much the client appreciates understanding the physiology of breastfeeding. The client 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 the nurse: creating an opportunity for rational thought and learning. creating an educational opportunity for the future. creating specific learning sessions for new information. creating an atmosphere for discussion of feelings.

Precontemplation

A client who recently underwent a coronary artery bypass graft is taking furosemide and metoprolol following the procedure. While developing a plan for a heart-healthy diet with the nurse, the client states that diet did not contribute to the heart disease and that the client should be fine just continuing to take the medications. According to the Transtheoretical Model of Change, which stage of change is the client in related to diet? Maintenance Precontemplation Preparation Contemplation

Positive feedback

A home health nurse states to her client, "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 client's progress? Positive feedback Motivation Reinforcement Health promotion

A client who views a disease as a serious threat A client who believes there are actions that will reduce the probability of contracting the disease A client who believes that the risks of taking action against a disease are not as great as the risks posed by the disease itself

A nurse caring for clients in a skilled nursing facility assesses client motivation to participate in care. Based on the health belief model, which clients would be most motivated? Select all that apply. A client who views a disease as a serious threat A client who believes that doing nothing is preferable to painful treatments A client who believes that noncompliance is not an option A client who believes there are actions that will reduce the probability of contracting the disease A client who does not view oneself as susceptible to the disease A client who believes that the risks of taking action against a disease are not as great as the risks posed by the disease itself

motivational

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? Long-term Situational Developmental Motivational

The client describes signs and symptoms of hypoglycemia.

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

Include the child in the education; ask questions of both the mother and the child.

A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients? Include the child in the education; ask questions of both the mother and the child. Focus mainly on the mother; ask the child a couple of simple questions. Provide the mother with written materials; teach the child about keeping the cast dry. Separate the mother and the child; teach the mother and then let the mother teach the child.

The nurse fails to accept that clients have the right to change their minds. The nurse uses medical jargon frequently when discussing the teaching plan. The nurse ignores the restrictions of the client's environment.

A nurse is providing teaching to clients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? Select all that apply. The nurse fails to accept that clients have the right to change their minds. The nurse negotiates goals with the client. The nurse ignores the restrictions of the client's environment. The nurse evaluates what the client has learned. The nurse reviews educational media when planning learner objectives. The nurse uses medical jargon frequently when discussing the teaching plan.

Asking only the client's parents to be present at the education session

A nurse is working with a 15-year-old client with sickle cell anemia. The client was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care? Assuring the client that the conversation is confidential except under extreme circumstances Including a note about who was taught this new information in the client's chart Answering questions openly and honestly Asking only the client's parents to be present at the education session

Describe how the walker can improve the client's quality of life.

A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use the device. The client states, "I'm just too old to learn." What would be most appropriate for the nurse to do to motivate this client? Describe how the walker can improve the client's quality of life. Tell the client how to move the walker as the client ambulates. Fully discuss the rationale for using the walker. Explain how the walker supports the client's lower extremities.

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. The statement that best describes the proper method for writing objectives would be that the nurse writes one long-term objective for each diagnosis, followed by several specific objectives. The nurse would not use general statements that could be accomplished in any amount of time because this action is not addressing the specific needs of the client, and the setting in which the client is in. The nurse would not plan learner objectives with another nurse and would not always obtain input from the family of the client. The objectives need to be specific so the outcomes can be measured in the evaluation phase.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? The nurse writes general statements for learner objectives that could be accomplished in any amount of time. The nurse plans learner objectives with another nurse before obtaining input from the client and family. The nurse writes one or two broad objectives rather than several specific objectives. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

Short-term counseling

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? Long-term counseling Motivational counseling Professional counseling Short-term counseling

short term

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? Long-term counseling Short-term counseling Professional counseling Motivational counseling

School aged children (School-age children are capable of logical reasoning and should be included in the teaching and learning process whenever possible.Education related to infants, toddlers, and preschool children should be directed at the parents, as they are primarily teaching their children and the information can be reinforced by the parents.)

A pediatric nurse provides education to numerous clients. Which group of children benefits most from being involved in the teaching-learning process? Infants Toddlers Preschoolers School-age children

Ineffective Coping; verbalizes support systems.

An older adult client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. The client is tearful and reports feeling lonely and abandoned in the hospital unit. The family visits daily, and flowers and cards are 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 client? Ineffective Coping; verbalizes support systems. Impaired Walking; unilateral neglect. Dysfunctional Family Processes; family contact daily. Altered Mobility; able to tie shoes.

Tell me about what signs of infection you will report to the health care provider." Cognitive domain learning may be evaluated through oral questioning. The return demonstration is an excellent way of evaluating psychomotor domain learning. Providing an opportunity for and encouraging clients to change their own dressing, for example, provides concrete evidence of satisfactory or unsatisfactory performance of the procedure.

The nurse has provided education to a client about home care for an open surgical wound on the lower left extremity. When evaluating learning through the cognitive domain, what statement by the nurse would be appropriate?

"Tell me about what signs of infection you will report to the health care provider."

The nurse has provided education to a client about home care for an open surgical wound on the lower left extremity. When evaluating learning through the cognitive domain, what statement by the nurse would be appropriate? "Let's see how you irrigate the wound with saline." "Tell me about what signs of infection you will report to the health care provider." "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." "I would like you to demonstrate how to change the dressing on your leg."

Begin the session with a reference to the client's actual experience.

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which is the most appropriate method for the nurse to use in teaching this client? Have the client join a small group of other clients with the same problem and facilitate group discussions. Refer the client to internet resources on proper bowel health. Talk to the client's relatives and get a detailed account of the client's history. Begin the session with a reference to the client's actual experience.

client who is learning to draw up and inject insulin for the first time client who indicates the live-in partner is a registered nurse client who is being discharged to a long-term care facility client who is being transferred to another unit in the hospital (Although teaching a psychomotor skill to a client can seem relatively straightforward, providing discharge teaching on a learning a new skill requires significant time to ensure the client can carry out the skill at home safely. This is particularly important when performing the skill inaccurately can have harmful consequences to the client. Thus, the nurse will plan to allocate the most time to the discharge teaching for a client who is learning to draw up and inject insulin for the first time. For a client who has the support of a family member who has higher health literacy, the nurse recognizes that the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions is higher. The nurse, however, will prioritize this client next. Although having a family member who is a health care provider is a factor contributing to the client's ability to manage one's care, the client may take longer to learn how to care for oneself independently. For a client being transferred to another hospital unit or long-term care facility, the care will be managed by a health care team. For this reason, although some teaching may be warranted, the client will not be independent with his or her care. The nurse can plan to allocate less time with these clients for teaching.)

The nurse is discharging several clients from an acute surgical unit on the same day. The nurse will prioritize teaching based on how much time is required for each client. Place the clients in the order, from first to last, in which the nurse will carry out discharge teaching. Use all options. client who is learning to draw up and inject insulin for the first time client who is being discharged to a long-term care facility client who is being transferred to another unit in the hospital client who indicates the live-in partner is a registered nurse

"I should not press the button more often than every 3 to 4 hours." Specific dosages and time intervals can be programmed into the machine to prevent overdose; medication is delivered when the patient pushes a control button. The medicine will help the client control pain. The client need not worry about pressing the button too often, as the machine has been programmed to not allow delivery of too much medication.

The nurse is discussing the use of the patient-controlled analgesia pump with the postoperative patient. Which statement by the patient indicates a need for additional education? "The medicine will help me control my pain." "I am able to push the button when I am in pain." "The dose is set so I cannot overdose myself." "I should not press the button more often than every 3 to 4 hours."

As the client is sitting quietly, reading a book

The nurse is planning to provide teaching to a client who is recovering from abdominal surgery. When is the most appropriate time to teach the client? At the time of pain medication administration Immediately before discharge to home When the meal tray arrives As the client is sitting quietly, reading a book

Meal planning Community resources Appropriate use of a glucometer Instructions to follow up with the health care provider

The nurse is preparing discharge teaching for a client with diabetes. Which information should the nurse include? Select all that apply. Appropriate use of a glucometer Community resources Meal planning Ways to pay for hospitalization and outpatient care charges Instructions to follow up with the health care provider

Ask the client what the client feels is the greatest learning need to manage diabetic care. Determine whether the client has a support system in place to assist if necessary. Determine whether the client is ready to learn about the care of diabetes.

The nurse is preparing to educate a client newly diagnosed with diabetes about various aspects of home management techniques to maintain control of blood glucose levels. When performing education, what actions should the nurse take when assessing the learning needs of the client? Select all that apply. Determine whether the client is ready to learn about the care of diabetes. Determine the financial status of the client to be sure the client can afford care. Ask the client what the client feels is the greatest learning need to manage diabetic care. Stop teaching after 60 minutes to asses the client's information recall. Determine whether the client has a support system in place to assist if necessary.

Affective The education that the nurse is providing is designed to influence the value that the clients place on their food choices. This is the definition of affective learning. Cognitive learning involves teaching facts about a topic and appealing to logic and reason. Psychomotor involves the client performing physical actions to learn a new skill. Technical is not a domain of learning.

The nurse is providing education to a group of clients with diabetes about the benefits of healthy food choices. What type of learning is the nurse using with this client group? Affective Psychomotor Technical Cognitive

Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification

The nurse must instruct a 35-year-old client with Down syndrome about the use of an albuterol rescue inhaler. Which documentation demonstrates appropriate individualization of the education plan for this client? Taught lesson at a school-age developmental level in an authoritarian style while the client was at meal time Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification Assessed the client's understanding of health and answered questions on an age-appropriate level while the television was on in the room Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills

Cognitive As the client enjoys reading books and magazines, the client's learning style would fall in the cognitive domain, where information is processed by listening or reading facts and descriptions. The affective domain is a style of processing that appeals to a person's feelings, beliefs, or values. The psychomotor domain is a style of processing that focuses on learning by doing. The interpersonal domain is a style of processing that focuses on learning through social relationships.

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? Affective Interpersonal Cognitive Psychomotor

The nurse should be able to draw from the previous experience of the client to emphasize the importance of stress reduction.

When teaching an adult client how to control stress through relaxation techniques, the nurse should proceed on the basis of which assumption concerning adult learners? As clients, adults are the least likely to resist learning because of preconceived ideas about the teaching-learning process. The nurse should be able to draw from the previous experience of the client to emphasize the importance of stress reduction. The adult learner is not as concerned with the immediate usefulness of the material being taught as with the quality of the material. As an adult matures, self-concept becomes more dependent; therefore, this client must be made aware of the importance of reducing stress.

Avoiding the use of materials printed on glossy paper Using a lamp that shines over the clients' shoulders Ensuring that the clients are wearing prescription eyeglasses

Which action(s) will the nurse take when preparing for and conducting a teaching session for clients with visual impairment? Select all that apply. Increasing the volume of the microphone Using color print on white paper Avoiding the use of materials printed on glossy paper Ensuring that the clients are wearing prescription eyeglasses Using a lamp that shines over the clients' shoulders Avoiding standing in front of the clients

programmed instruction

incorporates the use of books as the instructor, independent of study with a teacher.