Question 1

During a medication teaching session,the nurse notices that the client is mildly anxious.The nurse interprets that this level of anxiety may&#10;A) impede learning because of interference with emotional capacity.&#10;B) create unsteadiness in learning because of mental inattentiveness.&#10;C) stimulate learning by increasing the client's willingness to learn.&#10;D) reorganize thoughts and affect subsequent learning.&#10;

Accepted Answer

Mild anxiety can actually improve learning as it increases the client's willingness to learn and helps them focus on the task at hand. However, if the anxiety becomes too severe, it may impede learning by interfering with emotional capacity or causing mental inattentiveness.

Question 2

Which of the following written statements reflects adequate documentation of a client teaching session about a medication?&#10;A) &#34;The client states why it is necessary to measure pulse before taking a dose of digoxin.&#34;&#10;B) &#34;The client was instructed about his medications.&#34;&#10;C) &#34;All medications were included in the client's discharge instructions.&#34;&#10;D) &#34;Sheet of medication information given to client and family.&#34;&#10;

Accepted Answer

Option A reflects specific information about what was taught to the client regarding a particular medication (digoxin) and the client's understanding of the importance of measuring pulse before taking the medication. This information provides clear documentation of the teaching session. Options B, C, and D are too vague and do not provide specific details about the medication teaching session.

Question 3

A comprehensive assessment of a client should be holistic when trying to determine competence in self-care and drug administration.Which of the following factors would the nurse omit from this type of assessment?

A) Mobility
B) Financial status
C) Social support
D) Sexual practices

Sexual practices

Accepted Answer

Sexual practices are not relevant to determining competence in self-care and drug administration. The other factors listed (mobility, financial status, and social support) may all impact a patient's ability to manage their own care and medications.

Question 4

The nurse concludes that which of the following factors would foster client noncompliance or ineffective management of a therapeutic regimen with antibiotic therapy?&#10;A) The client is undergoing a short course of therapy&#10;B) The medication is inexpensive and convenient to obtain&#10;C) The client is asymptomatic or feels better after an interval on the medication&#10;D) The medication instructions are simple and easily understood&#10;

Accepted Answer

Clients who feel better or asymptomatic after a period of time may stop taking the medication before the full course has been completed, leading to ineffective treatment and the potential for antibiotic resistance. The other options listed would typically foster compliance and effective management of antibiotic therapy.

Question 5

Which of the following factors may adversely affect a client's management of a therapeutic regimen?&#10;A) Well-defined family roles&#10;B) Regular health examinations&#10;C) Complex health regimen&#10;D) Effective coping patterns&#10;

Accepted Answer

A complex health regimen may make it difficult for a client to manage their therapeutic regimen, which can lead to noncompliance or suboptimal outcomes. Well-defined family roles and effective coping patterns may support a client's management of their therapeutic regimen, while regular health examinations are important for monitoring progress but do not directly affect a client's ability to manage their regimen.

Question 6

Which technique would be appropriate to use when working with clients with whom a language barrier exists?&#10;A) Use medical terminology&#10;B) Speak slowly&#10;C) Use careful,detailed explanations&#10;D) Ask client to nod head if he or she understands the instructions&#10;

Accepted Answer

Speaking slowly can help ensure that the client has a better chance of understanding the information being communicated, even if there is a language barrier.

Question 7

Which of the following is the best method for the nurse to use to assess a client's learning needs?&#10;A) Assess a caregiver's knowledge of a medication&#10;B) Validate a caregiver's knowledge of a medication&#10;C) Validate the client's present level of knowledge&#10;D) Quiz the client on current information&#10;

Accepted Answer

Validating the client's present level of knowledge allows the nurse to accurately assess what the client already knows and where their knowledge gaps may lie, providing a foundation for effective teaching. Assessing a caregiver's knowledge or quizzing the client may not accurately gauge the client's individual learning needs. Validating a caregiver's knowledge is important, but it does not provide the same insight into the client's level of understanding.

Deck 10: Client Education for Self-Administration of Medication