Deck 19: Teaching Learning

Question 1

During advanced cardiac life support (ACLS) training, a nurse learns about defibrillation by using a mannequin. Which teaching tool is being employed?
1)Journaling
2)Computer-assisted instruction
3)Role modeling
4)Simulation model

Answer 1

4

Question 2

Which intervention by the nurse would be best to motivate a patient newly diagnosed with hypertension to learn about the prescribed treatment plan?
1)Explain that when left untreated, hypertension may lead to stroke.
2)Ask the patient to let the nurse know when ready to learn.
3)Encourage the patient to learn about various treatment options.
4)Reassure the patient that adhering to the treatment produces a good outcome.

Answer 2

1

Question 3

Assume all of the following written instructions about digoxin provide correct information for patient care. Which one is best worded for patient understanding in a culturally competent manner?
1)Obtain your radial pulse q a.m. before taking your digoxin dose.
2)Return to your healthcare provider for monthly laboratory studies of your digoxin levels.
3)Call your provider if you notice that objects look yellow or green.
4)Always take the same brand of medication because certain brands may not be interchangeable.

Answer 3

3

Question 4

A patient with diabetes is admitted to the hospital for possible amputation from an infected foot wound. Which nursing diagnosis would be appropriate for this patient?
1)Impaired Ability to Learn r/t fear and anxiety
2)Deficient Knowledge r/t foot care
3)Inability to Learn r/t learning disability
4)Lack of Knowledge r/t inability to learn

Question 5

Which teaching strategy is typically most effective for presenting information to large groups about health promotion?
1)Distributing printed materials
2)Lecturing using audiovisual format
3)Using online sources of information
4)Role modeling

Question 6

Which statement by the patient demonstrates health literacy?
1)"I speak and understand little English but will do what I am told."
2)"I will take my medications after I ask the nurse a few questions."
3)"I have not taken my prescribed antibiotics because I can't read the labels."
4)"I stopped my medications when I started feeling better."

Question 7

The client with iron deficiency anemia does not know it is caused by low levels of iron in the body that can be improved by a diet high in iron. Based on this information, which nursing diagnosis is best?
1)Imbalanced nutrition: Less Than Body Requirements for iron r/t Deficient Knowledge of foods high in iron
2)Deficient Recall r/t Imbalanced Nutrition due to less than body requirements of iron
3)Imbalanced Nutrition: Less Than Body Requirements r/t Inability to Access Information
4)Inability to Access Information r/t Deficient Knowledge about dietary needs for iron

Question 8

Which phrase would the nurse include in the plan of care as a teaching goal for a patient who had bowel resection with creation of a colostomy? The patient:
1)Empties the colostomy appliance when half filled
2)Performs skin care around the stoma site
3)Will perform ostomy self-care within 3 days after surgery
4)Applies a new ostomy appliance, making sure it adheres properly

Question 9

When the nurse is about to give instructions for discharge, the nurse notices that the television is on and the patient is eating a meal. What is the best action for the nurse to take to ensure that the patient's discharge teaching is understood?
1)Review all important discharge teaching while in the room.
2)Ask whether the patient has any questions about the discharge.
3)Inform the patient that the instructions are on the discharge sheet.
4)Arrange another time with the patient to review the discharge teaching.

Question 10

An older adult patient who underwent bowel resection is recovering from surgery without complication. During the healthcare team's morning rounds, the surgeon informs the patient that the lesion removed was cancerous. Which factor will likely be the patient's most significant obstacle for learning?
1)The patient's baseline physical condition
2)A negative environmental influence
3)Anxiety associated with the new diagnosis
4)Reduced ability to understand the diagnosis

Question 11

The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU. Implementation is planned in 6 weeks. When is the best time for the manager to schedule the teaching sessions?
1)One hour before implementation
2)One day before implementation
3)One week before implementation
4)One month before implementation

Question 12

The nurse preparing a teaching plan ensures that the information is tailored to the client's life experiences and learning level. These are examples of which "right" of teaching?
1)Right time
2)Right context
3)Right content
4)Right goal

Question 13

Which technique is best for teaching a nursing assistant how to perform finger-stick glucose testing?
1)Provide a manufacturer's pamphlet with detailed instruction.
2)Explain the best technique for performing glucose testing.
3)Demonstrate the procedure, then ask for a return demonstration.
4)Suggest that the assistant watch a DVD showing the procedure.

Question 14

For which patient is the nursing diagnosis Knowledge Deficit most appropriate?
1)Adolescent with Down syndrome with a long history of cardiac problem
2)Young adult admitted with acute renal failure who requires hemodialysis immediately
3)Middle-aged woman with breast cancer receiving the last round of chemotherapy
4)Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer

Question 15

The nurse is preparing to teach a client about crutch walking. Which action would the nurse take first?
1)Mutually develop learning goals for crutch walking.
2)Demonstrate how to use the crutches.
3)Determine what the client already knows about crutches.
4)Create a teaching plan for crutch walking.

Question 16

Prior to discharge, a patient with diabetes needs to learn how to check a finger-stick blood sugar reading before taking insulin. Which action will best help the patient remember proper technique?
1)Encouraging the patient to check the blood sugar each time the nurse gives insulin
2)Providing feedback after the patient takes the blood sugar reading for the first time
3)Verbally instructing the patient about how to obtain a finger-stick blood sugar reading
4)Offering a brochure that describes the technique for checking a blood sugar reading

Question 17

How can the nurse best provide teaching for a patient whose primary spoken language is not the same as the nurse's?
1)Offer written materials in the patient's primary language.
2)Make arrangements to teach using an interpreter.
3)Provide a demonstration and request a return demonstration.
4)Use visual teaching aids to convey information.

Question 18

It is a busy day on the medical-surgical floor, and the nurse must teach a patient ready for discharge about the medications. How can the nurse most efficiently use the time and provide this education?
1)Write down instructions so the patient can read them at home.
2)Discuss the information while assisting the patient with the bath.
3)Educate the patient about the medications as each one is given.
4)Follow up with the patient after discharge with a phone call.

Question 19

A patient with a diabetic foot ulcer will need to perform dressing changes after discharge. When should the nurse schedule the teaching sessions?
1)Within 10 minutes after the next dose of oral pain medication
2)After the patient wakes up from a restful nap
3)Right before the surgeon debrides the wound
4)Before the patient undergoes flow studies of the affected leg

Question 20

A preschool-age child is scheduled for a tonsillectomy. Which strategy might help lessen the child's anxiety before surgery?
1)Give the child a coloring book about the surgery.
2)Offer the child a detailed rationale for the surgery.
3)Allow the child to use online sources of information to learn about the surgery.
4)Provide one-to-one instruction about the care the child will need after surgery.

Question 21

A mother tells the nurse she is worried that her 20-year-old daughter lacks the understanding regarding the need for follow-up care after her discharge. Which behaviors suggests that the patient needs further discharge teaching? Select all that apply. The patient:
1)States she will be on time for her scheduled appointment
2)Demonstrates correct care of the dressing
3)States she does not understand much English
4)Watches television while the nurse is speaking to her
5)Plans to get medications from the pharmacy on her way home

Question 22

The nurse is preparing to teach an older adult about hypertension. Which action would the nurse take?
1)Avoid the use of sharing life experiences about high blood pressure.
2)Print information about hypertension in a blue font color.
3)Use long stories to emphasize high blood pressure problems.
4)Cover diet and exercise to help control hypertension in one teaching session.

Question 23

The nurse is giving the oncoming nurse the shift report. The nurse states the client's diagnoses, treatments, and course of hospitalization. When describing the client, the nurse states, "Whenever I try to teach him something, he becomes difficult and argumentative." What client information about patient teaching should the oncoming nurse ask? Select all that apply.
1)Level of literacy
2)Primary language
3)Need for humor
4)Level of anxiety
5)Insurance status

Question 24

The nurse is assessing a client's learning needs regarding changing an ostomy bag. Which parameters would the nurse assess? Select all that apply.
1)Client's learning needs for changing the bag
2)Client's beliefs about an ostomy
3)Client's emotional readiness
4)Client's ability to move arms and hands
5)Client's relationship with parents

Question 25

The nurse explains to a patient that dressing changes will improve healing and decrease infection and then demonstrates the correct aseptic technique to the patient. The patient is asked to return a demonstration of this dressing change and to describe the reasons for it to the nurse. This example includes which type of learning and which learning domains? Select all that apply.
1)Affective
2)Active
3)Cognitive
4)Psychomotor
5)Passive