Question 1

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

Accepted Answer

The client who is excited to learn about their new prosthesis exhibits the highest motivation because they are actively engaged in the rehabilitation process and are eager to learn and improve their quality of life. The other clients described exhibit varying levels of reluctance or disinterest in following nursing directives, coaching others, or leaving the facility, indicating lower levels of motivation.

Question 2

A client is being discharged from the hospital after a myocardial infarction and has several new medications that have been added to her therapy. She also has been prescribed to follow a low-fat diet. The client states: "I'm never going to understand what to do, when to do it, and why I should be doing all these things". The nurse documents a potential problem related to:

Accepted Answer

The client's statement indicates a lack of understanding and knowledge related to the new medications and diet. This is a potential problem related to deficient knowledge.

Question 3

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

Accepted Answer

B,C,E,F

Question 4

A nursing student must present a teaching project to the class, using each of Bloom's (1956) domains. The student has several activities included in the project. Which of the following activities is an example of the affective domain?

Accepted Answer

Option D is an example of the affective domain as it involves identifying attitudinal changes that have occurred in the students' lives. The affective domain involves feelings, emotions, and attitudes. Options A, B, and C are examples of the psychomotor and cognitive domains.

Question 5

A client has an incision with 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

The client's statement of feeling nauseous indicates a need to postpone teaching until the client is feeling better and can fully concentrate on the information being presented.

Question 6

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

Accepted Answer

The answer of Nurses working in an outpatient clinic setting...

Question 7

A client of a domiciliary nursing agency requires vitamin B12 injections every two weeks and insists on self-administration. The client is legally blind. The best way to assist this client is for the nurse to:

Accepted Answer

Prefilling syringes with the correct dose is the best option for this client as they insist on self-administration and are legally blind. This allows the client to have the independence of self-administration while also ensuring accuracy in dosing. It also eliminates the need for the client or their spouse to draw up the medication, which could potentially lead to errors.

Question 8

A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they are still in the hospital. Which of the following statements by a parent reflects a readiness to learn?

Accepted Answer

The statement reflects a readiness to learn as the parent is actively seeking to ensure they understand the information by involving their spouse, indicating engagement and willingness to learn.

Question 9

The nurse has completed client teaching regarding medication administration. Which of the following statements by the client best illustrates compliance?

Accepted Answer

Option C indicates understanding and a positive attitude towards medication administration, suggesting that the client is more likely to comply with the instructions given by the nurse. Option A addresses the benefits of taking medications as prescribed, but does not necessarily indicate compliance. Option B suggests that the client already knew the information, but does not address whether they will comply with medication administration. Option D suggests that the client may have difficulty remembering medication administration, indicating potential noncompliance.

Question 10

A client is practicing using an incentive spirometer after surgery. The nurse has explained the use, demonstrated how it works, and also given rationale for the client to continue to use this device. By mastering the use of this device, the client will demonstrate learning in which of Bloom's domains?

Accepted Answer

Mastering the use of an incentive spirometer requires performing a physical skill, which falls under the psychomotor domain of Bloom's taxonomy.

Question 11

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 make sure that the teaching includes which of the following?

Accepted Answer

Andragogy, or adult learning theory, emphasizes the importance of making learning relevant to adults' lives. Providing directions about how to become an organ donor directly applies to the learners' ability to take action, making the learning immediately applicable and relevant to their lives.

Question 12

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

Accepted Answer

Bandura's imitation emphasizes the importance of observation and modeling in the learning process, which is exactly what the nurse educator is doing by demonstrating the proper technique for administering an intramuscular injection. Pavlov's conditioning response, Thorndike's behaviourism, and Skinner's positive reinforcement all focus on the relationship between a behavior and its consequences, which is not the primary focus of the nurse's demonstration.

Question 13

When teaching clients, the nurse recognises that learning is more effective when:

Accepted Answer

Learning is more effective when learners actively engage with the material and discover content for themselves, as this promotes deeper understanding and retention.

Question 14

According to Lewin's (1951) theory of cognitivism, learning is a complex activity that involves what four types of changes?

Accepted Answer

The answer of According to Lewin's (1951) theory of cognitivism,...

Question 15

When nurses are teaching a client, they may use a discovery/problem-solving approach. An example of this would be:

Accepted Answer

The discovery/problem-solving approach is a collaborative approach where both the nurse and the client share information and discuss future actions. The client is encouraged to discover and solve problems on their own. This approach is different from simply questioning the client about their health beliefs (A) or what they have discovered (D), as it involves mutual information sharing and decision-making. While the client deciding the action is necessary (B) is important, it is not indicative of the discovery/problem-solving approach.

Question 16

A nurse educator is working with a group of students who are in their first clinical rotation. They have had a particularly busy clinical day. All have felt rushed to complete medication administration as well as personal cares for their assigned clients. Charting has been completed and they are ready to leave the clinical area for the day. A client on the unit needs medication delivered by a Z-track injection and the Clinical Nurse asks the nurse educator if one of the students would like to perform this. The nurse educator, understanding the important concepts surrounding timing and environment in a learning experience, makes this comment to the Clinical Nurse:

Accepted Answer

The nurse educator recognizes that the students have had a busy clinical day and may not be ready to perform a new skill at this time. By suggesting that the students observe the procedure today and do it next time, the nurse educator is creating a safe learning environment where the students can focus on learning without rushing or feeling pressured. It is important to ensure that students have adequate time and support when learning new skills to ensure patient safety and effective skill development.

Question 17

The nurse is working with a group of older-aged clients through a community senior citizens' centre. Utilising an understanding of health literacy, the nurse will make sure that:

Accepted Answer

Teaching includes a variety of approaches and there is ample time for teaching are important for health literacy.

Question 18

When assessing the learning needs of a client, the nurse considers all of the following except:

Accepted Answer

The quality of resources is actually an important factor to consider when assessing the learning needs of a client. The nurse should consider the availability and quality of resources, such as written materials, videos, or technology, that the client may need to facilitate their learning. Therefore, all of the options listed should be considered when assessing the learning needs of a client.

Question 19

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis. How can the nurse best increase the client's motivation to learn?

Accepted Answer

Encouraging the client's participation in the procedure can help increase their motivation to learn. This can be done by explaining the importance of the procedure and the role it plays in managing their diabetes. The nurse can also ask the client for their input and allow them to ask questions or express concerns. Involving the client in their own care can improve their sense of control and autonomy. Demonstrating the procedure on the nurse or offering to do it for the client each time may not empower the client to take charge of their own care. Teaching the client's support system can be helpful but should not be the nurse's first intervention.

Question 20

The use of the internet as a source of health information has implications for nurses as educators because:

Accepted Answer

Nurses need to integrate the use of internet health information into their teaching plans where relevant. With the increasing use of technology and the internet, it is important for nurses to be aware of the quality and accuracy of online health information and to educate patients on how to critically evaluate this information.

Quiz 28: Teaching and Learning