Class Ten Chapter 9 Prep U & ACTUAL

Which documentation example best reflects the complexity of client teaching by the nurse? - "Taught client about peak flows; client verbalized understanding." - "Told client to take antibiotic as ordered." - "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."

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

The nurse is readmitting a client who was discharged 1 week ago with complications from diabetes mellitus. The client states, "I really did not understand what I was supposed to do to care for myself from those papers that I was sent home with." What question will the nurse ask to promote the client's self-esteem? - "How do you learn best and what can we do to provide you with that information?" - "What was so difficult about the discharge instructions?" - "You understand that if you are not able to care for yourself, will you'll continue to be admitted?" - "Do you have a problem with reading?"

"How do you learn best and what can we do to provide you with that information?"

The client reports to the clinic as ordered by the 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 reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? - "I can lower my blood pressure by losing weight." - "I can monitor my caloric intake by measuring portions." - "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week." - "Osteoarthritis in my knees may be because of my weight."

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

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? - "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?" - "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?" - "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."

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

The nurse uses the acronym TEACH when planning care for clients on a busy hospital ward. Which interventions accurately represent aspects of this acronym? Select all that apply. - C—The nurse clarifies often. - H—The nurse honors the client as a partner in the education process. - E—The nurse educates the client before treatment. - H—The nurse helps the client cope when education fails. - A—The nurse acts on every teaching moment. - T—The nurse turns to the doctor for support.

- A—The nurse acts on every teaching moment. - H—The nurse honors the client as a partner in the education process. - C—The nurse clarifies often.

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? - "Let me document that you can walk." - "Those physical therapists work wonders. - "You have made an amazing recovery." - "Are you supposed to be out of the wheelchair?"

"You have made an amazing recovery."

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 51-year-old male who walks to most places because of a lack of transportation, has a low income, and works days - A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment - A 45-year-old female who is unsure of the benefit of psychiatric care, on a fixed income, and has good family support - A 36-year-old male who uses public transportation, is unable to read, and wants to confer with a pastor

A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

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? - Provide information in a structured format. - Keep the session at 2 to 3 hours. - Allow ample time for psychomotor skills. - Allow for long-term memory loss.

Allow ample time for psychomotor skills.

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

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

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? - Asking only the client's parents to be present at the education session - Including a note about who was taught this new information in the client's chart - Answering questions openly and honestly - Assuring the client that the conversation is confidential except under extreme circumstances

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

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 - Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills - 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

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

Which statement about providing client education before discharge is most accurate? - Client education opens up communication with the community. - Standardized plan of care is emphasized in client education. - A client's beliefs and culture can hinder the success of education. - Client education focuses on identified home needs.

Client education focuses on identified home needs.

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 - Psychomotor - Interpersonal

Cognitive

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 - Psychomotor - Cognitive - Interpersonal

Cognitive

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? - Cognitive learning theory - Developmental learning theory - Adaptive learning theory - Behavioral learning theory

Cognitive learning theory

The nurse is completing documentation after an education session with a client. Which statement best demonstrates detailed documentation of an effective teaching plan? - Lecture provided about infection, and client stated understanding what infection is. - Discussed wet-to-dry dressing changes, and client stated understanding. - Spouse taught to flush feeding tube before and after medication. Denied further instruction needed. - Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique.

Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique.

A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? - Demonstrating the technique for insulin self-injection - Reviewing with the client appropriate foods to eat - Describing the signs and symptoms of low blood sugar - Explaining what to do if hypoglycemia occurs

Demonstrating the technique for insulin self-injection

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women? - Lecture/discussion - Role play - Test taking - Demonstration

Lecture/discussion

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? - Give written materials to the client and administer pain medication. - Have the client rate pain level, and reschedule the teaching session. - Assess the client's understanding of self-care and administer medication. - Redirect the client to learning about self-care and begin education.

Have the client rate pain level, and reschedule the teaching session.

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

Observing a mother expressing the breast milk

A 46-year-old obese client has been diagnosed with hypertension and type 2 diabetes. The client acknowledges the need to lose weight. The client recently visited a 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 this client in related to her weight loss? - Preparation - Contemplation - Precontemplation - Maintenance

Preparation

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

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

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

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

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

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

the nurse and the client