Question 1

The nurse is planning activities to support the 2020 National Health Goals that address health teaching. Which action should the nurse take to ensure these goals are supported?&#10;A) Develop a teaching plan for a school-age child.&#10;B) Examine available teaching materials to use when conducting training sessions.&#10;C) Work with a school district to develop appropriate health teaching for the students.&#10;D) Assess the learning leads of parents of a preschool-age child with type 1 diabetes mellitus.

Accepted Answer

Nurses can help the nation achieve the 2020 National Health Goals by consulting with schools and health care organizations to develop what health teaching programs are needed and then teaching in such programs. Developing a teaching plan for a child, examining teaching materials, and assessing learning needs of parents will not necessary help achieve the 2020 National Health Goals.

Question 2

The nurse is preparing to teach a school-age child how to apply gauze wrap to a leg dressing. Which approach is the best for the nurse to use with this patient?&#10;A) Talk about the procedure.&#10;B) Demonstrate the procedure.&#10;C) Show pictures of the procedure.&#10;D) Review the written steps of the procedure.

Accepted Answer

Because of their stage of cognitive development, which is concrete operations,
school-age children learn best by demonstration. The nurse needs to do more than talk about the procedure. Showing pictures of the procedure is not enough with this age group. Reviewing the written steps of the procedure is too advanced for this age group.

Question 3

The nurse provided a preschool-age child with instructions prior to having a surgical procedure. The parents of the child were in attendance, and the child was alert and participated in the education session. During postoperative care, the child is unable to recall anything that was instructed. What does this finding suggest to the nurse about the communication process?

A) The code was not received.
B) The feedback was not truthful.
C) The decoder did not receive the message.
D) The encoder failed to communicate the message.

The decoder did not receive the message.

Accepted Answer

There are several parts to the communication process. The encoder is the person delivering the message. The nurse was the encoder who provided teaching to the child. The code is the message being delivered. This was the teaching for the surgical procedure. Because the child was alert and participated in the education, it appears that the code was received. The decoder is the child. Because the child was unable to recall any of the teaching, it could be because of stress. Under stress, children tend to narrow their ability to receive information to a small area of concern. Children, who are extremely anxious, may not "hear" or be unable to interpret the message because of anxiety, even though excellent instructions were provided. Feedback is the reply the decoder returns to the sender to acknowledge the message has been received and interpreted. Because the child was alert and participated in the education, it is unlikely that the feedback was not truthful.

Question 4

A school-age child is newly diagnosed with type 1 diabetes mellitus. Which behavior indicates to the nurse that the child might be interested in learning how to
Self-administer insulin injections?

A) The child cries and calls for the mother with every insulin injection.
B) The child watches the nurse fill and asks to hold the insulin syringe.
C) The child asks how many "shots" are needed before the illness is "all better."
D) The child tells the nurse that a parent will give the injection so the parent needs the teaching.

Accepted Answer

Designing a teaching plan begins with assessment of the individual child's needs and how the new knowledge will meld with the child's and family's lifestyle, the child's intellectual and language level, current knowledge level, physical/cognitive capabilities, sociocultural values, and attention span. Because the child is school-age and is a concrete thinker, the child who watches the nurse fill and asks to hold the syringe is the most ready for teaching about self-administration of insulin injections. The child who cries for the mother is not emotionally mature for this teaching. The child who asks how many "shots" are needed before the illness is "all better" is not intellectually prepared for this teaching. The child who expects the parent to provide the medication is also not intellectually prepared for this teaching.

Question 5

The mother of a child newly diagnosed with muscular dystrophy appears overwhelmed the care the child will need once discharge occurs. Which nursing diagnosis is the most appropriate for the nurse to select to help guide this mother's learning needs?

A) Health-seeking behaviors related to ways to care for the child at home
B) Effective coping related to understanding the home care needs of the child
C) Deficient knowledge related to type and amount of care needed for the child
D) Anxiety related to perceived amount of material needed to be learned for home care of child

Accepted Answer

The mother appears overwhelmed, which would indicate anxiety related to the amount of learning needed to care for the child at home. This is the diagnosis that the nurse should use to guide the mother's learning needs. The mother is not asking questions about the care so health-seeking behavior is not appropriate at this time. The mother appears overwhelmed so effective coping is not appropriate at this time. The nurse has not assessed the mother so deficient knowledge is not appropriate at this time.

Question 6

The nurse is implementing the teaching technique of behavior modification for a cognitively challenged child. Which nursing action should the nurse use when implementing this technique?&#10;A) Giving the child a sticker for sitting still for 10 minutes&#10;B) Taking away television-watching privileges for running&#10;C) Giving the child an extra chore to do for talking in class&#10;D) Not allowing the child to play outside for rude behavior

Accepted Answer

Learning occurs best with positive reinforcement. Behavior modification is a term used for a system aimed at erasing some form of behavior that interferes with healthy functioning. The basic premise of behavior modification is that a child is rewarded for healthful behavior, whereas unhealthful behavior is ignored or unrewarded. The preferred behavior is praised, and the unacceptable behavior is ignored. Children respond best to behavior modification if they receive a tangible reward such as a sticker for good behavior. Taking away television, giving extra chores, and not permitting outdoor play are negative behaviors and do not support behavior modification.

Question 7

The nurse is preparing to teach a 9-year-old how to do active range-of-motion exercises. Which technique is the most appropriate for the nurse to use for this teaching?&#10;A) Allow the child to listen to the radio during instruction.&#10;B) Demonstrate the technique by performing it consistently the same each time.&#10;C) Suggest the child he or she tell you how the range-of-motion exercises are to be done.&#10;D) Tell the child different ways to perform the technique so that they can be varied.

Accepted Answer

Being told different ways to perform a new skill is confusing. The nurse should select the technique and perform it consistently each time. The child is not going to learn the technique if listening to the radio during teaching. The child is not aware of the technique and will not know how to perform the exercises. After a child has learned the one method, alternative methods can be suggested if the child is interested.

Question 8

After teaching a school-age child how to apply a gauze wrap to a lower extremity, which observation indicates that teaching has been successful?&#10;A) The child shows an eagerness to learn more things.&#10;B) The child returns an adequate demonstration of wrapping the limb.&#10;C) The child consistently wraps the lower extremity as instructed each time.&#10;D) The child explains the importance of wrapping the lower extremity with gauze.

Accepted Answer

Demonstration of a change of behavior is the real proof learning has occurred. The child consistently wrapping the lower extremity as instructed is evidence that learning has been successful. An eagerness to learn does not demonstrate that teaching about the gauze wrap has been successful. Returning an adequate demonstration on wrapping the limb does not mean that the child will consistently perform this action every time.
Explaining the importance of wrapping the lower extremity with gauze does not indicate that teaching has been successful.

Question 9

A school-age child was instructed on transfer techniques after having spinal surgery. For which outcome should the nurse assess when making a home visit to this patient?&#10;A) Patient transfers from bed to a chair unassisted.&#10;B) Patient stands up and walks to a chair with parental assistance.&#10;C) Patient transfers from the bed to a chair with one person assisting.&#10;D) Patient unable to move from the bed to a chair without assistance.

Accepted Answer

An outcome is the focus or goal of the instruction. For the child being instructed on transfer techniques after spinal surgery, the nurse should assess for the child's ability to perform the transfer as instructed, or the patient is able to transfer from the bed to a chair unassisted. The patient standing up and walking is evidence that instruction was not effective. The need to have one or more people assisting with the transfer indicates that instruction was not effective and the outcome was not met.

Question 10

Which technique should the nurse use to teach an adolescent about a newly diagnosed disease process?&#10;A) Urge the adolescent to listen attentively during teaching.&#10;B) Help the adolescent understand how this information will improve future health.&#10;C) Help the adolescent realize that teaching is needed above what peers need to learn.&#10;D) Help the adolescent understand how this information will improve health status now.

Accepted Answer

Adolescents are very present oriented, and they learn procedures and new information best if they can see how it will immediately benefit them. They learn poorly if the only benefit of new information presented to them is something that will affect them at some future date. Adolescents do not like to be reminded to pay attention. They have a strong need to be exactly like their friends, which means adolescents rarely continue any action that makes them different or conspicuous in front of their peers.

Question 11

Which teaching approach should the nurse use to teach a toddler about coughing and deep breathing?&#10;A) Showing a videotape&#10;B) Demonstrating the technique&#10;C) Discussing the importance of coughing&#10;D) Playing a game with coughing and breathing

Accepted Answer

The answer of Which teaching approach should the nurse use...

Question 12

While teaching a preschool-age child how to do postoperative exercises, the nurse recalls that the child will &#34;center&#34; on information. What impact does this have on the child's learning?&#10;A) The child will learn only the middle part of a procedure.&#10;B) The child will not retain information longer than a week.&#10;C) The child will need printed material to understand the teaching.&#10;D) The child will concentrate on one part of a procedure and appear not to hear another.

Accepted Answer

The answer of While teaching a preschool-age child how to...

Question 13

The nurse is caring for a school-age child who does not speak English. During the night, a procedure needs to be done and an interpreter is not available. What should the nurse do to teach the patient about this procedure?

A) Tell the parents to tell the child what will be happening.
B) Draw a picture of the procedure using an anatomically correct figure.
C) Call the interpreter on the phone to explain the procedure to the child.
D) A child of this age does not require a detailed explanation, just perform the procedure.

Accepted Answer

The answer of The nurse is caring for a school-age...

Question 14

The nurse is preparing to teach a 9-year-old patient with asthma about triggers related to the disease. Which approach should the nurse use for this teaching?&#10;A) Play an allergy trivia game with the patient.&#10;B) Show the patient a video about allergic reactions.&#10;C) Have the doctor teach the patient this information.&#10;D) Give the patient a list of foods that must be avoided.

Accepted Answer

The answer of The nurse is preparing to teach a...

Question 15

The nurse is planning to incorporate teaching while caring for a preschool-age child. Which statement would be appropriate for the nurse to use when caring and teaching this patient?&#10;A) &#34;Your pulse is 88.&#34;&#10;B) &#34;I need to put a needle in your arm.&#34;&#10;C) &#34;You have to try to eat all of your dinner.&#34;&#10;D) &#34;It's important to put a pillow under your leg so the swelling will go down.&#34;

Accepted Answer

The answer of The nurse is planning to incorporate teaching...

Deck 35: Communication and Teaching With Children and Families