Question 1

A home health nurse tells a client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." What technique is the nurse using to compliment the client's progress?

Accepted Answer

Important keys to success when evaluating learning are consistent, immediate, and frequent positive reinforcement, and teaching a small number of skills at any one time, thus creating a high possibility that the learner will master them.

Question 2

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?

Accepted Answer

Cognitive learning theory is the result of people wanting to make sense of the world around them by assimilating and processing information to gain new understandings and insights.

Question 3

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn?

Accepted Answer

Educating a new mother about the physiology of the breast and its role in milk production is an example of cognitive learning.

Question 4

A client states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty." This is an example of what kind of learning?

Accepted Answer

Affective refers to emotions or feelings. Affective learning changes beliefs, attitudes, or values.

Question 5

A client shares with the nurse how much she appreciates understanding the physiology of her breastfeeding. She states, "I felt very comfortable with what you explained to me and I feel I will be successful at breastfeeding." In affective learning, this represents:

Accepted Answer

When working with clients to change beliefs, values, and attitudes, the nurse creates an atmosphere in which clients can honestly and freely discuss their feelings and emotions.

Question 6

A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning?

Accepted Answer

Psychomotor refers to the muscular movements learned to perform new skills and procedures.

Question 7

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept?

Accepted Answer

Effective learning occurs when clients and healthcare professionals are equal participants in the teaching-learning process.

Question 8

Educating women on diet and exercise is an example of what type of client education?

Accepted Answer

Health promotion activities are general recommendations and concentrate on improving someone's overall well-being.

Question 9

When the nurse instructs a client about breast self-examination, the primary purpose of the client education is:

Accepted Answer

Client education also focuses on the knowledge and skills for early detection or prevention of disease and disability. Studies have proven the importance of early detection in support of teaching breast self-examination.

Question 10

A home health nurse is visiting a 40-year-old client who has had abdominal surgery. The client is unable to change dressing because of obesity. The nurse is to instruct the client's spouse on the sterile dressing technique. During the visit, the nurse notes that the spouse has limited abilities due to mental disabilities. To determine the spouse's literacy, assessment of which area for the spouse would be appropriate?

Accepted Answer

Tools to determine literacy include reading tests such as the Wide Range Achievement Test (WRAT) and Rapid Estimate at Adult Literacy in Medicine (REALM), which ask a person to read a passage out loud.

Question 11

When the newly diagnosed client with type 1 diabetes tells the nurse that the client has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is:

Accepted Answer

Many factors can contribute to deficient knowledge, such as a lack of exposure, lack of recall, information misinterpretation, cognitive limitations, lack of interest in learning, and unfamiliarity with information resources.

Question 12

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women?

Accepted Answer

Lecture/discussion is appropriate for this topic, audience, and group size. A lecture is a formal presentation of information by a teacher to a group of learners. This format is most effective when communicating facts.

Question 13

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults?

Accepted Answer

Older adults need more time to learn psychomotor skills. Sessions of 2 to 3 hours are too long; short-term rather than long-term memory loss affects older adults; and information can be structured or nonstructured, depending on the content.

Question 14

The School of Health Sciences, campus health center, and acute care facility establish a wellness center for the uninsured. This is an example of:

Accepted Answer

Healthcare priorities include health development and development of community partnerships for health promotion activities.

Question 15

Which health promotion activity would be the most appropriate to suggest to a 20-year-old female?

Accepted Answer

Health promotion activities are behaviors that seek to expand the potential for health and are often associated with lifestyle choices.

Question 16

The nurse is instructing about illness prevention when the nurse tells new mothers to be certain that their newborns are:

Accepted Answer

Avoidance behaviors (immunizations) are used to avoid illness rather than to promote health.

Question 17

The local health department inspects restaurants and food manufacturing facilities. This is an example of:

Accepted Answer

Health protection activities are environmental or regulatory measures that seek to protect the health of a community or large population.

Question 18

A primary health maintenance concern for adolescents is:

Accepted Answer

Primary health concerns of adolescents include prevention of sexually transmitted infections and pregnancy, avoiding drugs and alcohol, and maintaining health.

Question 19

An appropriate topic on secondary prevention and health maintenance for a group of middle-age adults is:

Accepted Answer

Health maintenance with adults focuses more on secondary prevention, such as exercise, nutrition, social stimulation, and regular medical checkups.

Question 20

A woman is admitted to the medical division with pelvic inflammatory disease. Which statement would indicate that she requires more education on health promotion and illness prevention?

Accepted Answer

A person's lifestyle and habits strongly affect health maintenance.

Quiz 15: Patient Education and Health Promotion