Question 1

The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?

Accepted Answer

A)The nurse should focus on lifestyle modification if she plans to focus specifically on the risks of alcohol consumption for the developing fetus. Human growth and development, nutrition, and stress management are all worthwhile topics for these clients, but none of them as directly address the risks of alcohol consumption.
B)The nurse should focus on lifestyle modification if she plans to focus specifically on the risks of alcohol consumption for the developing fetus. Human growth and development, nutrition, and stress management are all worthwhile topics for these clients, but none of them as directly address the risks of alcohol consumption.
C)The nurse should focus on lifestyle modification if she plans to focus specifically on the risks of alcohol consumption for the developing fetus. Human growth and development, nutrition, and stress management are all worthwhile topics for these clients, but none of them as directly address the risks of alcohol consumption.
D)The nurse should focus on lifestyle modification if she plans to focus specifically on the risks of alcohol consumption for the developing fetus. Human growth and development, nutrition, and stress management are all worthwhile topics for these clients, but none of them as directly address the risks of alcohol consumption.

Question 2

The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?

Accepted Answer

A)It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
B)It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
C)It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
D)It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.

Question 3

During the physical examination of a client who took a fall that fractured his hip, the nurse notices an impairment of the client's hearing, but that the client's visual acuity and motor function do not seem to be impaired. The client answers questions very precisely and readily grasps the meaning of everything the nurse says when the client can face the nurse. When teaching this client, the nurse should make it a priority to

Accepted Answer

A)During the physical examination, the nurse may use findings to evaluate learning needs. In this client's case, verbal instructions are fine to use if the client is in a position to see the nurse's lips move. Written instructions, visual media, and physical demonstrations also might be useful for this client when indicated, but not exclusively.
B)During the physical examination, the nurse may use findings to evaluate learning needs. In this client's case, verbal instructions are fine to use if the client is in a position to see the nurse's lips move. Written instructions, visual media, and physical demonstrations also might be useful for this client when indicated, but not exclusively.
C)During the physical examination, the nurse may use findings to evaluate learning needs. In this client's case, verbal instructions are fine to use if the client is in a position to see the nurse's lips move. Written instructions, visual media, and physical demonstrations also might be useful for this client when indicated, but not exclusively.
D)During the physical examination, the nurse may use findings to evaluate learning needs. In this client's case, verbal instructions are fine to use if the client is in a position to see the nurse's lips move. Written instructions, visual media, and physical demonstrations also might be useful for this client when indicated, but not exclusively.

Question 4

The nurse is planning discharge teaching to a client with diabetes who has a large wound. Which is the priority action for the nurse prior to initiating teaching with this client?

Accepted Answer

A)Nurses need to provide client education that will ensure the client's safe transition from one level of care to another and make appropriate plans for follow-up education in the client's home. Discharge plans must include information about what the client has been taught before transfer or discharge and what remains for the client to learn to perform self-care in the home or other residence.
B)Nurses need to provide client education that will ensure the client's safe transition from one level of care to another and make appropriate plans for follow-up education in the client's home. Discharge plans must include information about what the client has been taught before transfer or discharge and what remains for the client to learn to perform self-care in the home or other residence.
C)Nurses need to provide client education that will ensure the client's safe transition from one level of care to another and make appropriate plans for follow-up education in the client's home. Discharge plans must include information about what the client has been taught before transfer or discharge and what remains for the client to learn to perform self-care in the home or other residence.
D)Nurses need to provide client education that will ensure the client's safe transition from one level of care to another and make appropriate plans for follow-up education in the client's home. Discharge plans must include information about what the client has been taught before transfer or discharge and what remains for the client to learn to perform self-care in the home or other residence.

Question 5

A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?

Accepted Answer

A)The client did not implement what he was taught in class given the evidence of fall hazards the class specifically addressed. The nurse should document the learning outcome as noncompliance. The client might not have heard necessary information during the class because of a hearing deficit or being distracted, the client might not have understood the information because of the way it was presented or for some other reason, or the client may have chosen not to comply with the teaching, but the nurse cannot know which of these might be the case, if any, without further evaluation of the client.
B)The client did not implement what he was taught in class given the evidence of fall hazards the class specifically addressed. The nurse should document the learning outcome as noncompliance. The client might not have heard necessary information during the class because of a hearing deficit or being distracted, the client might not have understood the information because of the way it was presented or for some other reason, or the client may have chosen not to comply with the teaching, but the nurse cannot know which of these might be the case, if any, without further evaluation of the client.
C)The client did not implement what he was taught in class given the evidence of fall hazards the class specifically addressed. The nurse should document the learning outcome as noncompliance. The client might not have heard necessary information during the class because of a hearing deficit or being distracted, the client might not have understood the information because of the way it was presented or for some other reason, or the client may have chosen not to comply with the teaching, but the nurse cannot know which of these might be the case, if any, without further evaluation of the client.
D)The client did not implement what he was taught in class given the evidence of fall hazards the class specifically addressed. The nurse should document the learning outcome as noncompliance. The client might not have heard necessary information during the class because of a hearing deficit or being distracted, the client might not have understood the information because of the way it was presented or for some other reason, or the client may have chosen not to comply with the teaching, but the nurse cannot know which of these might be the case, if any, without further evaluation of the client.

Quiz 41: Teaching and Learning

The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?

The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?

The nurse is planning discharge teaching to a client with diabetes who has a large wound. Which is the priority action for the nurse prior to initiating teaching with this client?