CH.9 Prep-U

A nurse is educating an older adult client with diabetes and his family members about the importance of a nutritious diet. The nurse knows that client education promotes which purpose? Select all that apply.

- helps the nurse to restore optimal health in the client - helps the client to cope with alterations in health status

Which developmental consideration is a nurse assessing when determining that an 8-year-old boy is not equipped to understand the scientific explanation of his disease? a.) Psychosocial development b.) Emotional maturity c.) Intellectual development d.) Motor development

c.) Intellectual development Motor development would be focused on a hands-on skill for example, not the scientific explanation of the disease. Psychosocial development looks at stages of development and goals or tasks for different stages.

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? a.) Enlist the aid of the toddler's parents in education. b.) Ask the children to play another game. c.) Tell the toddler that God punishes children who snatch. d.) Give the toddler another toy with which to play.

a.) Enlist the aid of the toddler's parents in education.

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce his risk for cancer, improve his respiratory status, and enhance the quality of his life. The nurse also shares her 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 his feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? a.) Motivational counseling b.) Situational counseling c.) Long-term counseling d.) Developmental counseling

a.) Motivational counseling Motivational counseling involves discussing feelings and incentives with the client. Long-term counseling extends over a period of time. Developmental counseling occurs when a client is going through a developmental stage or passage. Situational counseling occurs when a client faces an event or situational crisis.

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? a.) Revise the education plan that has guided education. b.) Scale back the scope and detail of client education. c.) Explore alternatives to prosthesis. d.) Refer the client to outside sources of information.

a.) Revise the education plan that has guided education. If evaluation of client education indicates that client learning has not met outcomes, it is appropriate to revise the education plan. This does not necessarily entail reducing the detail or referring the client to outside information sources. Exploring alternatives to prosthesis does not address the client's learning needs.

The nurse identifies which client response as a need for additional education? a.) The client states, "I only have to worry about lowering the top number of my blood pressure." b.) The client reports taking levothyroxine every morning with only water for 30 minutes. c.) Follow-up visit demonstrates a weight loss of 5 lb (2.3 kg) in 1 month. d.) The client gives a return demonstration of cleaning the side of finger with alcohol before using lancet.

a.) The client states, "I only have to worry about lowering the top number of my blood pressure."

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 him immobile. As the nurse enters the home, the client braces his hands on the arms of his chair to rise and uses crutches to walk across the room. What is the best response by the nurse? a.) "Let me document that you can walk." b.) "You have made an amazing recovery." c.) "Are you supposed to be out of the wheelchair?" d.) "Those physical therapists work wonders.

b.) "You have made an amazing recovery."

During a health teaching session, the nurse notes that the client is not attentive and loses concentration easily. Which of the following techniques is most appropriate to grab the attention of the client during the education? a.) Repeat directions several times. b.) Involve the client in an active way. c.) Show the relevance of teaching. d.) Use verbal and visual modes of instruction.

b.) Involve the client in an active way.

A student is developing an education plan for her assigned client. The student wants to educate the client on what symptoms to report after chemotherapy. What would the student need to do first? a.) Ask the client what he wants to know. b.) Review information available in writing and on the Internet. c.) Ask other students what should be included in content. d.) Tell the instructor that this topic hasn't been covered yet.

b.) Review information available in writing and on the Internet. New nurses (and students) usually need to research the subject to be taught to determine what information exists on the topic. Books, journals, manuals, and Web-based sources may be used to find information.

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? a.) Nurses barter knowledge of medication with the client for compliance. b.) The nurse and client relationship is based on mutual sharing and negotiation. c.) Nurses are experts who generously bestow knowledge upon clients. d.) Nurses have control over the client because of their knowledge and expertise.

b.) The nurse and client relationship is based on mutual sharing and negotiation. When providing nursing care, the teaching-learning relationship between the nurse and client is special, characterized by mutual sharing, advocacy, and negotiation. Effective learning occurs when clients and health care professionals are equal participants in the teaching-learning process. Unlike some traditional views, nurses are not experts who generously bestow knowledge upon clients, nor do they barter knowledge for compliance. Both images represent the relationship as a power imbalance in which nurses, because of their knowledge and expertise, control the situation.

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? a.) Peer group acceptance is a critical issue for this age group. b.) Their readiness to learn is often related to a developmental task or social role. c.) Previous experiences have little impact on learning. d.) The material presented should focus on future application.

b.) Their readiness to learn is often related to a developmental task or social role. An adult's readiness to learn is often related to a developmental task or social role. The previous experience of the adult is a rich resource for learning. Most adults' orientation to learning is that material should be useful immediately. Peer group acceptance is a critical issue for the adolescent group.

An experienced nurse is educating a client about his disease and how best to promote his optimal health. The nurse is focusing the education on the cognitive domain of learning. The nurse would focus the education on: a.) physical demonstration. b.) critical thinking. c.) muscular movements. d.) emotions or feelings.

b.) critical thinking.

The client reports to the clinic as ordered by her primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and states having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? a.) "I can lower my blood pressure by losing weight." b.) "I can monitor my caloric intake by measuring portions." c.) "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week." d.) "Osteoarthritis in my knees may be because of my weight."

c.) "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

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.) A 36-year-old male; uses public transportation, unable to read, wants to confer with pastor. b.) A 45-year-old female; unsure of the benefit of psychiatric care, on a fixed income, good family support. c.) A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment. d.) A 51-year-old male; walks to most places because of no transportation, low income, works days.

c.) A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment.

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? a.) Keep the education session short. b.) Check the client's understanding frequently. c.) Use verbal and visual modes of communication. d.) Provide all the needed education at one time rather than breaking it up.

c.) Use verbal and visual modes of communication.

The nurse is preparing to teach four clients. Which client will the nurse plan to teach using principles associated with gerogogy? a.) 31-year old who continuously used the internet b.) 4-year old who likes to play with blocks c.) 56-year old who likes to take notes on paper d.) 79-year old who has slight cognitive changes

d.) 79-year old who has slight cognitive changes Gerogogy is the unique techniques that enhance learning among older adults. Therefore, the nurse will use gerogogy with the 79-year-old client. Pedagogy is the science of teaching children or those with cognitive ability comparable to children, and would be appropriate for the 4-year-old client. Andragogy is the principles of teaching adult learners, and would be appropriate for the 31-year-old client and the 56-year-old client.

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? a.) Interpersonal domain b.) Cognitive domain c.) Affective domain d.) Psychomotor domain

d.) Psychomotor domain

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. What is the appropriate nursing response when the client states, "I'm not sure how many days I'm supposed to take this antibiotic." a.) Tell the client to take the antibiotic until symptoms subside. b.) Proceed with teaching about the decongestant. c.) Ask the client to restate the teaching that was provided. d.) Re-teach the length of time to take the prescription.

d.) Re-teach the length of time to take the prescription.

A Chinese client who was previously treated at the health care facility for an open wound has been admitted again because the wound has become gangrenous. It has been identified that the client failed to understand proper wound care. What is the probable reason for the client failing to understand the instruction? a.) The client is a passive learner. b.) The client has a short attention span. c.) The client is not interested. d.) The client belongs to a different culture.

d.) The client belongs to a different culture.