Ch 9 Prep U Questions
Which response from the nurse allows the nurse to determine the effectiveness of a recent medication teaching session for an older adult client who is diagnosed with tuberculosis?
"Can you tell me how you are going to take this medication?"
A nurse is caring for an older adult client with arthritis. Which action is the priority for the nurse when conducting the health education for the client?
Find out what the client wants to know.
Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia, indicates a physical inability to learn?
"I am having difficulty breathing."
A nurse is working with the Red Cross to assist a family whose home was destroyed by fire. Which statement is most appropriate to assist with this situational crisis?
"You have had a tremendous loss. What are your plans for shelter tonight?"
A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment?
A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment.
When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate?
Assess for cultural differences.
The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which of the following is the most appropriate method the nurse should use to conduct new learning?
Begin the session with a reference to the client's actual experience.
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 education?
Blocking 30 minutes of time for skill teaching.
Providing client education before discharge is an important nursing tool. It supports learning, self esteem and confidence. Which statement supports this principle?
Client education focuses on identified home needs.
When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client?
Use verbal and visual modes of communication.
Which statement best describes the client most motivated to learn?
A 70-year-old female; learning care so spouse can come home
The nurse has been working with a client for several days during the client's recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?
"What changes will you make around your house to reduce the chance of future falls?"
As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse?
Have client rate pain level and reschedule the teaching session.
When a nurse is planning for learning, who must decide who should be included in the learning sessions?
The nurse and the client
A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which statement by the client suggests that nurses' education has resulted in affective learning?
"I'm starting to see how my lifestyle has caused me to end up here."
What is the most critical element of documentation of education?
Evidence that learning has occurred
A female client has recently been diagnosed with early-stage Alzheimer's disease and her husband has asked the nurse to recommend Web sites that may supplement his learning about her diagnosis. How should the nurse respond to the husband's request?
Identify and recommend some credible Web sites appropriate to his learning needs.
A nurse is assessing a client's readiness to learn. What would be most important for the nurse to assess? Select all that apply.
Motivation Compliance Literacy level Physical state
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?
Motivational counseling
While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind?
The nurse and client relationship is based on mutual sharing and negotiation.
A nurse is caring for a client with diabetes and foot gangrene who is scheduled for surgery that involves amputation of the affected foot. What would be most effective in helping the client cope with the fear and pain of surgery?
Explain the surgery and its importance to the client.
Which strategy might a nurse use to increase compliance with education?
Include the client and family as partners.
An older adult female client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. She is tearful and verbalizes that she feels lonely and abandoned in the hospital unit. The nurse noticed that family visits daily and that there are flowers and cards 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.
A nurse is forming an education plan for a client who is being discharged from the nursing unit after cardiac catheterization. Which diagnosis and intervention are most appropriate for this client?
Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion
A student is developing a teaching plan for an assigned client who has just started receiving chemotherapy. The student plans to teach the client about symptoms to report after chemotherapy. What is the priority action by the student?
Review information available in writing and on the Internet.
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 one long-term objective for each diagnosis, followed by several specific objectives.
Which of the following is an essential component of the definition of learning?
can be measured
A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?
cognitive
The nurse is preparing discharge teaching for a client with diabetes. Which information will the nurse include? (Select all that apply.)
community resources appropriate use of glucometer meal planning instructions to follow-up with the healthcare provider
The nurse is coaching a client who stated a desire to stop smoking without medication. At several sessions to assess the client's success with agreed-upon interventions, the client reports barriers to each action and continues to smoke. What is the best action of the nurse?
Discuss the client's case with a colleague.
Which client characteristic is important to assess when using the health belief model as the framework for education?
motivation to learn
Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers?
observing a mother expressing the breast milk
The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way?
uses videos, diagrams, and pictures rather than focusing on verbal teaching
A nurse is preparing to teach a 6-year-old with a broken arm and her 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 mother and child.
A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style?
Psychomotor domain
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 of the following as a characteristic of an adult learner?
Their readiness to learn is often related to a developmental task or social role.
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?
Return demonstration
A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?
The client describes signs and symptoms of hypoglycemia.
After teaching a group of students about health promotion, disease prevention, and health-protection activities, the instructor determines that the education was successful when the students identify what as a health-protection activity?
water quality regulations Health-protection activities are environmental and regulatory measures that seek to protect the health of the community or a large population. An example would be air and water quality regulations. Participation in regular exercise programs and stress management programs would reflect health-promotion activities; colonoscopy screening reflects disease prevention.
A nurse is preparing a discharge education plan for a client who has had abdominal surgery. What would be most important for the nurse to include in this plan?
activity limitations
A nurse is trying to encourage a client with paraplegia, who is depressed and not adhering to his treatment program, to join a support group. What would be most appropriate for the nurse to do when attempting to modify the client's attitude?
Acknowledge the client's ability to accept or reject suggestions.
Which documentation example best reflects the complexity of client teaching by the nurse?
"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."
When preparing client teaching materials, how does the nurse best assess a client's preferred learning style?
Ask the client, "Do you learn better by seeing how to use an inhaler, believing how the inhaler works, or showing me how to use the inhaler after I show you?".
Before starting the education process, the nurse should determine the preferred learning style, age and developmental level, capacity to learn, motivation level, readiness to learn, and learning needs of the client. How does this help the nurse in the client's health education?
by implementing effective teaching
A mother of a toddler wants to learn how to do CPR. Which education strategy would be most effective in helping her learn?
demonstration
The nurse is caring for a client who has been admitted for a new diagnosis of hypertension. When does the nurse begin client teaching?
during the admission process
A nurse is engaged in primary prevention activities as part of an education plan about heart disease for a client. Which activity would be most appropriate?
explaining the need for regular exercise and stress management
Developing an education plan is comparable to what other nursing activity?
formulating a nursing care plan
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."
A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client?
"The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"
A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners?
A focus on the immediate application of new material
A nurse is preparing a discharge education plan for a client who has had abdominal surgery. What would be most important for the nurse to include in this plan?
Activity limitations
The nurse is caring for a 70-year-old client with a fractured wrist. Which of the following is the best method to determine if the client has retained the information taught?
Ask the client to recall after approximately 15 minutes.
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: 7-year-old male, diabetes mellitus type 1 with a hemoglobin A1C of 8.3%, BMI of 31.7, 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.
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 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.
A couple has just learned that their newborn infant has a congenital cardiac anomaly that will require many lifestyle modifications, surgical corrections, and hospital stays. Place the following aspects of the couple's client education in the correct order that nurses should conduct them.
Determine their emotional readiness to learn. Draft learning outcomes. Select educational strategies. Implement various educational techniques. Revise the learning plan if needed.
A nurse notices that a toddler is constantly snatching toys from the hands of other preschool children at the health care facility, placing the toddler and other children at risk for injury. What would be a most effective method for teaching the toddler not to snatch toys?
Enlist the aid of the toddler's parents in education.
A nurse is caring for a 45-year-old male client who lost function in both of his legs due to an automobile accident. Which of the following should the nurse do first to personalize the learning?
Gather pertinent information from the client.
When caring for a client with a throat infection, the nurse needs to ensure that the learning needs of the client are met. What is the first stage of the learning process for the client?
Recognition of what has been taught
A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point?
Revise the education plan that has guided education.
A nurse is working with a 15-year-old client with sickle cell anemia. He 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?
asking only the client's parents to be present at the education session
Mrs. Shields is a 46-year-old obese woman diagnosed with hypertension and type 2 diabetes. She tells the nurse that she knows she needs to lose weight. She recently visited her local fitness club, obtained a membership and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is Mrs. Shields in related to her weight loss?
preparation
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?
return demonstration
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 her class?
role-playing
A nurse is preparing an education plan for an older adult. What would be least appropriate for the nurse to include in this plan?
scheduling education sessions to last 45 minutes
A pediatric nurse provides education to numerous clients in her care. Which group of children benefits most from being involved in the teaching-learning process?
school-age children
A pediatric nurse provides education to numerous clients in her care. Which group of children benefits most from being involved in the teaching-learning process?
school-aged children
When caring for a client, the nurse also plans to provide health education to the client. On which subject area should the nurse primarily focus?
self-administration of meds
The World Health Organization (WHO) has committed to the health of all people. It directs nurses to improve partnership with:
the community.
