PrepU Ch.9; Fundamentals of Nursing

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. 1. Size of family 2. Learning style preferences 3. Available resources 4. Literacy level 5. The client's job

2. Learning style preferences 3. Available resources 4. Literacy level

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? a. Short-term counseling b. Long-term counseling c. Professional counseling d. Motivational counseling

a. Short-term counseling

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

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

Which topics would the nurse be most likely to explore with a client with the aim of restoring health? Select all that apply. 1. Postoperative teaching for the client after prostate surgery 2. Education of a client about living with a suprapubic catheter 3. The medical and nursing regimens and how the client can participate in care 4. Instruction to a group of clients about performance of CPR 5. Informing the client regarding community resources 6. Orientation to treatment center and staff

1. Postoperative teaching for the client after prostate surgery 2. Education of a client about living with a suprapubic catheter 3. The medical and nursing regimens and how the client can participate in care 6. Orientation to treatment center and staff

When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? a. Psychomotor b. Cognitive c. Affective d. Interpersonal

a. Psychomotor

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

a. The client describes signs and symptoms of hypoglycemia.

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

b. Cognitive

The nurse is responsible for providing a 1-hour presentation on sexual health to a group of 30 college students. What is the most appropriate teaching strategy for the nurse to use? a. Role play b. Demonstration c. Case studies d. Lecture/discussion

d. Lecture/discussion

Which documentation example best reflects the complexity of client teaching by the nurse? a. "Client return demonstrated how to use glucometer." b. "Told client to take antibiotic as ordered." c. "Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal." d. "Taught client about peak flows; client verbalized understanding."

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

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? a. "I can monitor my caloric intake by measuring portions." b. "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." d. "I can lower my blood pressure by losing 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 providing teaching to clients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? Select all that apply. 1. The nurse fails to accept that clients have the right to change their minds. 2. The nurse ignores the restrictions of the client's environment. 3. The nurse uses medical jargon frequently when discussing the teaching plan. 4. The nurse evaluates what the client has learned. 5. The nurse negotiates goals with the client. 6. The nurse reviews educational media when planning learner objectives.

1. The nurse fails to accept that clients have the right to change their minds. 2. The nurse ignores the restrictions of the client's environment. 3. The nurse uses medical jargon frequently when discussing the teaching plan.

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? a. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. b. The nurse writes general statements for learner objectives that could be accomplished in any amount of time. c. The nurse writes one or two broad objectives rather than several specific objectives. d. The nurse plans learner objectives with another nurse before obtaining input from the client and family.

a. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

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

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

Which statement describes the person who is likely the most motivated to learn? a. A 29-year-old male whose significant other is insisting on the client receiving the education b. A 70-year-old female who is the client's spouse and is learning the care so the client can come home c. A 25-year-old female who just completed a course of physical therapy d. A 52-year-old male who has been hired to drive the client home from the clinic

b. A 70-year-old female who is the client's spouse and is learning the care so the client can come home

A nurse has permission from the homebound client to educate any of the family members about providing care for the client. Which family member is the most appropriate choice? a. A sister who lives next door to the client and telephones for updates frequently b. A brother who visits daily, does laundry, and cooks all meals for the client c. A son who works full time and is trying to save time off for emergencies d. A daughter who is a registered nurse and lives in a different state

b. A brother who visits daily, does laundry, and cooks all meals for the client

The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs? a. Assess the client's feelings and emotions surrounding the diagnosis b. Educate the client about the pathophysiology of the disease process c. Assess how the diagnosis will affect the client's daily routines d. Demonstrate techniques for minimizing mobility challenges

b. Educate the client about the pathophysiology of the disease process

A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients? a. Separate the mother and the child; teach the mother and then let the mother teach the child. b. Provide the mother with written materials; teach the child about keeping the cast dry. c. Focus mainly on the mother; ask the child a couple of simple questions. d. Include the child in the education; ask questions of both the mother and the child.

d. Include the child in the education; ask questions of both the mother and the child.

The nurse is providing education to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education? a. The client will describe knowledge of the rationale for breast self-examination b. The client will understand the correct technique for breast self-examination c. The client will successfully complete education on breast self-examination d. The client will demonstrate effective breast self-examination technique

d. The client will demonstrate effective breast self-examination technique

The nurse needs to understand the teaching-learning process when administering a. health care provider-initiated interventions. b. psychosocial interventions. c. technical interventions. d. educational interventions.

d. educational interventions.

An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. The nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. The client avoids the topic of surgery and attends church weekly. The client's family is supportive of any decisions the client makes regarding health. Which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis? a. Floor plan of the client's dwelling b. Personal perception of health and aging c. Formal religious beliefs d. Orthopedic surgical history

b. Personal perception of health and aging

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

b. Reteach the length of time to take the prescription.

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? a. "I would like you to demonstrate how to change the dressing on your leg." b. "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." c. "Tell me about what signs of infection you will report to the health care provider." d. "Let's see how you irrigate the wound with saline."

c. "Tell me about what signs of infection you will report to the health care provider."

The nurse is planning to teach an exercise class to a group of older adults. What guideline should the nurse adopt when planning this education? a. Keep the session at 2 to 3 hours. b. Provide information in a structured format. c. Allow ample time for psychomotor skills. d. Allow for long-term memory loss.

c. Allow ample time for psychomotor skills.

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

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

A pediatric nurse provides education to numerous clients. Which group of children benefits most from being involved in the teaching-learning process? a. Toddlers b. Infants c. School-age children d. Preschoolers

c. School-age children

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

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

The nurse is preparing to provide health education to a client with a new diagnosis of diabetes. Which action should the nurse perform to create an effective learning environment? a. Be prepared to handle criticism during the teaching-learning process. b. Prioritize the assimilation and application of psychomotor concepts c. Adopt a position of empathy while still communicating that the nurse is the expert in the teaching-learning environment. d. Adopt a position in which the client and the nurse are equal participants.

d. Adopt a position in which the client and the nurse are equal participants.