chapter 5 Patient Education and Health Promotion
Which of the following is an essential component of the definition of learning?
Can be measured
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 teaching?
Involve the client in an active way.
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 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 pediatric nurse provides teaching to numerous patients in her care. Which group of children benefits most from being involved in the teaching-learning process?
School-aged children
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 observes that a client responds better to health education when the nurse motivates him and assures him about the benefits of the teaching. In which of the following learning domains does the client's learning style fall?
Affective domain
A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?
Cognitive
A 20-year-old client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need of a balanced diet and its relationship with a quick recovery. Which domain correctly identifies the client's learning style?
Cognitive domain
When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which of the following learning domains does the client's learning style fall?
Cognitive domain
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 nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent client teaching?
Develop written materials in the client's native language.
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 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.
A nurse refers a client with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?
Facilitating coping
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.
A nurse is preparing to teach a 6 year old with a broken arm and her mother about cast care. Which statement reflects the best teaching plan for these clients?
Include the child in teaching; ask questions of both mother and child.
An elderly female client post 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 patient?
Ineffective coping; verbalizes support systems.
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?
Motivational counseling
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?
Motivational counseling
The nurse knows which evaluation best represents that the client has learned a new skill?
Organizes materials needed and gives return demonstration.
An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in the bilateral knees. The nurse knows this client does not want to be a burden on his family, and he remains stoic although he reports the pain as severe. He avoids the topic of surgery and attends church weekly. His family is supportive of any decisions he makes regarding his health. Which of the assessment data are most important to forming an individualized teaching plan for this client concerning treatment for his osteoarthritis?
Personal perception of health and aging
When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which of the following learning domains does this client's learning style fall?
Psychomotor domain
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?
Review information available in writing and on the Internet.
A patient is experiencing difficulty in adjusting to a new prosthesis despite conscientious patient teaching by numerous members of the healthcare team. How should the team respond to the patient's lack of learning to this point?
Revise the teaching plan that has guided education.
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
When a nurse is planning for learning, who must decide who should be included in the learning sessions?
The nurse and the patient
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?
The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.
A nurse is teaching a patient with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the patient?
The patient describes signs and symptoms of hypoglycemia.
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 diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?
To help the client develop self-care abilities
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.
A nurse is concerned about a client's ability to retain information during education sessions. Which of the following techniques would enhance the retention of material in presentations?
Using repitition
Which client would be the best candidate for a nurse to use motivational interviewing?
a 28-year-old female with elevated blood glucose for 8 months
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 nurse needs to explain the importance of contraception and safe-sex practices to a group of college students. Which of the following factors can affect the nurse's teaching strategies? Select all that apply.
• Availability of resources • Learning style preference • Literacy level of target audience
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.)
• The nurse uses critical thinking skills to assess the learning needs and learning readiness of the parents. • The nurse formulates a verbal or written contract with the patient. • The nurse relates new learning material to the patient's past life experiences to help him or her to assimilate new knowledge.
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 of the client's statements alerts the nurse to a need for clarification and further education?
"I will be doing well if I lose between 5 and 10 pounds a week."
A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which of the client's following statements suggests that nurses' education has resulted in affective learning?
"I'm starting to see how my lifestyle has caused me to end up here."
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?"
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?"
The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery after 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?
"You have made an amazing recovery."
The nurse must instruct a 35-year-old client with Down syndrome about use of an albuterol rescue inhaler. Which of the following demonstrates individualization of the teaching plan for this client?
Client understanding of illness, motor skills and developmental stage assessed, clarification provided.
