Question 1

Select the element in managed care that has contributed to the need for increased client education.&#10;A)Use of the team method of nursing care&#10;B)High rates of nosocomial infections&#10;C)Emphasis on increased client responsibility for care&#10;D)Physician control of the health-care environment

Accepted Answer

The emphasis on increased client responsibility for care in managed care has led to the need for increased client education. Clients are expected to participate actively in their own care, and this requires understanding their health needs and self-care practices. Therefore, educating clients on their health condition and how to manage it is critical for successful outcomes in managed care.

Question 2

A client's reading comprehension level and ability to follow through on health instructions is called ____________________.Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

health literacy

Question 3

A client tells the nurse that she has been using a health information website to find information about her illness. Which statement by the client does the nurse need to correct?&#10;A)Some of the websites do not have very accurate information.&#10;B)All of my personal information will be kept secure.&#10;C)I should speak to my physician before using any alternative therapies.&#10;D)Other clients seem to be having the same symptoms I have.

Accepted Answer

Websites vary in their security measures, and not all can guarantee the complete security of personal information. It's important for individuals to be cautious about the information they share online.

Question 4

Identify the elements that are considered essential to include in an electronic client-education tracking system. Select all that apply.&#10;A)Client control&#10;B)Physician input&#10;C)Customized to each client&#10;D)Continuous tracking&#10;E)Successful outcomes

Accepted Answer

The answer of Identify the elements that are considered essential...

Question 5

Which is an important element for the nurse to remember when conducting a client language assessment?&#10;A)Did the client bring an interpreter to the hospital?&#10;B)What is the client's fluency in both the primary and secondary languages?&#10;C)How long has the client been living in America?&#10;D)What cultural health-care practices does the client use on a regular basis?

Accepted Answer

The client's fluency in both primary and secondary languages is an important element to consider when conducting a language assessment. This will help the nurse in determining the most effective way to communicate and provide care to the client. Other factors such as the use of an interpreter and cultural health practices may also be important, but not as crucial as the client's language proficiency.

Question 6

What was the key evidence-based finding that resulted from a study conducted in Denver in 1994 that compared the teaching of professional nurses with the teaching conducted by paraprofessional health-care providers in home health-care situations?

A)The teaching was comparable between the two groups.
B)Paraprofessionals teaching were much more cost effective than registered nurses.
C)Caution should be used in allowing health-care providers other than registered nurses to make home health-care visits.
D)The rates of readmissions were lower for the clients who were taught by paraprofessionals than it was with those taught by registered nurses.

Accepted Answer

The study found that caution should be used in allowing health-care providers other than registered nurses to make home health-care visits, indicating that the quality of care and outcomes might be compromised when paraprofessionals are used instead of registered nurses.

Question 7

Select the key element(s) that the Pew Commission Final Report identified as key to constructive interpersonal encounters. Select all that apply.&#10;A)Relationship centered&#10;B)Education based&#10;C)Culturally sensitive&#10;D)Caring&#10;E)Evaluated&#10;F)Collaborative

Accepted Answer

The answer of Select the key element(s) that the Pew...

Question 8

What is the primary reason a nurse should develop learning objectives for all client teaching?&#10;A)The nurse clarifies what actions or behaviors are expected.&#10;B)It is a requirement by the Joint Commission on Accreditation of Healthcare Organizations.&#10;C)Learning objectives help the nurse to organize the teaching materials.&#10;D)Clients who do not have objectives will learn material poorly.

Accepted Answer

Developing learning objectives helps the nurse clarify the specific actions, skills, or behaviors that the client is expected to learn. This also helps in customizing the teaching plan to cater to the individual needs of the client. It also provides a clear way of measuring the effectiveness of client teaching. While B and C may be considered secondary reasons, they are not the primary reason for developing learning objectives. Option D is incorrect as clients without objectives may still learn well depending on other teaching methods used.

Question 9

Select the factor that is most likely to increase a client's motivation to learn.&#10;A)A severe illness with the potential to be fatal&#10;B)The presence of the client's significant other during teaching session&#10;C)A college education&#10;D)A high socioeconomic level

Accepted Answer

The answer of Select the factor that is most likely...

Question 10

Which statement by the nurse would best indicate the nurse's use of the shared power concept in client teaching?&#10;A)If you do the procedure just as I showed you, you will not have any infections.&#10;B)The physician wants you to take this medication at the same time every day.&#10;C)Once you get home, you can do whatever you want.&#10;D)Tell me what your greatest concern is about being discharged.

Accepted Answer

This statement shows that the nurse is asking the client to express their concerns and is willing to listen and collaborate with the client to address them, indicating a shared power dynamic.

Question 11

Learning objectives that address positive attitudes, constructive feelings, and values (ethics) fall into which domain?&#10;A)Cognitive&#10;B)Affective&#10;C)Psychomotor&#10;D)Intellectual

Accepted Answer

The answer of Learning objectives that address positive attitudes, constructive...

Question 12

Which is a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement for client education?&#10;A)Hospital staff must act as skilled client educators&#10;B)All clients must receive some type of education during their care&#10;C)Physicians are primarily responsible for client education&#10;D)Documentation of client education must use a flow sheet

Accepted Answer

The answer of Which is a Joint Commission on Accreditation...

Deck 24: Client Education: a Moral Imperative