Question 1

The nurse has completed client teaching regarding medication administration.Which client statement best illustrates compliance?
A)"I'm glad to know about my medications.It makes taking them a lot easier."
B)"I already knew most of what you told me."
C)"I think you should have waited until I was ready to go home.Maybe I'd remember better."
D)"If I take my medications as prescribed,I'll feel better."

Accepted Answer

The statement "I'm glad to know about my medications.It makes taking them a lot easier." indicates that the client is willing to take medications and has a positive attitude towards medication administration, therefore showing compliance.

Question 2

The nurse is working with a group of older clients through a community senior citizens center.Utilizing an understanding of health literacy,the nurse will make sure that
A)information given to this group is written at a third-grade level.
B)teaching includes a variety of approaches.
C)information includes pictures.
D)there is ample time for teaching.

Accepted Answer

D

Question 3

A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which client exhibits the highest motivation?
A)An individual who has been struggling with following nursing directives regarding discharge goals
B)The client who has just moved in and is already waiting for discharge
C)A client who is excited to learn about his new prosthesis
D)A client who has been there the longest and is a great "coach" for newcomers

Accepted Answer

The client who is excited to learn about their new prosthesis exhibits the highest motivation as they have a specific goal they are working towards and are enthusiastic about learning. The other options do not necessarily demonstrate high motivation, as one is struggling with following directives, one is already waiting for discharge instead of focusing on rehabilitation, and the other is simply helping others without expressing personal motivation towards their own rehabilitation.

Question 4

A nurse is working in a neonatal intensive care unit,teaching parents how to care for their tiny babies while they are still in the hospital.Which statement by a parent reflects a readiness to learn?
A)"I'm so afraid I'll hurt my baby with all these tubes."
B)"I want to make sure my spouse is here,in case I don't hear everything that's said."
C)"When my baby is just a little bigger,I'll be able to handle him."
D)"You'll give us written instructions before we go home,correct?"

Accepted Answer

This statement reflects a readiness to learn because the parent is actively seeking to ensure they understand the information by involving their spouse, indicating they are prepared and willing to learn.

Question 5

The nurse is instructing a client on self-administration of insulin.Which statement regarding feedback will be most beneficial to the client?
A)"You know,there are children who can learn to do this."
B)"Maybe it would be better if we taught your spouse to help you with this."
C)"Next time,dart the needle in your skin,instead of pushing it in."
D)"If you don't learn this,you can't be discharged."

Accepted Answer

Providing specific, constructive feedback on technique, such as suggesting to "dart the needle" instead of pushing it, directly helps the client improve their self-administration skills.

Question 6

A nursing student is presenting a teaching project to the class using each of Bloom's domains.The student has several activities included in the project.Which activity is an example of the affective domain?
A)Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.
B)All members must list the technical skills they've learned.
C)Members must demonstrate a favorite nursing skill at the end of the class period.
D)Members must read a paragraph about a new clinical trial,summarize the information,and present it to the rest of the class.

Accepted Answer

Activity A is an example of the affective domain because it focuses on attitudes and feelings. It encourages members to reflect on their own personal growth and development throughout their nursing education. Activities B, C, and D are examples of the cognitive domain because they primarily focus on knowledge acquisition and application, rather than attitudes or beliefs.

Question 7

The nurse is instructing a client on self-administration of a subcutaneous injection.The nurse is using which theoretical construct of learning?
A)Thorndike's behaviorism
B)Skinner's positive reinforcement
C)Pavlov's conditioning response
D)Bandura's imitation

Accepted Answer

Bandura's theory of learning emphasizes the role of observation and imitation in learning. In this scenario, the nurse is instructing the client on self-administration, which involves the client observing and imitating the nurse's actions.

Question 8

The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days.When organizing the teaching/learning experience,the nurse should
A)start from the beginning and proceed through all material.
B)break up sessions into shortened time periods.
C)discover what the learner knows before proceeding with further teaching.
D)make sure the client's spouse is present before the teaching session begins.

Accepted Answer

Before proceeding with teaching, it is important to assess what the client already knows about their colostomy care. This allows the nurse to tailor the teaching to the client's individual needs and ensure that they are not overwhelmed with information they already know. Starting from the beginning and breaking up sessions may also be beneficial, but assessing the client's knowledge should be the first step. Having the client's spouse present may be helpful, but it is not necessary for effective teaching.

Question 9

A home health nurse is working with a client who has pulmonary fibrosis.Of the following teaching priorities,which will take the highest priority?
A)Client will be able to set up and administer a nebulizer treatment by the end of the day.
B)Client will have increased activity level by the end of the week.
C)Client will be able to do activities of daily living (ADLs)without shortness of breath in 3 days.
D)Client will have a positive attitude about the diagnosis by the end of the month.

Accepted Answer

The highest priority for a client with pulmonary fibrosis is ensuring they can manage their respiratory treatments effectively. Setting up and administering a nebulizer treatment is crucial for managing symptoms and maintaining respiratory function.

Question 10

The nursing diagnosis Readiness for Enhanced Knowledge (Nutrition)related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.What would be an appropriate outcome for this client?
A)Client will understand the importance of eating healthy.
B)Client will be able to lose weight.
C)Client will list foods that are nutritionally sound,low fat,and high fiber.
D)Client will appreciate the value of using the Food Guide Pyramid.

Accepted Answer

The nursing diagnosis states that the client has a desire to improve nutritional intake, so listing nutritionally sound, low-fat, and high-fiber foods would be an appropriate outcome. The other options are too broad and do not directly relate to the client's goal of improving their nutrition.

Question 11

A client being discharged after a myocardial infarction has been prescribed several new medications and a low-fat diet.The client states: "I'm never going to understand what to do,when to do it,and why I should be doing all these things." Which nursing diagnosis should the nurse formulate for this client?
A)Health-Seeking Behavior related to desire to prevent heart problems
B)Deficient Knowledge (diet and medication regimen)related to inexperience
C)Noncompliance related to situational factors
D)Risk for Myocardial Infarction related to deficient knowledge

Accepted Answer

The client's statement indicates a lack of understanding of their medication and diet regimen, suggesting a deficiency in knowledge. The nursing diagnosis of Deficient Knowledge (diet and medication regimen) related to inexperience is appropriate in this situation. The other options do not address the client's lack of understanding or uncertainty about their plan of care.

Question 12

A client is practicing using an incentive spirometer after surgery.The nurse has explained the use,demonstrated how it works,and also given the rationale for the client to continue to use this device.When mastering the use of this device,the client will demonstrate learning in which of Bloom's domains?
A)Cognitive
B)Psychomotor
C)Affective
D)Imitation

Accepted Answer

Psychomotor domain is related to physical movements, coordination and use of motor skills, which is the focus of using an incentive spirometer. The cognitive domain involves mental processes and the Affective domain involves attitudes and emotions, neither of which are directly related to using the spirometer. Imitation is not a recognized domain in Bloom's taxonomy.

Question 13

A home health client having difficulty keeping his medication schedule organized says "There are so many pills and the names are all confusing to me.I don't even understand what they're for." What should the nurse do?
A)Help the client remember color and size in relationship to dosing time.
B)Write out the generic and trade name of all the pills for the client.
C)Fill a pill bar and tell the client not to worry,and just take the pills according to that system.
D)Have the physician talk to the client about his medications.

Accepted Answer

Helping the client remember color and size in relationship to dosing time can be a helpful strategy to organize the medication schedule. This visual cue can assist in distinguishing between medications and reduce confusion. Writing out the generic and trade name of pills (B) may not be practical for the client and may be overwhelming. Filling a pill bar (C) can also be overwhelming and possibly not address the client's concerns about confusion. Having the physician talk to the client about his medications (D) may be helpful, but the nurse should first explore simpler strategies to assist the client.

Question 14

A school nurse is putting together a program for adolescents about positive lifestyle choices.What should the nurse keep in mind when preparing content to present to this age group?
Standard Text: Select all that apply.
A)Based on learning outcomes
B)Current
C)Adjusted to the adolescent client
D)Based on sources available within the school system
E)Consistent with the teaching topics

Accepted Answer

The answer of A school nurse is putting together a...

Question 15

At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication.This is a skill that the students have not yet been exposed to yet.What should the instructor respond to the staff nurse that supports timing and learning environment?
A)"It will take me a moment to explain the procedure to the students because we've not practiced this,but I'll find somebody to administer it."
B)"Would it be OK if the students observed today? Then,we'll do it next time we're here."
C)"We're leaving now,but thanks for asking."
D)"I'll check with the students and see if one of them would like to volunteer."

Accepted Answer

This response acknowledges the staff nurse's request while also maintaining a safe and supportive learning environment for the students. Observing the procedure first before practicing it themselves will give the students a chance to see it in action and ask questions. It also allows the instructor to properly prepare for the next clinical day and ensure that the necessary materials are available for the students to practice the skill.

Question 16

A nurse is planning a community health education project that deals with organ donation,and the target audience is a group of adults.When following andragogy concepts,the nurse should make sure that the teaching includes which information?
A)Past statistics about organ donors
B)Written pamphlets
C)Directions about how to become an organ donor
D)Information on how this group can influence their children

Accepted Answer

Andragogy emphasizes the importance of relevance, practicality, and problem-solving in adult learning. Therefore, the nurse should focus on providing clear and specific directions about how the adults can become organ donors rather than vague statistics or broad concepts. Written pamphlets can be useful, but the emphasis should be on clear instructions. Information on how this group can influence their children may be relevant in some circumstances, but it is not directly related to the goal of the education project which is to increase organ donation.

Question 17

A client who is legally blind requires vitamin B₁₂ injections every 2 weeks and insists on self-administration.What is the best way for the nurse to assist this client? A)Teach the spouse to draw up the medication,then the client can give the injection. B)Make sure that the injection is scheduled during a visit,so the nurse can supervise. C)Prefill syringes with the correct dose,so the client can use them for self-administration. D)Schedule the client's clinic appointments in accordance with the dosing schedule,then give the injection when the client is at the clinic.

Accepted Answer

Pre-filling syringes with the correct dose would allow the client to self-administer the injection safely and independently. This option ensures the client's autonomy while minimizing the risk of errors. Teaching the spouse to draw up the medication may not guarantee the safety of self-administration by the client, and scheduling clinic visits may not be convenient for the client.

Question 18

A nurse is working with the family of a child who is hospitalized with asthma.The family members speak little English,and the child is being sent home on nebulizer treatments as well as an inhaler.In addition to enlisting an interpreter to help with the language barrier,the nurse should
A)provide written instructions before discharge.
B)address any healing beliefs the family has.
C)make sure the child comes back for the follow-up appointment.
D)make sure the parents can set up the treatments for their child.

Accepted Answer

Understanding and addressing any healing beliefs the family has is crucial to ensure that the treatment plan is culturally sensitive and that the family is more likely to adhere to it.

Question 19

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment.The client has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase the client's motivation to learn?
A)Demonstrating the finger stick on the nurse
B)Offering to do the procedure for the client each time it is scheduled
C)Teaching the client's support system how to perform the procedure
D)Encouraging the client's participation each time the procedure is performed

Accepted Answer

Encouraging the client's participation each time the procedure is performed can help increase their motivation to learn. By actively involving the client in their own care, the nurse can help the client feel empowered and in control of their situation. This may help improve their mood and willingness to learn. Demonstrating the finger stick on the nurse or offering to do the procedure for the client each time may reinforce feelings of helplessness and dependence, whereas teaching the client's support system how to perform the procedure may be helpful but not directly address the client's lack of motivation.

Question 20

A client with an incision necessitating a complex dressing change is being discharged and will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?
A)"It's going to take time for me to understand this whole thing."
B)"Let's make sure my spouse is around before you start explaining."
C)"I wish my doctor would have explained this more in depth."
D)"I'm feeling nauseous,but go ahead and start anyway."

Accepted Answer

If the client is feeling nauseous, it is important to address their physical condition first before beginning any teaching. This may affect their ability to comprehend and retain information. It would be appropriate to postpone teaching until the client is feeling better.

Quiz 27: Teaching

The nurse has completed client teaching regarding medication administration.Which client statement best illustrates compliance?

The nurse is working with a group of older clients through a community senior citizens center.Utilizing an understanding of health literacy,the nurse will make sure that

A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which client exhibits the highest motivation?

A nurse is working in a neonatal intensive care unit,teaching parents how to care for their tiny babies while they are still in the hospital.Which statement by a parent reflects a readiness to learn?

The nurse is instructing a client on self-administration of insulin.Which statement regarding feedback will be most beneficial to the client?

A nursing student is presenting a teaching project to the class using each of Bloom's domains.The student has several activities included in the project.Which activity is an example of the affective domain?

The nurse is instructing a client on self-administration of a subcutaneous injection.The nurse is using which theoretical construct of learning?

The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days.When organizing the teaching/learning experience,the nurse should

A home health nurse is working with a client who has pulmonary fibrosis.Of the following teaching priorities,which will take the highest priority?

The nursing diagnosis Readiness for Enhanced Knowledge (Nutrition) related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.What would be an appropriate outcome for this client?

A home health client having difficulty keeping his medication schedule organized says "There are so many pills and the names are all confusing to me.I don't even understand what they're for." What should the nurse do?

A school nurse is putting together a program for adolescents about positive lifestyle choices.What should the nurse keep in mind when preparing content to present to this age group? Standard Text: Select all that apply.

A nurse is planning a community health education project that deals with organ donation,and the target audience is a group of adults.When following andragogy concepts,the nurse should make sure that the teaching includes which information?

A client who is legally blind requires vitamin B₁₂ injections every 2 weeks and insists on self-administration.What is the best way for the nurse to assist this client?

A nurse is working with the family of a child who is hospitalized with asthma.The family members speak little English,and the child is being sent home on nebulizer treatments as well as an inhaler.In addition to enlisting an interpreter to help with the language barrier,the nurse should

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment.The client has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase the client's motivation to learn?

A client with an incision necessitating a complex dressing change is being discharged and will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?