Question 1

The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation?
A)The language used for teaching
B)The need for additional teaching
C)The client's questions after the teaching session
D)The supplies required for teaching

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 2

What is a good way for a nurse to prepare the environment for teaching?
A)Keep to a strict schedule decided in advance.
B)Emphasize the importance of paying close attention if client reactions demonstrate confusion.
C)Evaluate client abilities to perform skills with return demonstrations.
D)Inform students that they need to take effective notes because you will not be repeating yourself.

Accepted Answer

A)Return demonstrations are an effective way to evaluate whether clients are able to perform newly learned skills, and they contribute to a good environment for teaching. Nurses should take time for teaching, not simply adhere to strictly predefined schedules. Nurses must be able to adapt teaching based on client reactions, and they should be prepared to repeat instructions.
B)Return demonstrations are an effective way to evaluate whether clients are able to perform newly learned skills, and they contribute to a good environment for teaching. Nurses should take time for teaching, not simply adhere to strictly predefined schedules. Nurses must be able to adapt teaching based on client reactions, and they should be prepared to repeat instructions.
C)Return demonstrations are an effective way to evaluate whether clients are able to perform newly learned skills, and they contribute to a good environment for teaching. Nurses should take time for teaching, not simply adhere to strictly predefined schedules. Nurses must be able to adapt teaching based on client reactions, and they should be prepared to repeat instructions.
D)Return demonstrations are an effective way to evaluate whether clients are able to perform newly learned skills, and they contribute to a good environment for teaching. Nurses should take time for teaching, not simply adhere to strictly predefined schedules. Nurses must be able to adapt teaching based on client reactions, and they should be prepared to repeat instructions.

Question 3

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 client and her family members, who are recent immigrants to the United States, speak little English. In addition to enlisting an interpreter to help with the language barrier, what should be a priority for the nurse in developing a teaching plan?
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)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 and cause the parents to resist the prescribed treatment or bringing the child back for a follow-up appointment.
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 and cause the parents to resist the prescribed treatment or bringing the child back for a follow-up appointment.
C)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 and cause the parents to resist the prescribed treatment or bringing the child back for a follow-up appointment.
D)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 and cause the parents to resist the prescribed treatment or bringing the child back for a follow-up appointment.

Question 4

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 to learn. Statements about fear of the situation need to be addressed so that 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 to learn. Statements about fear of the situation need to be addressed so that 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 to learn. Statements about fear of the situation need to be addressed so that 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 to learn. Statements about fear of the situation need to be addressed so that 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 5

Which theory of learning holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations?
A)Constructivist
B)Behaviorist
C)Social learning
D)Cognitive

Accepted Answer

A)Constructivist theory holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. In behaviorist theory, learning is thought to occur when an individual's response to a stimulus is either positively or negatively reinforced. In social learning theory, learning primarily results from instruction and observation. In cognitive learning theory, learning involves the processes of acquiring, processing, and using new information.
B)Constructivist theory holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. In behaviorist theory, learning is thought to occur when an individual's response to a stimulus is either positively or negatively reinforced. In social learning theory, learning primarily results from instruction and observation. In cognitive learning theory, learning involves the processes of acquiring, processing, and using new information.
C)Constructivist theory holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. In behaviorist theory, learning is thought to occur when an individual's response to a stimulus is either positively or negatively reinforced. In social learning theory, learning primarily results from instruction and observation. In cognitive learning theory, learning involves the processes of acquiring, processing, and using new information.
D)Constructivist theory holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. In behaviorist theory, learning is thought to occur when an individual's response to a stimulus is either positively or negatively reinforced. In social learning theory, learning primarily results from instruction and observation. In cognitive learning theory, learning involves the processes of acquiring, processing, and using new information.

Question 6

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, use 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 necessarily useful when addressing a large group of individuals with varying learning styles.
B)When teaching a group, use 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 necessarily useful when addressing a large group of individuals with varying learning styles.
C)When teaching a group, use 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 necessarily useful when addressing a large group of individuals with varying learning styles.
D)When teaching a group, use 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 necessarily not useful when addressing a large group of individuals with varying learning styles.

Question 7

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 to their time orientation?
A)Organize the instructions around short-term objectives.
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. Preventing future problems may be less significant for these clients than for others, so teaching prevention may be more difficult. In such instances, the nurse can emphasize preventing short-term problems rather than long-term problems. 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. Preventing future problems may be less significant for these clients than for others, so teaching prevention may be more difficult. In such instances, the nurse can emphasize preventing short-term problems rather than long-term problems. 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. Preventing future problems may be less significant for these clients than for others, so teaching prevention may be more difficult. In such instances, the nurse can emphasize preventing short-term problems rather than long-term problems. 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. Preventing future problems may be less significant for these clients than for others, so teaching prevention may be more difficult. In such instances, the nurse can emphasize preventing short-term problems rather than long-term problems. 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 8

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. The client said that he'd read the instructions later, and so is not opposed to written information. Although the nurse did provide verbal instruction, often clients forget portions because of 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. The client said that he'd read the instructions later, and so is not opposed to written information. Although the nurse did provide verbal instruction, often clients forget portions because of 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. The client said that he'd read the instructions later, and so is not opposed to written information. Although the nurse did provide verbal instruction, often clients forget portions because of 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. The client said that he'd read the instructions later, and so is not opposed to written information. Although the nurse did provide verbal instruction, often clients forget portions because of 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 9

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)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 restating the advice of the healthcare provider.
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 restating the advice of the healthcare provider.
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 restating the advice of the healthcare provider.
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 restating the advice of the healthcare provider.

Question 10

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 is presenting 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 begin to learn after training 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 11

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.

Question 12

The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to independently perform fingerstick 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 13

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. What is the best way for the nurse to evaluate whether the client is able to set up and administer a nebulizer treatment?
A)Direct observation of behavior
B)Written description by the client of the treatment
C)Oral description by the client of the treatment
D)The client reports success or failure with the treatment at a follow-up appointment

Accepted Answer

A)The best way for the nurse to evaluate whether this client is able to set up and administer a nebulizer treatment is by direct observation of the client doing it. A written or oral description of the treatment does not as directly demonstrate that the client can set it up and administer it, and the client reporting success or failure at a follow-up visit doesn't give the nurse a direct means of evaluating what the client understands.
B)The best way for the nurse to evaluate whether this client is able to set up and administer a nebulizer treatment is by direct observation of the client doing it. A written or oral description of the treatment does not as directly demonstrate that the client can set it up and administer it, and the client reporting success or failure at a follow-up visit doesn't give the nurse a direct means of evaluating what the client understands.
C)The best way for the nurse to evaluate whether this client is able to set up and administer a nebulizer treatment is by direct observation of the client doing it. A written or oral description of the treatment does not as directly demonstrate that the client can set it up and administer it, and the client reporting success or failure at a follow-up visit doesn't give the nurse a direct means of evaluating what the client understands.
D)The best way for the nurse to evaluate whether this client is able to set up and administer a nebulizer treatment is by direct observation of the client doing it. A written or oral description of the treatment does not as directly demonstrate that the client can set it up and administer it, and the client reporting success or failure at a follow-up visit doesn't give the nurse a direct means of evaluating what the client understands.

Question 14

The nurse educator is preparing to teach a group of nursing students how to navigate the internet to research 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 15

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 he knows 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 16

The nurse has a 7-year-old client recovering from partial-thickness burns to the arms and hands. This client has shown sensitivity to loud noises and bright lights, and at times if she is overstimulated she won't speak to or look at anyone but her parents until she calms down. The nurse considers the best teaching environment for this client to be the
A)client's room.
B)pediatric ward waiting area.
C)hospital cafeteria.
D)pediatric ward play area.

Accepted Answer

A)Be sure all teaching interventions are implemented in a safe environment using a calm approach, and take care to address any concerns or fears of the child or parent/caregiver. In this client's case, the waiting or play areas for the pediatric ward are likely to be busy places and brightly lit. The cafeteria is also likely to be too loud and bright. The client's room, where the nurse can control to a greater degree the amount of light and noise, is best for teaching this client.
B)Be sure all teaching interventions are implemented in a safe environment using a calm approach, and take care to address any concerns or fears of the child or parent/caregiver. In this client's case, the waiting or play areas for the pediatric ward are likely to be busy places and brightly lit. The cafeteria is also likely to be too loud and bright. The client's room, where the nurse can control to a greater degree the amount of light and noise, is best for teaching this client.
C)Be sure all teaching interventions are implemented in a safe environment using a calm approach, and take care to address any concerns or fears of the child or parent/caregiver. In this client's case, the waiting or play areas for the pediatric ward are likely to be busy places and brightly lit. The cafeteria is also likely to be too loud and bright. The client's room, where the nurse can control to a greater degree the amount of light and noise, is best for teaching this client.
D)Be sure all teaching interventions are implemented in a safe environment using a calm approach, and take care to address any concerns or fears of the child or parent/caregiver. In this client's case, the waiting or play areas for the pediatric ward are likely to be busy places and brightly lit. The cafeteria is also likely to be too loud and bright. The client's room, where the nurse can control to a greater degree the amount of light and noise, is best for teaching this client.

Question 17

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, and clients should be taught how to discern the difference between trustworthy information and unreliable and potentially dangerous information. 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. Effective teaching and the client's readiness to learn help 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, and clients should be taught how to discern the difference between trustworthy information and unreliable and potentially dangerous information. 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. Effective teaching and the client's readiness to learn help 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, and clients should be taught how to discern the difference between trustworthy information and unreliable and potentially dangerous information. 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. Effective teaching and the client's readiness to learn help 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, and clients should be taught how to discern the difference between trustworthy information and unreliable and potentially dangerous information. 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. Effective teaching and the client's readiness to learn that help with adherence.

Question 18

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 19

A nurse is providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.
A)Fall prevention
B)Medication use and side effects
C)Safe driving evaluations
D)Advance directives
E)Responsible sexual behavior

Accepted Answer

A)It is important for caregivers of older clients to learn about how to prevent falls, medication use and side effects, safe driving evaluations, and advance directives, but it would be much less appropriate for this age group to include teaching about responsible sexual behavior, which would be better addressed to younger adult clients.
B)It is important for caregivers of older clients to learn about how to prevent falls, medication use and side effects, safe driving evaluations, and advance directives, but it would be much less appropriate for this age group to include teaching about responsible sexual behavior, which would be better addressed to younger adult clients.
C)It is important for caregivers of older clients to learn about how to prevent falls, medication use and side effects, safe driving evaluations, and advance directives, but it would be much less appropriate for this age group to include teaching about responsible sexual behavior, which would be better addressed to younger adult clients.
D)It is important for caregivers of older clients to learn about how to prevent falls, medication use and side effects, safe driving evaluations, and advance directives, but it would be much less appropriate for this age group to include teaching about responsible sexual behavior, which would be better addressed to younger adult clients.
E)It is important for caregivers of older clients to learn about how to prevent falls, medication use and side effects, safe driving evaluations, and advance directives, but it would be much less appropriate for this age group to include teaching about responsible sexual behavior, which would be better addressed to younger adult clients.

Question 20

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)In cognitive theory, learning occurs across three primary domains: cognitive, or "thinking"; affective, or "feeling"; and psychomotor, or "skill." The affective domain 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 cognitive domain, which includes knowing, comprehending, application, analysis, synthesis, and evaluation. The psychomotor domain includes hands-on motor skills, such as demonstration.
B)In cognitive theory, learning occurs across three primary domains: cognitive, or "thinking"; affective, or "feeling"; and psychomotor, or "skill." The affective domain 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 cognitive 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)In cognitive theory, learning occurs across three primary domains: cognitive, or "thinking"; affective, or "feeling"; and psychomotor, or "skill." The affective domain 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 cognitive 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)In cognitive theory, learning occurs across three primary domains: cognitive, or "thinking"; affective, or "feeling"; and psychomotor, or "skill." The affective domain 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 cognitive 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)In cognitive theory, learning occurs across three primary domains: cognitive, or "thinking"; affective, or "feeling"; and psychomotor, or "skill." The affective domain 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 cognitive 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.

Quiz 41: Teaching and Learning

The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation?

What is a good way for a nurse to prepare the environment for teaching?

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?

Which theory of learning holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations?

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 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 to their time orientation?

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 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 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. What is the best way for the nurse to evaluate whether the client is able to set up and administer a nebulizer treatment?

The nurse educator is preparing to teach a group of nursing students how to navigate the internet to research healthcare information. Which does the educator plan to include during lecture?

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?

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 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 providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.

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.