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NURS 201 - Chapter 9
Teaching and Counseling
| Question | Answer |
|---|---|
| Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers? | Observing a mother expressing the breast milk |
| When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? | Psychomotor |
| As the nurse enters the room to teach the client about self-care at home, the client states, “I am glad you are here. I need some pain medicine. I can’t stand it anymore.” What is the best action of the nurse? | Have the client rate pain level, and reschedule the teaching session |
| Nurse teaches 5-year-old boy with type 1 diabetes. The client's mother, who is the primary caregiver, informs the nurse of having a fear of needles. What actions are appropriate for the nurse to take to ensure a successful education session? | -Ensuring 20 minutes of uninterrupted teaching time -Using a doll to demonstrate giving an insulin injection -Providing the client's mother with an informational pamphlet about insulin injection |
| Client left immobile after accident. Got out of rehab 6 weeks ago. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the best response by the nurse? | “You have made an amazing recovery.” |
| The nurse is teaching a client with diabetes how to inject daily insulin. Which method is most effective in evaluating the teaching? | Ask the client to demonstrate how to self-inject the morning insulin |
| The nurse is planning to provide teaching to a client who is recovering from abdominal surgery. When is the most appropriate time to teach the client? | As the client is sitting quietly, reading a book |
| Which statement describes the person who is likely the most motivated to learn? | A 70-year-old female who is the client's spouse and is learning the care so the client can come home |
| A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client? | The client describes signs and symptoms of hypoglycemia |
| The nurse is preparing to provide health education to a client with a new diagnosis of diabetes. Which action should the nurse perform to create an effective learning environment? | Adopt a position in which the client and the nurse are equal participants |
| Type 2 diabetes client has been prescribed insulin therapy in conjunction with an oral agent. Nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? | Demonstrating the technique for insulin self-injection |
| While applying dressings to a client's wound, the nurse teaches the client about wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind? | The nurse and client relationship is based on mutual sharing and negotiation |
| A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients? | Include the child in the education; ask questions of both the mother and the child |
| Client has not been following medication plan and has not kept allergy testing appt. Nurse teaches client about the condition and prescribed treatment. Which question from the nurse would help to assess the client's health literacy about the condition? | "How are you supposed to take your medication?" |
| “I understand when nurse explains possible complications of my illness. I am appreciative of what insulin does to my body, and I can now give myself insulin.” Which domains of learning does nurse identify for client successfully addressed by education? | Cognitive, affective, and psychomotor |
| When a nurse is planning for learning, who must decide who should be included in the learning sessions? | The nurse and the client |
| A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate? | “What do you know about support groups?” |
| The client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? | -Approach the client from the front of the client -Call the client by the client's preferred name -Use simple words and short sentences when talking with the client |
| The nurse will be caring for a client with a new diagnosis of hypertension. The client will be arriving for laboratory testing. When should the nurse begin client teaching? | During the admission process |
| Nurse discharges several clients from acute surgical unit on same day; they will prioritize discharge teaching based on how much time is required for each client. Order from the client requiring the longest teaching time to the shortest teaching time. | 1. Client learning to draw up and inject insulin for the first time 2. Client indicates the live-in partner is a registered nurse 3. Client being discharged to a long-term care facility 4. Client being transferred to another unit in the hospital |
| A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner? | Their readiness to learn is often related to a developmental task or social role |
| A home health nurse states to the client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." The nurse is applying which health promotion technique? | Positive feedback |
| Client's lipid panel revealed elevated cholesterol levels prescribed statin. Which statement by the client would indicate health literacy level that would enable the client to make appropriate health decisions to lower cholesterol levels? | ”In addition to this cholesterol medication, I plan to reduce my consumption of red meat and other saturated fats and start walking again.” |
| The nurse is planning to teach an exercise class to a group of older adults. What guideline should the nurse adopt when planning this education? | Allow ample time for psychomotor skills. -Older adults generally need more time to learn psychomotor skills |
| The nurse is educating a client regarding a new skill. When evaluating the client's knowledge about the topic covered, which best represents that the client has learned a new skill? | The client organizes materials needed and gives return demonstration. -demonstrates proficiency |
| Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease? | Intellectual development |
| Atrial fibrillation client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client? | “The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?” -Adults learn best when the information given to them will be used immediately |
| A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? | -Available resources -Learning style preferences -Literacy level |
| When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? | Cognitive |
Created by:
kmeans34
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