Ch. 9 - Exam 3

A nurse is preparing to teach a patient with asthma how to use his inhaler. Which teaching method would be the BEST choice to teach the patient this skill? A. Demonstration B. Lecture C. Discovery D. Panel session

A

A registered nurse assumes the role of nurse coach to provide teaching to patients who are recovering from a stroke. Which nursing intervention directly relates to this role? A. The nurse uses discovery to identify the patients' personal goals and create an agenda that will result in change. B. The nurse is the expert in providing teaching and education strategies to provide dietary and activity modifications. C. The nurse becomes a mentor to the patients and encourages them to create their own fitness programs. D. The nurse assumes an authoritative role to design the structure of the coaching session and support the achievement of patient goals.

A

When deciding what information the patient needs to meet the learner objectives successfully, the nurse is planning which part of the teaching plan? A. content B. teaching strategies C. learning activities D. learning domains

A

Which development consideration is a nurse assessing when he or she determines that an 8 year old boy is not equipped to understand the scientific explanation of his disease? A. intellectual development B. motor development C. emotional maturity D. psychosocial development

A

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

A, C, D

Nurses plan patient learning based on the patient's developmental stage. Which nursing actins best reflect this consideration? Select all that apply A. the nurse directs the health teaching for a 3-year-old to the parents B. the nurse provides lengthy explanations of a procedure to a preschool child C. the nurse includes a school-aged child in the teaching-learning process D. The nurse uses the same learning strategies for an adolescent as for an adult E. the nurse avoids relating teaching for an adult to a social role F. the nurse provides material that is useful immediately to adult patients

A, C, D, F

A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply A. the nurse uses critical thinking skills to assess the learning needs and learning readiness of the parents B. the nurse identifies general, attainable, measurable, and long-term goals for patient learning when developing learning objectives C. the nurse includes group teaching and formal teaching in every teaching plan D. the nurse does not allow time constraints, schedules, and the physical environment to influence the choice of teaching strategies E. the nurse formulates a verbal or written contract with the patient F. the nurse relates new learning material to the patient's past life experiences to help him or her to assimilate new knowledge

A, E, F

A nurse has taught a patient with diabetes how to administer his daily insulin. How should the nurse evaluate the teaching-learning process? A. By determining the patient's motivation to learn B. By deciding if the learning outcomes have been achieved C. By allowing the patient to practice the skill he has just learned D. By documenting the teaching session in the patient's medical record

B

A nurse forms a contractual agreement with a morbidly obese patient to achieve optimal weight goals. Which statement best describes the nature of this agreement? A. "This agreement forms a legal bond between the two of us to achieve your weight goals." B. "This agreement will motivate the two of us to do what is necessary to meet your weight goals." C. "This agreement will help us determine what learning outcomes are necessary to achieve your weight goals." D. "This agreement will limit the scope of the teaching session and make stated weight goals more attainable."

B

A nurse is caring for a patient who is admitted to the hospital with injuries sustained in a motor vehicle accident. While he is in the hospital, his wife tells him that the bottom level of their house flooded, damaging their belongings. When the nurse enters his room, she notes that the patient is visibly upset. The nurse is aware that the patient will most likely be in need of which type of counseling? A. Long-term developmental B. Short-term situational C. Short-term motivational D. Long-term motivational

B

A nurse is teaching first aid to counselors of a summer camp for children with asthma. This is an example of what aim of health teaching? A. Promoting health B. Preventing illness C. Restoring health D. Facilitating coping

B

When a patient says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? A. long-term counseling B. motivational counseling C. short-term counseling D. professional counseling

B

Which diagnosis would best describe a situation in which a woman has a knowledge deficit concerning child safety for her toddler who is currently being treated for burns and was previously treated for a fracture from a fall? A. deficient knowledge: child safety, related to inexperience with the active developmental stage of a toddler B. risk for injury, related to mother's lack of knowledge about child safety C. readiness for enhanced parenting, related to child safety knowledge deficit D. deficient knowledge: child safety, related to mother's lack of experience and socioeconomic level

B

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

B, C, D

A nurse is planning teaching strategies based on the affective domain of learning for patients addicted to alcohol. What are examples of teaching methods and learning activities promoting behaviors in this domain? Select all that apply. A. The nurse prepares a lecture on the harmful long-term effects of alcohol on the body. B. The nurse explores the reasons alcoholics drink and promotes other methods of coping with problems. C. The nurse asks patients for a return demonstration for using relaxation exercises to relieve stress. D. The nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem. E. The nurse uses a pamphlet to discuss the tenants of the Alcoholics Anonymous program to patients. F. The nurse reinforces the mental benefits of gaining self-control over an addiction.

B, D, F

Which topics would the nurse be most likely to explore with a patient with the aim of restoring health? Select all that apply A. immunizations B. patient and nurse's expectations of one another C. community recourses D. hygiene E. orientation to treatment center and staff F. the medical and nursing regimens and how the patient can participate in care

B, E, F

A nurse is documenting assessment data for a new patient. What is the best source of assessment information for the nurse? A. nursing care plan B. health care provider C. patient D. family and friends

C

A nurse is teaching a 50-year-old male patient how to care for his new ostomy appliance. Which teaching aid would be most appropriate to confirm that the patient has learned the information? A. Ask Me 3 B. Newest Vital Sign (NVS) C. Teach-back method D. TEACH acronym

C

A nurse may attempt to help a patient solve a situational crisis during what type of counseling session? A. long-term counseling B. motivational counseling C. short-term counseling D. professional counseling

C

When a nurse is planning for learning, who must decide who should be included in the learning sessions? A. the health care team B. the doctor and the nurse C. the nurse and the patient D. the patient and the patient's family

C

Which principle of teaching-learning is an accurate guideline for the nurse/teacher? A. patient teaching should occur independently of the nursing process B. past life experience should not be a factor when helping patients assimilate new knowledge C. the teaching-learning process can be facilitated by a helping relationship D. planning learner objectives should be done by the teacher alone

C

A nurse is teaching patients of all ages in a hospital setting. Which examples demonstrate teaching that is appropriately based on the patient's developmental level? Select all that apply. A. The nurse plans long teaching sessions to discuss diet modifications for an older adult diagnosed with type 2 diabetes. B. The nurse recognizes that a female adolescent diagnosed with anorexia is still dependent on her parents and includes them in all teaching sessions. C. The nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers. D. The nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis. E. The nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce the teaching. F. The nurse continues a teaching session on STIs for a sexually active male adolescent despite his protest that "I've heard enough already!"

C, D, E

The nurse uses the acronym TEACH when planning care for patients on a busy hospital ward. Which intervention accurately represents an aspect of this acronym? Select all that apply A. T- the nurse turns to the health care provider for support B. E - the nurse educates the patient before treatment C. A - the nurse acts on every teaching moment D. C - the nurse clarifies often E. H - the nurse helps the patient cope when education fails F. H - the nurse honors the patient as a partner in the education process

C, D, F

A nurse is counseling a 19-year-old athlete who had his right leg amputated below the knee following a motorcycle accident. During the rehabilitation process, the patient refuses to eat or get up to ambulate on his own. He says to the nurse, "What's the point. My life is over now and I'll never be the football player I dreamed of becoming." What is the nurse counselor's best response to this patient? A. "You're young and have your whole life ahead of you. You should focus on your rehabilitation and make something of your life." B. "I understand how you must feel. I wanted to be a famous singer, but I wasn't born with the talent to be successful at it." C. "You should concentrate on other sports that you could play even with prosthesis." D. "I understand this is difficult for you. Would you like to talk about it now or would you prefer me to make a referral to someone else?"

D

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

D

When teaching an adult patient how to control stress through relaxation techniques, the nurse should consider what assumption concerning adult learners? A. as an adult matures, his or her self-concept becomes more dependent; therefore, this patient must be made aware of the importance of reducing stress. B. the adult learner is not as concerned with the immediate usefulness of the material being taught as he/she is with the quality of the material C. as patients, adults are the least likely to resist learning because of preconceived ideas about the teaching-learning process D. the nurse should be able to draw from the previous experience of the patient to emphasize the importance of stress reduction

D