Deck 41: Teaching and Learning
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Deck 41: Teaching and Learning
1
A community health nurse runs a clinic that provides health screening mainly to Mexican American and Filipino American clients.The nurse wants to have a class on smoking cessation for interested adults of this group.What action should the nurse take to adjust their time orientation?
A) Begin classes when a group of clients has gathered.
B) Mail letters ahead of time to make sure clients are informed about the upcoming class.
C) Make posters and place them in areas of the community frequented by these groups.
D) Make sure that the classes are held at specific times.
A) Begin classes when a group of clients has gathered.
B) Mail letters ahead of time to make sure clients are informed about the upcoming class.
C) Make posters and place them in areas of the community frequented by these groups.
D) Make sure that the classes are held at specific times.
Begin classes when a group of clients has gathered.
2
The nurse is caring for a client who has been diagnosed with diabetes mellitus.The client must learn how to independently perform finger stick blood sugar analysis as part of the plan of care.The client says,"I already know what you are attempting to teach because I looked everything up on the internet." Which is the best action by the nurse based on the client's statement?
A) Document that the client understands teaching.
B) Teach the client's support system how to perform the procedure.
C) Give the client printed learning materials.
D) Watch the client perform a return demonstration of the skill.
A) Document that the client understands teaching.
B) Teach the client's support system how to perform the procedure.
C) Give the client printed learning materials.
D) Watch the client perform a return demonstration of the skill.
Watch the client perform a return demonstration of the skill.
3
The nurse is teaching a client how to properly administer a new medication.The client goal for this teaching is compliance with the medication regimen.Which client statement best illustrates compliance?
A) "I already knew most of what you told me."
B) "If I take my medications as prescribed, I'll feel better."
C) "Knowing how to take a new medication properly makes the process much easier."
D) "I think you should have waited until I was ready to go home. Maybe I'd remember better."
A) "I already knew most of what you told me."
B) "If I take my medications as prescribed, I'll feel better."
C) "Knowing how to take a new medication properly makes the process much easier."
D) "I think you should have waited until I was ready to go home. Maybe I'd remember better."
"Knowing how to take a new medication properly makes the process much easier."
4
A home health nurse is working with a client who has chronic obstructive pulmonary disease.Which nursing diagnosis will take the highest priority for implementing client education?
A) Impaired Gas Exchange
B) Ineffective Breathing Pattern
C) Anxiety
D) Activity Intolerance
A) Impaired Gas Exchange
B) Ineffective Breathing Pattern
C) Anxiety
D) Activity Intolerance
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5
A nurse is working in a neonatal intensive care unit (NICU).The nurse wants to teach a mother of a premature baby how to give her baby a bath.Which statement by the mother reflects a readiness to learn?
A) "You'll give us written instructions before we go home, correct?"
B) "When my baby is just a little bigger, I'll feel more comfortable giving him a bath."
C) "I want to make sure my husband is here, in case I don't hear everything that's said."
D) "I'm so afraid I'll hurt my baby with all these tubes and wires."
A) "You'll give us written instructions before we go home, correct?"
B) "When my baby is just a little bigger, I'll feel more comfortable giving him a bath."
C) "I want to make sure my husband is here, in case I don't hear everything that's said."
D) "I'm so afraid I'll hurt my baby with all these tubes and wires."
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6
The nurse is conducting a class for a group of pregnant clients.Which topic should the nurse include with regard to safety of the fetus?
A) Pedestrian accidents
B) Suffocation in the crib
C) Alcohol consumption
D) Drowning
A) Pedestrian accidents
B) Suffocation in the crib
C) Alcohol consumption
D) Drowning
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7
A nurse is preparing to discharge a client who experienced a myocardial infarction.The client will have to make many lifestyle changes and the nurse is providing instruction on how to implement a heart-healthy lifestyle.Which is the best description of the client education the nurse presented to this client?
A) Dependent function of nursing that needs a healthcare provider's order to implement.
B) Important independent nursing function.
C) Activity nurses learn on the job.
D) Way to establish the client's dependence on the nurse.
A) Dependent function of nursing that needs a healthcare provider's order to implement.
B) Important independent nursing function.
C) Activity nurses learn on the job.
D) Way to establish the client's dependence on the nurse.
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8
A nurse is providing a series of educational workshops for caregivers of clients enrolled in an Alzheimer day treatment program.Which would be appropriate topics for this group? Select all that apply.
A) Understanding dementia behaviors
B) Caregiver stress relief
C) Safety precautions
D) Support service information
E) Methods for curing the disease
A) Understanding dementia behaviors
B) Caregiver stress relief
C) Safety precautions
D) Support service information
E) Methods for curing the disease
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9
A nurse is caring for a child who is hospitalized for an exacerbation of asthma.The nurse is preparing discharge teaching,as the client will be going home on nebulizer treatments and an inhaler.The family members speak little English.In addition to enlisting an interpreter to help with the language barrier,what should be a priority for the nurse?
A) Provide written instructions before discharge.
B) Make sure the parents can set up the treatments for their child.
C) Make sure the child comes back for the follow-up appointment.
D) Address any healing beliefs the family has.
A) Provide written instructions before discharge.
B) Make sure the parents can set up the treatments for their child.
C) Make sure the child comes back for the follow-up appointment.
D) Address any healing beliefs the family has.
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10
The nurse provides medication teaching for a client who will be going home on new medications.Which statement by the client best illustrates compliance with the medication plan?
A) "I think you should have waited until I was ready to go home. Maybe I'd remember better."
B) "I'm glad to know about my new medications. It makes taking them all a lot easier."
C) "If I take my medications as prescribed, I'll feel better."
D) "I already knew most of what you told me."
A) "I think you should have waited until I was ready to go home. Maybe I'd remember better."
B) "I'm glad to know about my new medications. It makes taking them all a lot easier."
C) "If I take my medications as prescribed, I'll feel better."
D) "I already knew most of what you told me."
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11
The nurse is caring for a client who has recently received a permanent colostomy.The client will be going home in several days and requires discharge teaching.What should the nurse do when organizing the teaching experience?
A) Ask the client to tell the nurse what is known about caring for the colostomy.
B) Make sure the client's spouse is present before the teaching session begins.
C) Start from the beginning and proceed through all steps required to perform colostomy care.
D) Break the information into small sessions to enhance learning.
A) Ask the client to tell the nurse what is known about caring for the colostomy.
B) Make sure the client's spouse is present before the teaching session begins.
C) Start from the beginning and proceed through all steps required to perform colostomy care.
D) Break the information into small sessions to enhance learning.
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12
A nursing student has been assigned to present a teaching project to the class,using each of Bloom's taxonomy domains.The student has planned several activities to include when presenting the project to the class.Which activities are within the affective domain? Select all that apply.
A) Class members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class.
B) Class members must list the technical skills they have learned.
C) Class members must demonstrate a favorite nursing skill for the class.
D) Class members must reflect on how they felt the first time they provided direct client care.
E) Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.
A) Class members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class.
B) Class members must list the technical skills they have learned.
C) Class members must demonstrate a favorite nursing skill for the class.
D) Class members must reflect on how they felt the first time they provided direct client care.
E) Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.
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13
The nurse educator is preparing to teach a group of nursing students how to navigate the internet for researching healthcare information.Which does the educator plan to include during lecture?
A) A directory of campus internet sites of interest
B) How to search for and evaluate health information
C) A directory of libraries
D) Information technology instruction
A) A directory of campus internet sites of interest
B) How to search for and evaluate health information
C) A directory of libraries
D) Information technology instruction
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14
The nursing student is planning an educational program for a school project.The program is focusing on cancer detection education for a community group.What should the nursing student plan to include in order to address the various learning styles of the target group?
A) A lecture using many examples for each learning need
B) Multicolored brochures with bright colors
C) A game board, with client matching terms
D) Audiovisuals, examples, group discussions, and activities
A) A lecture using many examples for each learning need
B) Multicolored brochures with bright colors
C) A game board, with client matching terms
D) Audiovisuals, examples, group discussions, and activities
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15
A nurse is preparing to teach a group of college students about organ donation.What should the teaching include to follow andragogic concepts?
A) Directions about how to become an organ donor
B) Past statistics about organ donors
C) Information on how this group can influence their parents about organ donation
D) Written pamphlets on organ donation
A) Directions about how to become an organ donor
B) Past statistics about organ donors
C) Information on how this group can influence their parents about organ donation
D) Written pamphlets on organ donation
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16
The nurse is caring for an adult client who has been diagnosed with high cholesterol.Which is important for the nurse to consider when teaching this adult client?
A) Adults are more oriented to learning when the material is useful immediately.
B) Adults are more likely to adhere to a regimen than are children.
C) Adults usually can find information on their own.
D) Adults do not need to be evaluated for understanding as children do.
A) Adults are more oriented to learning when the material is useful immediately.
B) Adults are more likely to adhere to a regimen than are children.
C) Adults usually can find information on their own.
D) Adults do not need to be evaluated for understanding as children do.
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17
The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?
A) Risk for Injury
B) Risk for Suffocation
C) Deficient Knowledge
D) Risk for Disuse Syndrome
A) Risk for Injury
B) Risk for Suffocation
C) Deficient Knowledge
D) Risk for Disuse Syndrome
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18
A client who had outpatient surgery is given an instruction sheet in preparation for discharge.When the nurse asks if the instructions are clear,the client says,"I'll read them later when I have my glasses; besides,you told me everything I need to know." Based on these statements,what would the nurse suspect?
A) The client may be unable to read the instructions.
B) The client already knows the information.
C) The client does not want the written information.
D) The client is ready to learn.
A) The client may be unable to read the instructions.
B) The client already knows the information.
C) The client does not want the written information.
D) The client is ready to learn.
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19
A home health nurse is admitting a new client to the agency who was recently discharged from the hospital with a new diagnosis of pulmonary fibrosis.Which does the nurse recognize as a priority for the client's initial follow-up care?
A) The client will be able to set up and administer a nebulizer treatment by the end of the day.
B) The client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days.
C) The client will have a positive attitude about the diagnosis by the end of the month.
D) The client will have increased activity level by the end of the week.
A) The client will be able to set up and administer a nebulizer treatment by the end of the day.
B) The client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days.
C) The client will have a positive attitude about the diagnosis by the end of the month.
D) The client will have increased activity level by the end of the week.
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20
A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements.Which client is exhibiting the highest motivation to learn?
A) A client who has been there the longest and is a great "coach" for newcomers
B) A client who has been struggling with following nursing directives regarding discharge goals
C) A client who is excited to learn ambulation techniques
D) The client who has just moved in and is already eager for discharge
A) A client who has been there the longest and is a great "coach" for newcomers
B) A client who has been struggling with following nursing directives regarding discharge goals
C) A client who is excited to learn ambulation techniques
D) The client who has just moved in and is already eager for discharge
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21
The nurse manager on the unit involves the staff nurses in developing effective educational programs based on topics they have chosen at staff meetings.The nurses on the unit realize that being involved in staff education helps identify which responsibility?
A) Personal, peer, and staff learning needs
B) Effective teachers on the unit
C) The roles each nurse has on the unit
D) Improvements that need to be made
A) Personal, peer, and staff learning needs
B) Effective teachers on the unit
C) The roles each nurse has on the unit
D) Improvements that need to be made
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22
The nurse manager of a neonatal intensive care unit (NICU)is planning continuing education for the development of the staff.The manager is asking an expert to conduct a class regarding the newest information on developmentally appropriate care.Which outcome indicates the goal of the education has been met?
A) The staff can set up a developmentally appropriate incubator in the classroom.
B) The staff members state that they feel competent in providing developmentally appropriate care to their clients.
C) The staff uses the information on the unit with a client successfully.
D) The unit educator states that the nurses passed the written exam.
A) The staff can set up a developmentally appropriate incubator in the classroom.
B) The staff members state that they feel competent in providing developmentally appropriate care to their clients.
C) The staff uses the information on the unit with a client successfully.
D) The unit educator states that the nurses passed the written exam.
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23
The nurse who is being mentored knows that which phase of the mentoring relationship deals with plan implementation and achieving professional development goals?
A) Cultivation during years 2-5
B) Initiation during months 6-12
C) Redefinition during years 6-12
D) Separation during months 5-24
A) Cultivation during years 2-5
B) Initiation during months 6-12
C) Redefinition during years 6-12
D) Separation during months 5-24
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24
The nurse asks the client to repeat the information taught during the discharge teaching session.The client states,"I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?
A) Writing down and repeating the information as the nurse teaches
B) Having the client wait to ask questions until after the presentation
C) Assigning another nurse to provide the teaching for the client
D) Asking the client their preferred learning strategies
A) Writing down and repeating the information as the nurse teaches
B) Having the client wait to ask questions until after the presentation
C) Assigning another nurse to provide the teaching for the client
D) Asking the client their preferred learning strategies
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25
The nurse on the intensive care unit (ICU)likes the fact that the nurse manager has helped improve the overall performance of the unit by actively communicating during the performance appraisal process.Which career development strategy is exhibited by this nurse manager?
A) Coaching
B) Autocratic
C) Laissez-faire
D) Situational
A) Coaching
B) Autocratic
C) Laissez-faire
D) Situational
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26
The staff development educators require that all nurses attend an annual cardiopulmonary resuscitation (CPR)update even though the American Heart Association only requires revalidation of knowledge and skill every two years.When asked by a participant why this is a necessary,which response by the staff development educator is appropriate?
A) "Since this is a mandatory requirement that is not used on a daily basis, we need to assess your skill annually."
B) "We are required to provide a minimum number of contact hours in order to maintain our certification as educators."
C) "Your nurse manager requires this. If you disagree, you should speak directly with the manager."
D) "Why don't you want prove you can perform this mandatory requirement of your position?"
A) "Since this is a mandatory requirement that is not used on a daily basis, we need to assess your skill annually."
B) "We are required to provide a minimum number of contact hours in order to maintain our certification as educators."
C) "Your nurse manager requires this. If you disagree, you should speak directly with the manager."
D) "Why don't you want prove you can perform this mandatory requirement of your position?"
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27
A nurse conducted a safety class for a group of older adult clients in the community on fall prevention.Which client action during a follow-up visit in the home indicates understanding of the information presented?
A) All meats have been placed in the freezer.
B) The locks on all the doors have been changed.
C) Scatter rugs have been placed in the kitchen.
D) Non-slip strips have been installed in the shower.
A) All meats have been placed in the freezer.
B) The locks on all the doors have been changed.
C) Scatter rugs have been placed in the kitchen.
D) Non-slip strips have been installed in the shower.
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28
A new nurse to the unit is assigned a preceptor.Which skills does the preceptor usually assist the new nurse in performing? Select all that apply.
A) Clinical nursing skills
B) Routine unit activities
C) Policies and procedures
D) Feedback questionnaires
E) Leadership expectations
A) Clinical nursing skills
B) Routine unit activities
C) Policies and procedures
D) Feedback questionnaires
E) Leadership expectations
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29
The professional development courses are offered on every shift so all nurses will have an opportunity to participate.Which is the role of the staff nurse during these courses?
A) Identifying strengths and areas of improvement
B) Offering support to one another
C) Providing peer feedback
D) The ability to trade shifts with one another
A) Identifying strengths and areas of improvement
B) Offering support to one another
C) Providing peer feedback
D) The ability to trade shifts with one another
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30
A novice nurse is talking to the nurse mentor regarding the benefits of joining a professional organization.Which is the greatest benefit from becoming involved in a professional organization?
A) Establish networking to provide better client care.
B) Learn about new nursing products on the market.
C) Gain an appreciation of the history of nursing.
D) Increase knowledge of hospital policy.
A) Establish networking to provide better client care.
B) Learn about new nursing products on the market.
C) Gain an appreciation of the history of nursing.
D) Increase knowledge of hospital policy.
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31
A novice nurse has completed a 12-week orientation period in a neurovascular intensive care unit (ICU).The nurse would like a mentor on the unit to go to with questions or concerns.Who is the best choice for this novice nurse's mentor?
A) An informal leader on the unit.
B) A charge nurse.
C) A nurse with 1 year of experience.
D) The nurse manager.
A) An informal leader on the unit.
B) A charge nurse.
C) A nurse with 1 year of experience.
D) The nurse manager.
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