Question 1

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

When teaching an adult client, it is important to consider that they are more motivated to learn when they understand the material's immediate usefulness to them. This may help improve adherence to a regimen for managing high cholesterol.

Question 2

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

Activities that involve reflection and identifying attitudinal changes are within the affective domain of Bloom's taxonomy. These activities focus on feelings, emotions, and values, which are all part of the affective domain. Option A is within the cognitive domain as it involves comprehension, summarization, and presentation. Option B is also within the cognitive domain as it involves recalling information. Option C is within the psychomotor domain as it involves demonstration of a physical skill.

Question 3

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

In order to address the various learning styles of the target group, the nursing student should plan to include audiovisuals, examples, group discussions, and activities. This approach will provide a combination of visual, auditory, and kinesthetic learning opportunities for participants to engage with the material. A lecture (A) alone may not be sufficient to engage all participants, and multicolored brochures (B) may not be effective for those who prefer auditory or kinesthetic learning. While a game board (C) could be a fun addition, it may not be enough on its own to effectively educate the community on cancer detection.

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, 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 5

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 6

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 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

Mexican American and Filipino American cultures tend to have a present-time orientation, meaning that they prioritize immediate needs over future goals. Thus, organizing the instructions around short-term objectives would be the best approach to accommodate their time orientation. This would help the participants focus on the immediate benefits of smoking cessation instead of long-term health benefits.

Question 8

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

Direct observation allows the nurse to assess whether the client is able to physically set up and administer the nebulizer treatment, ensuring the proper technique and equipment utilization. This is the most accurate way to evaluate the client's ability to self-administer the treatment. Written or oral descriptions may not accurately reflect the client's ability to perform the task, and relying solely on the client's self-reporting at a later appointment may not address any potential issues that arise during the actual administration of the treatment.

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

Option B shows that the client is open to learning and is willing to comply with the medication plan. It also indicates that they understand the importance of knowing about their medications, which can help them take the medications as prescribed. Option A suggests resistance and Option D suggests a lack of interest or engagement, while Option C merely reiterates what the nurse said without demonstrating an understanding or willingness to comply.

Question 10

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

Documenting the need for additional teaching ensures that the healthcare team is aware of any areas the client may need further instruction on. This promotes safety and effective care for the client. The other options do not provide as much relevant information for the client's care plan.

Question 11

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

Evaluating client abilities to perform skills with return demonstrations is a good way for a nurse to prepare the environment for teaching. This ensures that the nurse understands the client's prior knowledge and can tailor their teaching to the client's abilities.

Question 12

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

The client's room would provide a quiet, less stimulating environment where the client can focus on the teaching without becoming overwhelmed by noise and bright lights. Additionally, being in her own space may help the client feel more comfortable and secure, which can positively impact her ability to learn and retain information.

Question 13

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

Teaching nursing students how to search for and evaluate healthcare information online is the most relevant and important aspect for their education and practice. While directories of campus internet sites and libraries may be useful, they are not as essential as knowing how to effectively search for and assess the credibility of healthcare information online. Information technology instruction may also be useful, but it is a broader topic that may not be the focus of this particular lecture.

Question 14

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 15

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 16

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

Providing education on how to implement a heart-healthy lifestyle is an important independent nursing function, as it helps the client take responsibility for their own health and make informed decisions about their lifestyle choices. It does not require a healthcare provider's order to implement, is a critical skill that nurses learn both in the classroom and on the job, and is not meant to establish dependence on the nurse, but rather to empower the client to take control of their health.

Question 17

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

The constructivist theory of learning holds that knowledge acquisition is an ongoing process of assimilating and accommodating new experiences and interpretations. This theory emphasizes the importance of the learner actively engaging in the process of constructing their own understanding of the world, rather than simply receiving information passively. Constructivists believe that learners build their own mental models of the world, and that these models are constantly being refined and revised as new experiences are acquired.

Question 18

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

Despite the client claiming to have learned from the internet, the nurse is still responsible for ensuring that the client can independently perform the fingerstick blood sugar analysis. Therefore, the best action would be to watch the client perform a return demonstration of the skill to ensure that they have actually learned the proper technique. Documenting that the client understands teaching is insufficient and does not demonstrate that they have the necessary skills to perform the procedure. Teaching the client's support system or giving printed learning materials may be helpful, but they do not replace the need for the client to demonstrate their competency in performing the procedure.

Question 19

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

The client indicates that they need their glasses to read the instructions, suggesting visual impairment. Additionally, they may have difficulty comprehending the written instructions due to their visual impairment. The statement that the nurse told them everything they need to know could indicate a lack of understanding or an attempt to please the nurse. Therefore, the nurse should clarify the instructions and ensure that the client understands them.

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

The client who is excited to learn ambulation techniques is exhibiting the highest motivation to learn because they are actively seeking to learn new skills and improve their recovery process. The other clients may have positive behaviors or attitudes, but they do not necessarily demonstrate a strong desire to learn.

Quiz 41: Teaching and Learning

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 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 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 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 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 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 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 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 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 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?

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 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?

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

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?