Question 1

A nurse is working with a recently immigrated family who speak little English and whose child is hospitalized with asthma.The child is being discharged with aerosols and an inhaler.In addition to enlisting an interpreter to help with the language barrier,what is the priority action by the nurse?

Accepted Answer

B

Question 2

When making an assessment of the client's learning needs,the nurse will focus on which of the following elements?

Accepted Answer

The client's support system is essential to consider during the assessment of learning needs as it can greatly impact the client's ability to learn and implement new information. The other options, sensory acuity and gender, may be factors to consider in some situations, but they are not as critical as the client's support system. The nurse's knowledge is important, but it is not the focus of the assessment of the client's learning needs.

Question 3

Meeka,15,has been diagnosed with Type 2 diabetes and must learn how to do her own finger stick blood sugar analysis as part of her treatment.She has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase Meeka's motivation to learn?

Accepted Answer

Encouraging Meeka's participation each time the procedure is performed would be the best way to increase her motivation to learn. This allows her to take an active role in managing her diabetes and empowers her to take control of her health. By participating in the procedure herself, Meeka will also become more familiar and comfortable with the process over time. It is important for the nurse to provide guidance and support during each session to ensure proper technique and accuracy. Additionally, teaching Meeka's family how to perform the procedure can also be helpful in providing a support system for her. However, the key factor in increasing Meeka's motivation is encouraging her own participation and involvement. Demonstrating the finger stick on the nurse or offering to perform the procedure for Meeka each time would not give her the opportunity to learn and become independent in managing her diabetes.

Question 4

Mrs.Jhang,56,has an incision requiring a complex dressing change.The client is scheduled to be discharged home and the wound will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?

Accepted Answer

Feeling nauseous can indicate that the client is not in a good physical condition to receive teaching and it may not be effective to provide education at this time. The client may need time to rest and recover before receiving any further teaching.

Question 5

A nurse educator working with a group of students demonstrates how to administer an intramuscular injection.The nurse is using which theoretical construct of learning?

Accepted Answer

Bandura's imitation theory involves observing and replicating others' behavior, which is what the nursing educator is demonstrating to the students. Thorndike's behaviorism and Skinner's positive reinforcement theories focus on shaping behavior through rewards and punishments, while Pavlov's conditioning response theory focuses on linking a stimulus with a response. None of these theories directly relate to the demonstration of an intramuscular injection.

Question 6

The nurse is working with a client who has been diagnosed with diabetes and must learn how to self-administer insulin.Which statement regarding feedback will be most beneficial to the client?

Accepted Answer

This statement provides specific feedback and instruction on how to improve the technique, which will be most beneficial for the client in learning to self-administer insulin. Option A does not provide relevant feedback, while option B suggests relying on someone else instead of empowering the client to manage their own care. Option D may create anxiety and pressure for the client, which can hinder their ability to learn effectively.

Question 7

Mrs.Duzendorf,45,a home health client who is legally blind,requires vitamin B12 injections every two weeks and insists on self-administration.What is the best way for the nurse to assist this client?

Accepted Answer

Pre-filling the syringes with the correct dose will ensure accuracy and allow the client to self-administer safely. Teaching her spouse to draw up the medication may not be feasible or may not guarantee accuracy. Telling the client it is not safe for a blind person to self-administer is not empowering and may not be true, as many individuals with visual impairments are capable of safely self-administering medication. Scheduling clinic appointments to coincide with the dosing schedule may not be convenient or practical for the client.

Question 8

The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days.When organizing the teaching/learning experience,what should the nurse do?

Accepted Answer

It is important to identify what the client already knows about colostomy care before proceeding with further teaching. This helps to avoid repeating information unnecessarily and allows the nurse to focus on areas that the client may need additional education on. Breaking up sessions and ensuring the client's spouse is present may also be helpful, but discovering the client's current knowledge level should be the initial step in organizing the teaching/learning experience. Starting from the beginning and proceeding through all material may be overwhelming for the client and may not be necessary if the client already has some understanding of colostomy care.

Question 9

A nurse involved in educating a community group to appreciate the uniqueness of mentally disabled citizens is working with which domain of learning?

Accepted Answer

The affective domain of learning involves changes in attitudes, values, and feelings. The nurse is working to educate the community group to appreciate the uniqueness of mentally disabled citizens, which involves changing their attitudes and values towards this population.

Question 10

The nursing diagnosis health-seeking behaviour (nutrition and diet)related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.An appropriate outcome for this client would be which of the following?

Accepted Answer

The appropriate outcome for the nursing diagnosis health-seeking behaviour (nutrition and diet)related to desire to improve nutritional intake would be for the client to list foods that are nutritionally sound, low fat, and high fiber. This outcome demonstrates that the client has gained knowledge and understanding of healthy eating habits, which will ultimately result in improved nutrition and health. While options A, B, and D are related to healthy eating habits, they are not as specific or measurable as option C.

Question 11

Which of the following is a type of change influencing learning,according to Lewin's theory of cognitivism?

Accepted Answer

According to Lewin's theory of cognitivism, cognitive structure is a type of change that influences learning. Cognitive structure refers to the way an individual organizes information and makes connections between new information and existing knowledge. This can be influenced by changes in experiences, beliefs, and attitudes.

Question 12

A nurse educator and her students are preparing to leave a hospital unit.A staff nurse asks if one of the students would like to perform a Z-track injection,a skill not yet practiced by the students.The instructor,understanding concepts surrounding timing for a learning experience,should choose which response?

Accepted Answer

It is important to consider timing and the level of skill development of the students when introducing new procedures. Since the students have not yet practiced Z-track injections, it may be best for them to observe it first before attempting the procedure. By choosing option B, the nurse educator can still provide a valuable learning experience without compromising patient safety.

Question 13

Mrs.Lim,59,is being discharged from the hospital after a myocardial infarction and is prescribed several new medications and a low-fat diet.She states,"I'm never going to understand what to do." The nurse formulates which of the following nursing diagnoses for this client?

Accepted Answer

Mrs. Lim's statement indicates a lack of understanding about her new medications and low-fat diet. This suggests a deficient knowledge related to inexperience with these things. The other options are not supported by the given information.

Question 14

A nurse is planning a community health education project that deals with organ donation,and the target audience is a group of adults.When following andragogic concepts,the nurse should ensure that the teaching includes which of the following?

Accepted Answer

Andragogic concepts focus on adult learning and involve active participation and problem-solving. Providing directions on how to become a donor aligns with this concept as it encourages the adults to take an active step towards organ donation. While statistics about organ donors may be useful information, it may not necessarily engage the participants in active learning. Written pamphlets may also be helpful but may not allow for active participation. Information on how adults can influence their children is important but not directly related to the topic at hand.

Question 15

Zack,a nursing student,is presenting a teaching project to the class,using each of Bloom's domains for the project's class activities.Which of the following activities is an example of the affective domain?

Accepted Answer

The affective domain deals with attitudes, values, and emotions. Identifying attitudinal changes fits into this domain. B, C, and D are all examples of the cognitive domain, which deals with knowledge and understanding.

Question 16

Nurses working in an outpatient clinic setting are developing teaching strategies for clients with complex treatment requirements.Utilizing the behaviourist theory of learning,these nurses will do which of the following?

Accepted Answer

The behaviorist theory of learning focuses on observable behaviors and how they're influenced by stimuli. It emphasizes the use of reinforcement and punishment to shape behavior. Therefore, praising clients for correct behavior is a direct application of this theory, as it serves as positive reinforcement for the desired behavior.

Question 17

Jenna,16,is practicing using an incentive spirometer after surgery.Her nurse has explained its use,demonstrated how it works,and has also given rationale as to why it is important to use it.By mastering the use of the spirometer,Jenna will demonstrate learning in which of Bloom's domains?

Accepted Answer

Using an incentive spirometer involves physical movements and coordination, which falls under the psychomotor domain of Bloom's taxonomy.

Question 18

A home health nurse is conducting teaching sessions with a client who has pulmonary fibrosis.Which of the following client outcomes will take the highest priority?

Accepted Answer

The answer of A home health nurse is conducting teaching...

Question 19

A nurse is conducting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which of the residents described exhibits the highest motivation?

Accepted Answer

Mr. Olander's excitement to learn about his new prosthesis indicates a higher level of motivation compared to the other residents. Jan has been struggling with following nursing directives and Mr. Keevers may be eager to leave but it is unclear what his motivation is for doing so. Mrs. Zann's helpfulness in coaching newcomers does not necessarily indicate a high level of personal motivation.

Question 20

What is one advantage of using computer-assisted instruction (CAI)?

Accepted Answer

One advantage of using computer-assisted instruction is that clients can learn at the pace that suits them best, ensuring individualized learning and greater comprehension.

Quiz 26: Teaching and Learning