Funds Chapter 9 & 14

A nurse in a provider's office is collecting data from the mother of a 12-month-old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that she will postpone toilet training until her son is older. Learning has occurred in which of the following domains?

Affective

Keloid formations (abnormal scar formations) are more common in which group of people?

African American

Your 45-year-old, mentally competent patient is having excessive blood loss form surgery. She is a Jehovah's Witness and refuses a blood transfusion. Her blood pressure has been falling, and she has a rapid hear rate. What would and appropriate nursing intervention be?

Assist the RN in administering IV fluid boluses and medications to support the blood pressure.

What is the term used to refer to a patient that does not attend church, believe in God, or a spiritual reality?

Atheist

The nurse educator is teaching students about certain medicine type that balances the disease state by prescribing to "hot" and "cold" foods in the patient's diet. Which medicine type is the educator referring to?

Ayurvedic

To overcome barriers to learning for a hearing impaired person: Select all that apply

Be certain the hearing aid is turned on and adjusted Eliminate other noise in the room as much as possible Gain the patient's attention and speak in a normal low tone while facing him.

Which represents the desired changes or additions to current behaviors and attitudes?

Behavioral Objectives

When starting the second teaching session for a patient, the nurse should first:

Briefly review what was taught in the first session.

A Chinese patient has been admitted to the hospital and does not speak English. What should the nurse do to obtain information about the present medical condition of the patient?

Call an interpreter

A nurse is working in a health care facility which does not have a patient education flow sheet. Which information about patient education should the nurse include in the nurse's notes?

Content taught to the patient

An older Japanese adult who does not speak English is admitted to the surgical unit after major abdominal surgery, with no family member present. The nurse cannot speak the patient's language. To assess for pain, the nurse should:

Obtain the services of a translator to devise question-and-answer cards regarding pain.

The nurse has to schedule a meeting between the patient's family and the health care provider. The agenda of the meeting is to inform the patient's family that the patient has acquired immunodeficiency syndrome (AIDS). How will the primary health care provider inform the family if the patient is Asian?

Tell them face-to face but provide privacy.

A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place?

The client is able to demonstrate the appropriate technique.

The registered nurse (RN) tells the practical nurse (PN) that identifying the appropriate teaching moment is essential for effective learning. What does the nurse understand by the term "teaching moment"?

The time when the patient has the optimum level of readiness to acquire the information taught

A nurse is caring for a client who shares the nurse's religious background. Which of the following information should the nurse anticipate?

The same religious beliefs can influence individuals differently.

Which statement made by the nurse demonstrates an example of a stereotype?

"African Americans like highly sweet foods and beverages."

A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statement should the nurse identify as an indication that the client is ready to learn?

"Can you tell me about how long the surgery will take?"

Which statement of the student nurse indicates a need for further instruction about the methods of teaching children?

"I should use idioms while teaching."

A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the client?

"I will discuss the daily schedule with the client to make sure the client will have time for prayer."

The nurse is caring for a newly admitted homeless male patient who states that his last meal was 12 hours ago, but insists that he must talk to the pastor before he eats. Which statement would indicate that the nurse is providing culturally congruent care?

"I'll contact our pastoral care department to arrange the pastor visit, and the kitchen to order a meal for you. Your meal will be here for you when you are ready to eat."

A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses should the nurse make?

"Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."

Which statement should the registered nurse include while providing instructions to a practical nurse about appropriate ways to implement the teaching plan for a patient?

"Teaching should start at a time previously agreed upon between the nurse and the patient."

A nurse has to give self-care instructions to a patient. What should the nurse remember while teaching the patient?

Ask for feedback at frequent intervals.

A nurse is evaluating how well a client learning the information he presented in an instructional session about following a heart-healty diet. The client states that she understands what to do now. Which of the following actions should the nurse take to evaluate the client's learning?

Ask the client to explain how to select or prepare meals.

A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and his family?

Ask the family one question at a time. Use lay terms if possible. Do not interrupt the interpreter and the family as they talk.

The primary health care provider prescribes four units of insulin injection to a patient and asks the nurse to teach the patient about self-administration. After teaching, the nurse asks the patient to demonstrate. The patient draws a unit more than what is prescribed. What should the nurse do?

Ask the patient to draw it again and evaluate it.

Which is the best method to determine if a patient has spiritual or cultural needs related to health care beliefs?

Ask the patient to inform the nursing staff of any specific cultural and/or religious needs.

The nurse is teaching a group of people with heart disease about dietary modifications. Which actions by the nurse would maintain the attention and participation of the class? Select all that apply.

Asking questions Making eye contact Providing a demonstration

A nurse is teaching an elderly patient to monitor his blood sugar. The nurse should include which of the following?

Asking questions frequently to check for comprehension.

The nurse knows that the largest religion in the world is what?

Christianity

A patient in a hospital does not speak or understand English. What should the nurse do to facilitate communication with this patient?

Contact the certified medical interpreter available through the hospital to help with communicating with the patient.

An older Mandarian-speaking woman is grimacing and refusing to eat when served hospital food. What should the nurse do to meet the patient's nutritional needs?

Contact the primary caregiver assess the patient's dietary habits.

A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client?

Determine what the client knows about stress incontinence.

Research has proven that prompt treatment and discharge enhances the healing process. Therefore, a vital component of hospitalization is discharge planning. When should discharge planning begin?

Discharge planning should begin when the patient is admitted to the facility.

The nurse is teaching a geriatric patient with pedal edema about positioning of legs while sleeping. Which action of the nurse can cause confusion and frustration?

Instructing the patient to quickly demonstrate the procedure

A nurse is teaching a patient wound care and dressing changes. The nurse recognizes that which of the following should be true of teaching?

Includes a return demonstration by the patient

The nurse knows that teaching is most effective when which is true?

Information is offered in a patient's native language.

A patient's husband insists that he must be the one who signs the consent form. To which religious faith might the patient and her spouse belong?

Islam

A male infant has been born. The family insists that circumcision has to be done on the eighth day of life. To which religion does the child belong?

Judaism

A patient who underwent an appendectomy asks the nurse about caring for his incision. He states that he is an auditory learner. The nurse determines that he will best learn by:

Listening to the nurse's verbal instructions about care of the incision.

The nurse understands that the patient under medication is distressed and questions the presence of God. Which intervention should the nurse suggest?

Meditation

Hindus believe that illness or disease is caused by: Select all that apply

Misusing the body in some way. Sin committed in a former life.

When an Islamic Arab American dies in the hospital, you know:

Not to touch the body before the family bathes it. To turn the bed so that the body faces Mecca.

The nurse knows that which branch of Judaism follows the strictest interpretation of Jewish law?

Orthodox Jews

A nursing student is studying about the barriers of learning. Which is the situational factor that can hamper learning?

Pain

What should the nurse do before starting the admission assessment for a patient with limited English proficiency?

Provide a certified medical interpreter (CMI)

Evidence that the primary purpose of patient education has been achieved is that patients:

Provide correct and safe self-care after discharge.

A patient who is Roman Catholic asks to have the priest come to hear her confession and administer communion before she go to surgery. The priest arrives the evening before the patient is scheduled for the operating room but after normal visiting hours. The nurse should:

Provide privacy for the priest to hear confession and administer communion.

A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions should the nurse take?

Provide quiet times for these moments.

A student nurse learns to change a wound dressing by performing the task with the supervision of the RN. The nursing student knows this is an example of which domain of learning?

Psychomotor domain

The nurse leaves the religion-related information of the patient chart blank, believing that it is unimportant. The nurse manager insists that all details are completed. Why is religion-related information important?

Religious prohibitions may influence treatment.

The nurse knows that the statement, "All Hispanics like hot peppers," is an example of what?

Stereotype

A patient newly diagnosed with diabetes has stated that he doesn't understand why he needs insulin. His statement indicates a learning need regarding:

The disease process of diabetes.

Which action of the practical nurse who is teaching a geriatric patient indicates a need for further training?

The nurse teaches the patient in a dimly lit room

The nurse is teaching a patient about the technique of blood sugar testing and must evaluate patient teaching for outcomes or effectiveness of the teaching. Which is the most reliable evaluation technique to ensure that the patient understands the information that has been taught?

The patient correctly demonstrates the technique of blood sugar testing.

The nurse needs to discuss a treatment plan with a cancer patient. What should the nurse ensure before beginning the discussion? Select all that apply.

The patient is not watching TV. The patient does not have any pain.

Which action of the patient with burns indicates effective learning about aseptic techniques of wound dressing?

The patient washes his or her hands before and after dressing.

The nurse is teaching basic hygiene measures to a group of kindergarten children. The nurse provides information in short segments and gives frequent breaks during the teaching session. What is the most appropriate reason for the nurse to use this strategy while teaching?

To ensure that the children are able to pay attention during the session

When first teaching a young child about insulin injections, an appropriate approach would be to:

Use a doll to demonstrate an insulin injection.

A nurse is caring for a patient who can speak and understand some English but is not fluent. The nurse should:

Use a professional or certified interpreter from the hospital's list of available interpreters.

The registered nurse is monitoring a practical nurse who is teaching a diabetic child about the procedure for an insulin injection. Which action of the practical nurse (LPN) does the registered nurse expect to be effective?

Using a doll to demonstrate the procedure of giving an insulin injection

Which action of the student nurse who is teaching a geriatric patient about self-care should the nursing instructor correct?

Using medical terms to help patient understand better

The nurse notes that a patient lists the religious affiliation as Jehovah's Witness. Which religious belief of this sect would the nurse anticipate this patient to follow?

Will not allow blood products to be transfused

When assessing learning needs of a patient, a nurse should do which of the following?

Work within the patient's values and cultural system.