Question 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.

Accepted Answer

A) Cultures with a predominant orientation to the present include the Mexican American, Navajo Native American, Appalachian, Eskimo, and Filipino American cultures. Schedules have to be very flexible in present-oriented societies. Time constraints are not significant for cultures that are oriented to the present, so advertising about specific classes may not be effective. The nurse must be quite flexible, treat the culture's beliefs with respect, and not expect that cultural practices will change to reflect the nurse's needs.
B) Cultures with a predominant orientation to the present include the Mexican American, Navajo Native American, Appalachian, Eskimo, and Filipino American cultures. Schedules have to be very flexible in present-oriented societies. Time constraints are not significant for cultures that are oriented to the present, so advertising about specific classes may not be effective. The nurse must be quite flexible, treat the culture's beliefs with respect, and not expect that cultural practices will change to reflect the nurse's needs.
C) Cultures with a predominant orientation to the present include the Mexican American, Navajo Native American, Appalachian, Eskimo, and Filipino American cultures. Schedules have to be very flexible in present-oriented societies. Time constraints are not significant for cultures that are oriented to the present, so advertising about specific classes may not be effective. The nurse must be quite flexible, treat the culture's beliefs with respect, and not expect that cultural practices will change to reflect the nurse's needs.
D) Cultures with a predominant orientation to the present include the Mexican American, Navajo Native American, Appalachian, Eskimo, and Filipino American cultures. Schedules have to be very flexible in present-oriented societies. Time constraints are not significant for cultures that are oriented to the present, so advertising about specific classes may not be effective. The nurse must be quite flexible, treat the culture's beliefs with respect, and not expect that cultural practices will change to reflect the nurse's needs.

Question 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.

Accepted Answer

A) The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support individual does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.
B) The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support individual does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.
C) The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support individual does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.
D) The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support individual does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.

Question 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."

Accepted Answer

A) Compliance is best illustrated when the individual recognizes and accepts the need to learn, then follows through with appropriate behaviors that reflect learning. Learning about the medications helps the client understand why they are prescribed and improves the possibility for following the prescribed regimen. Statements of prior knowledge do not necessarily lead to compliance, and neither does merely following the advice of the healthcare prescriber.
B) Compliance is best illustrated when the individual recognizes and accepts the need to learn, then follows through with appropriate behaviors that reflect learning. Learning about the medications helps the client understand why they are prescribed and improves the possibility for following the prescribed regimen. Statements of prior knowledge do not necessarily lead to compliance, and neither does merely following the advice of the healthcare prescriber.
C) Compliance is best illustrated when the individual recognizes and accepts the need to learn, then follows through with appropriate behaviors that reflect learning. Learning about the medications helps the client understand why they are prescribed and improves the possibility for following the prescribed regimen. Statements of prior knowledge do not necessarily lead to compliance, and neither does merely following the advice of the healthcare prescriber.
D) Compliance is best illustrated when the individual recognizes and accepts the need to learn, then follows through with appropriate behaviors that reflect learning. Learning about the medications helps the client understand why they are prescribed and improves the possibility for following the prescribed regimen. Statements of prior knowledge do not necessarily lead to compliance, and neither does merely following the advice of the healthcare prescriber.

Question 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

Accepted Answer

A) All of these nursing diagnoses are appropriate for the client who is experiencing chronic obstructive pulmonary disease, but the priority for the nurse to address is impaired gas exchange. If the client's oxygen level is too low, or the carbon dioxide level is too high, the client's life may be threatened. This client will also experience activity intolerance, anxiety, and, at times, ineffective breathing patterns, but the priority diagnosis is Impaired Gas Exchange.
B) All of these nursing diagnoses are appropriate for the client who is experiencing chronic obstructive pulmonary disease, but the priority for the nurse to address is impaired gas exchange. If the client's oxygen level is too low, or the carbon dioxide level is too high, the client's life may be threatened. This client will also experience activity intolerance, anxiety, and, at times, ineffective breathing patterns, but the priority diagnosis is Impaired Gas Exchange.
C) All of these nursing diagnoses are appropriate for the client who is experiencing chronic obstructive pulmonary disease, but the priority for the nurse to address is impaired gas exchange. If the client's oxygen level is too low, or the carbon dioxide level is too high, the client's life may be threatened. This client will also experience activity intolerance, anxiety, and, at times, ineffective breathing patterns, but the priority diagnosis is Impaired Gas Exchange.
D) All of these nursing diagnoses are appropriate for the client who is experiencing chronic obstructive pulmonary disease, but the priority for the nurse to address is impaired gas exchange. If the client's oxygen level is too low, or the carbon dioxide level is too high, the client's life may be threatened. This client will also experience activity intolerance, anxiety, and, at times, ineffective breathing patterns, but the priority diagnosis is Impaired Gas Exchange.

Question 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."

Accepted Answer

A) Readiness to learn is the demonstration of behaviors or cues that reflect a learner's motivation, desire, and ability to learn at a specific time. The client who wants her husband involved is demonstrating motivation and willingness, but also wants support from the spouse. Statements about fear of the situation need to be addressed so the fear will not inhibit the learning process. Wanting to wait until discharge or at least until the baby is older reflects uncertainty and possibly fear and should be addressed before learning can occur.
B) Readiness to learn is the demonstration of behaviors or cues that reflect a learner's motivation, desire, and ability to learn at a specific time. The client who wants her husband involved is demonstrating motivation and willingness, but also wants support from the spouse. Statements about fear of the situation need to be addressed so the fear will not inhibit the learning process. Wanting to wait until discharge or at least until the baby is older reflects uncertainty and possibly fear and should be addressed before learning can occur.
C) Readiness to learn is the demonstration of behaviors or cues that reflect a learner's motivation, desire, and ability to learn at a specific time. The client who wants her husband involved is demonstrating motivation and willingness, but also wants support from the spouse. Statements about fear of the situation need to be addressed so the fear will not inhibit the learning process. Wanting to wait until discharge or at least until the baby is older reflects uncertainty and possibly fear and should be addressed before learning can occur.
D) Readiness to learn is the demonstration of behaviors or cues that reflect a learner's motivation, desire, and ability to learn at a specific time. The client who wants her husband involved is demonstrating motivation and willingness, but also wants support from the spouse. Statements about fear of the situation need to be addressed so the fear will not inhibit the learning process. Wanting to wait until discharge or at least until the baby is older reflects uncertainty and possibly fear and should be addressed before learning can occur.

Question 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

Accepted Answer

A) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
B) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
C) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
D) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.

Question 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.

Accepted Answer

A) State nurse practice acts include client teaching as a function of nursing, thereby making teaching a legal and professional responsibility. Nurses seek to help clients manage their health independently. Nurses begin to learn about teaching during their training. Nurses are not dependent on healthcare providers when determining the learning needs of the client.
B) State nurse practice acts include client teaching as a function of nursing, thereby making teaching a legal and professional responsibility. Nurses seek to help clients manage their health independently. Nurses begin to learn about teaching during their training. Nurses are not dependent on healthcare providers when determining the learning needs of the client.
C) State nurse practice acts include client teaching as a function of nursing, thereby making teaching a legal and professional responsibility. Nurses seek to help clients manage their health independently. Nurses begin to learn about teaching during their training. Nurses are not dependent on healthcare providers when determining the learning needs of the client.
D) State nurse practice acts include client teaching as a function of nursing, thereby making teaching a legal and professional responsibility. Nurses seek to help clients manage their health independently. Nurses begin to learn about teaching during their training. Nurses are not dependent on healthcare providers when determining the learning needs of the client.

Question 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

Accepted Answer

A) It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet needs of caregivers include keeping care recipients safe at home. It is also important to find other local support services. Although there is no known cure for Alzheimer's, there are options for its management.
B) It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet needs of caregivers include keeping care recipients safe at home. It is also important to find other local support services. Although there is no known cure for Alzheimer's, there are options for its management.
C) It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet needs of caregivers include keeping care recipients safe at home. It is also important to find other local support services. Although there is no known cure for Alzheimer's, there are options for its management.
D) It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet needs of caregivers include keeping care recipients safe at home. It is also important to find other local support services. Although there is no known cure for Alzheimer's, there are options for its management.
E) It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet needs of caregivers include keeping care recipients safe at home. It is also important to find other local support services. Although there is no known cure for Alzheimer's, there are options for its management.

Question 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.

Accepted Answer

A) The client who does not understand will learn little, and providing an interpreter to assist with communication is extremely important in this situation. However, if the prescribed treatment conflicts with the client/family's cultural healing beliefs, the client may not be compliant with the recommended treatments. To be effective, nurses must deal directly with any conflicts and differing values held by the client's parents. It is also important to provide written material and assess the psychomotor skills of the child, but the first priority is ascertaining any belief conflicts that may interfere with the treatment.
B) The client who does not understand will learn little, and providing an interpreter to assist with communication is extremely important in this situation. However, if the prescribed treatment conflicts with the client/family's cultural healing beliefs, the client may not be compliant with the recommended treatments. To be effective, nurses must deal directly with any conflicts and differing values held by the client's parents. It is also important to provide written material and assess the psychomotor skills of the child, but the first priority is ascertaining any belief conflicts that may interfere with the treatment.
C) The client who does not understand will learn little, and providing an interpreter to assist with communication is extremely important in this situation. However, if the prescribed treatment conflicts with the client/family's cultural healing beliefs, the client may not be compliant with the recommended treatments. To be effective, nurses must deal directly with any conflicts and differing values held by the client's parents. It is also important to provide written material and assess the psychomotor skills of the child, but the first priority is ascertaining any belief conflicts that may interfere with the treatment.
D) The client who does not understand will learn little, and providing an interpreter to assist with communication is extremely important in this situation. However, if the prescribed treatment conflicts with the client/family's cultural healing beliefs, the client may not be compliant with the recommended treatments. To be effective, nurses must deal directly with any conflicts and differing values held by the client's parents. It is also important to provide written material and assess the psychomotor skills of the child, but the first priority is ascertaining any belief conflicts that may interfere with the treatment.

Question 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."

Accepted Answer

A) The parts of the teaching process that should be documented in the client's chart include the need for additional teaching. Documenting the client's language is not necessary as it should already be in the nursing history. Supplies required for teaching are not documented. The client's questions are not documented, but the client's understanding at the end of the session is documented.
B) The parts of the teaching process that should be documented in the client's chart include the need for additional teaching. Documenting the client's language is not necessary as it should already be in the nursing history. Supplies required for teaching are not documented. The client's questions are not documented, but the client's understanding at the end of the session is documented.
C) The parts of the teaching process that should be documented in the client's chart include the need for additional teaching. Documenting the client's language is not necessary as it should already be in the nursing history. Supplies required for teaching are not documented. The client's questions are not documented, but the client's understanding at the end of the session is documented.
D) The parts of the teaching process that should be documented in the client's chart include the need for additional teaching. Documenting the client's language is not necessary as it should already be in the nursing history. Supplies required for teaching are not documented. The client's questions are not documented, but the client's understanding at the end of the session is documented.

Question 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.

Accepted Answer

A) The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.
B) The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.
C) The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.
D) The nurse should find out what the client knows, and then proceed to the unknown. This gives the client confidence. This information can be elicited either by asking questions or by having the client take a pretest or fill out a form. Going over information already learned is not practicing good time management for the nurse or the client. Unless the client has attention problems or is an older adult, breaking up the sessions is probably unnecessary. Having the spouse present is always a good idea, but finding out what the client already knows is more important when organizing teaching.

Question 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.

Accepted Answer

A) The affective domain of Bloom's theory of learning is also known as the "feeling" domain. It includes emotional responses to tasks such as feelings, emotions, interests, attitudes, and appreciations. Listing technical skills and reading or summarizing information is part of the "thinking" domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain is the "skill" domain and includes hands-on motor skills, such as demonstration.
B) The affective domain of Bloom's theory of learning is also known as the "feeling" domain. It includes emotional responses to tasks such as feelings, emotions, interests, attitudes, and appreciations. Listing technical skills and reading or summarizing information is part of the "thinking" domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain is the "skill" domain and includes hands-on motor skills, such as demonstration.
C) The affective domain of Bloom's theory of learning is also known as the "feeling" domain. It includes emotional responses to tasks such as feelings, emotions, interests, attitudes, and appreciations. Listing technical skills and reading or summarizing information is part of the "thinking" domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain is the "skill" domain and includes hands-on motor skills, such as demonstration.
D) The affective domain of Bloom's theory of learning is also known as the "feeling" domain. It includes emotional responses to tasks such as feelings, emotions, interests, attitudes, and appreciations. Listing technical skills and reading or summarizing information is part of the "thinking" domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain is the "skill" domain and includes hands-on motor skills, such as demonstration.
E) The affective domain of Bloom's theory of learning is also known as the "feeling" domain. It includes emotional responses to tasks such as feelings, emotions, interests, attitudes, and appreciations. Listing technical skills and reading or summarizing information is part of the "thinking" domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain is the "skill" domain and includes hands-on motor skills, such as demonstration.

Question 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

Accepted Answer

A) Campus health centers that use the internet as a tool for health education must train nursing students regarding how to search for and evaluate the health information they find. Sites of interest for the campus would not directly impact the nursing program. Information technology is a subject that teaches nurses how to use technology for the delivery of care and communication. Libraries are important, but knowing about them would not be a part of this presentation.
B) Campus health centers that use the Internet as a tool for health education must train nursing students regarding how to search for and evaluate the health information they find. Sites of interest for the campus would not directly impact the nursing program. Information technology is a subject that teaches nurses how to use technology for the delivery of care and communication. Libraries are important, but knowing about them would not be a part of this presentation.
C) Campus health centers that use the internet as a tool for health education must train nursing students regarding how to search for and evaluate the health information they find. Sites of interest for the campus would not directly impact the nursing program. Information technology is a subject that teaches nurses how to use technology for the delivery of care and communication. Libraries are important, but knowing about them would not be a part of this presentation.
D) Campus health centers that use the internet as a tool for health education must train nursing students regarding how to search for and evaluate the health information they find. Sites of interest for the campus would not directly impact the nursing program. Information technology is a subject that teaches nurses how to use technology for the delivery of care and communication. Libraries are important, but knowing about them would not be a part of this presentation.

Question 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

Accepted Answer

A) When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using different techniques and a variety of activities is a good way to match the various learning styles of group participants. Multicolored brochures would only address those learners who learn in the visual mode. Lecture may not meet the needs of the entire group. Games are a useful teaching tool, but not useful when addressing a large group of individuals with varying learning styles.
B) When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using different techniques and a variety of activities is a good way to match the various learning styles of group participants. Multicolored brochures would only address those learners who learn in the visual mode. Lecture may not meet the needs of the entire group. Games are a useful teaching tool, but not useful when addressing a large group of individuals with varying learning styles.
C) When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using different techniques and a variety of activities is a good way to match the various learning styles of group participants. Multicolored brochures would only address those learners who learn in the visual mode. Lecture may not meet the needs of the entire group. Games are a useful teaching tool, but not useful when addressing a large group of individuals with varying learning styles.
D) When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using different techniques and a variety of activities is a good way to match the various learning styles of group participants. Multicolored brochures would only address those learners who learn in the visual mode. Lecture may not meet the needs of the entire group. Games are a useful teaching tool, but not useful when addressing a large group of individuals with varying learning styles.

Question 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

Accepted Answer

A) An adult is more oriented to learning when the material is useful immediately, not sometime in the future. For this audience, giving clear directions on how to become an organ donor would be more helpful than providing information about past or future activities, such as influencing their parents. Written information may or may not be helpful, depending on what types of learners are included in the group.
B) An adult is more oriented to learning when the material is useful immediately, not sometime in the future. For this audience, giving clear directions on how to become an organ donor would be more helpful than providing information about past or future activities, such as influencing their parents. Written information may or may not be helpful, depending on what types of learners are included in the group.
C) An adult is more oriented to learning when the material is useful immediately, not sometime in the future. For this audience, giving clear directions on how to become an organ donor would be more helpful than providing information about past or future activities, such as influencing their parents. Written information may or may not be helpful, depending on what types of learners are included in the group.
D) An adult is more oriented to learning when the material is useful immediately, not sometime in the future. For this audience, giving clear directions on how to become an organ donor would be more helpful than providing information about past or future activities, such as influencing their parents. Written information may or may not be helpful, depending on what types of learners are included in the group.

Question 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.

Accepted Answer

A) When teaching a client, the nurse considers that most people learn and retain information if the information is immediately useful. Some clients can find information on their own; however, not all information that the client can find is factual. All clients need to be evaluated to ensure that the right information was retained. Adults will not necessarily adhere to a regimen more than children will. It is the effective teaching and the client's readiness to learn that helps with adherence.
B) When teaching a client, the nurse considers that most people learn and retain information if the information is immediately useful. Some clients can find information on their own; however, not all information that the client can find is factual. All clients need to be evaluated to ensure that the right information was retained. Adults will not necessarily adhere to a regimen more than children will. It is the effective teaching and the client's readiness to learn that helps with adherence.
C) When teaching a client, the nurse considers that most people learn and retain information if the information is immediately useful. Some clients can find information on their own; however, not all information that the client can find is factual. All clients need to be evaluated to ensure that the right information was retained. Adults will not necessarily adhere to a regimen more than children will. It is the effective teaching and the client's readiness to learn that helps with adherence.
D) When teaching a client, the nurse considers that most people learn and retain information if the information is immediately useful. Some clients can find information on their own; however, not all information that the client can find is factual. All clients need to be evaluated to ensure that the right information was retained. Adults will not necessarily adhere to a regimen more than children will. It is the effective teaching and the client's readiness to learn that helps with adherence.

Question 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

Accepted Answer

A) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions like a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
B) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions like a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
C) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions like a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
D) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions like a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.

Question 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.

Accepted Answer

A) The client who refuses to read instructions may not be able to read. The nurse should assess the client's ability to read to ensure proper treatment and to evaluate the client's understanding of the information. It is unlikely that the client does not want the information. Although the nurse did provide verbal instruction, often clients forget portions due to the amount of information presented at discharge. The client may be ready to learn, but the client's inability to read may be masking that fact.
B) The client who refuses to read instructions may not be able to read. The nurse should assess the client's ability to read to ensure proper treatment and to evaluate the client's understanding of the information. It is unlikely that the client does not want the information. Although the nurse did provide verbal instruction, often clients forget portions due to the amount of information presented at discharge. The client may be ready to learn, but the client's inability to read may be masking that fact.
C) The client who refuses to read instructions may not be able to read. The nurse should assess the client's ability to read to ensure proper treatment and to evaluate the client's understanding of the information. It is unlikely that the client does not want the information. Although the nurse did provide verbal instruction, often clients forget portions due to the amount of information presented at discharge. The client may be ready to learn, but the client's inability to read may be masking that fact.
D) The client who refuses to read instructions may not be able to read. The nurse should assess the client's ability to read to ensure proper treatment and to evaluate the client's understanding of the information. It is unlikely that the client does not want the information. Although the nurse did provide verbal instruction, often clients forget portions due to the amount of information presented at discharge. The client may be ready to learn, but the client's inability to read may be masking that fact.

Question 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.

Accepted Answer

A) Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.
B) Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.
C) Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.
D) Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.

Question 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

Accepted Answer

A) Motivation is the desire to learn and influences how quickly and to what extent an individual learns. It is generally greatest when an individual recognizes a need and believes the need will be met through learning. The client who is excited to learn about ambulation techniques understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a "coach" for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be "bucking" the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.
B) Motivation is the desire to learn and influences how quickly and to what extent an individual learns. It is generally greatest when an individual recognizes a need and believes the need will be met through learning. The client who is excited to learn about ambulation techniques understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a "coach" for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be "bucking" the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.
C) Motivation is the desire to learn and influences how quickly and to what extent an individual learns. It is generally greatest when an individual recognizes a need and believes the need will be met through learning. The client who is excited to learn about ambulation techniques understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a "coach" for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be "bucking" the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.
D) Motivation is the desire to learn and influences how quickly and to what extent an individual learns. It is generally greatest when an individual recognizes a need and believes the need will be met through learning. The client who is excited to learn about ambulation techniques understands that learning about it will help take his recovery to a high level. Motivation must be experienced by the client, not by someone else (as in being a "coach" for newcomers). Clients who struggle with rules or following prescribed courses of treatment are not motivated to learn the best reason for their particular plan of action; they may be "bucking" the system. The client who is already waiting to go home may be eager for that to occur, but not necessarily to the extent of being ready to learn how to achieve this end.

Quiz 41: Teaching and Learning

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?

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 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 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?

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 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.

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?

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 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.

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?

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 nurse is preparing to teach a group of college students about organ donation.What should the teaching include to follow andragogic concepts?

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?

The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?

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 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?