Question 1

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 relation to dosing time can be a helpful mnemonic strategy. However, it's important to note that a complete medication review and education may still need to be done in the long-term. Writing out the generic and trade name of all the pills may be overwhelming and confusing for the client. While filling a pill bar and telling the client not to worry and just take the pills according to that system may be helpful, it's important to reinforce understanding and not just create a routine. Having the physician talk to the client about his medications may be helpful, but it's important for the nurse to also take an active role in medication education and management.

Question 2

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 reflects a lack of understanding and experience regarding the prescribed diet and medication regimen. Therefore, the appropriate nursing diagnosis is Deficient Knowledge (diet and medication regimen) related to inexperience.

Question 3

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

Option B indicates the parent's proactive approach to learning and ensuring they have support and don't miss any information, reflecting readiness to learn.

Question 4

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

The answer of The nurse is working with a group...

Question 5

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

Discovering what the client already knows about his/her colostomy will help the nurse determine what information needs to be covered and avoid repeating what the client already knows. This will also allow the nurse to tailor the teaching to the client's specific needs and understanding.

Question 6

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

When using andragogy, the focus should be on addressing the learning needs and interests of adult learners. Providing information on how to become an organ donor would be more relevant and practical information for this age group compared to past statistics or written pamphlets. While information on how this group can influence their children may be important, it is not specific to the topic of organ donation.

Question 7

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

The affective domain deals with attitudes, values, and emotions. In this activity, members are asked to reflect on attitudinal changes, making it an example of the affective domain. B is an example of the cognitive domain as it deals with knowledge and skills. C is an example of the psychomotor domain as it involves demonstrating a physical skill. D is also an example of the cognitive domain as it involves reading and summarizing information.

Question 8

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

The answer of A nurse is working with the family...

Question 9

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 motivation by giving the client a sense of control and ownership over their diabetes management. By actively involving the client in their own care, the nurse can also help the client develop a better understanding of the disease and its management, which may help decrease sullenness and foster better communication. Demonstrating the finger stick on the nurse and offering to do the procedure for the client each time may not empower the client to take an active role in their own care, which could contribute to feelings of helplessness or resentment. While teaching the client's support system how to perform the procedure can be helpful, it is most important to encourage the client's participation as a primary focus.

Question 10

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

The client's statement of feeling nauseous indicates that they may not be feeling well enough to focus on the teaching and may need to address their physical symptoms first. It would be best to postpone the teaching until the client feels better.

Question 11

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 priority should be to ensure that the client can manage their symptoms effectively, which includes administering nebulizer treatments. The other options may be important, but ensuring the client's respiratory functioning is the top priority.

Question 12

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" shows that the client is receptive to the instruction and is likely to be compliant with medication administration.

Question 13

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 his new prosthesis exhibits the highest level of motivation as they are actively seeking to learn and improve their situation. The other options show varying levels of reluctance or disinterest towards the rehabilitation process.

Question 14

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

Feedback that is specific and constructive is most beneficial for learning a new skill. Option C provides specific, actionable advice on how to improve the technique of injecting insulin, which is directly related to the skill being taught.

Question 15

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

The use of an incentive spirometer involves physical movements and coordination, which falls under the psychomotor domain of Bloom's taxonomy of learning. Mastery of its use would demonstrate achievement of learning objectives at this domain.

Question 16

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 is specific to nutrition knowledge, so an appropriate outcome for the client would be to list foods that are nutritionally sound, low fat, and high fiber. This demonstrates an understanding of what constitutes a healthy diet and can lead to improved nutritional intake. Options A and D are also important, but they are more general and do not specifically address the client's need to enhance their knowledge of nutrition. Option B may not be appropriate for every client and is not directly related to the stated nursing diagnosis.

Question 17

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 option allows for the students to observe the procedure in a real clinical setting, while not being directly responsible for administering the medication themselves. This can help the students learn the steps and techniques in a supportive environment, and then be better prepared for future opportunities to perform the skill on their own. Option A may put unnecessary pressure on the students to perform a skill they have not yet practiced, and options C and D do not provide a learning opportunity for the students.

Question 18

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?
(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

A) The content should be based on learning outcomes to ensure that the program is effective and achieves its goals.
B) The content should be current to ensure that it is relevant and up-to-date for the target audience.
C) The content should be adjusted to the adolescent client to ensure that it is age-appropriate and addresses their unique needs and concerns.
E) The content should be consistent with the teaching topics to ensure that it aligns with the school curriculum and reinforces what students are learning in other classes. D is not a relevant criteria for preparing content for a program on lifestyle choices.

Question 19

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 social learning emphasizes the importance of observation and imitation of behaviors modeled by others. In this case, the nurse is instructing the client on how to self-administer an injection, which involves the client observing the nurse's behavior and then imitating it. Therefore, this scenario aligns with Bandura's theory.

Question 20

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

Prefilling syringes with the correct dose allows the client to self-administer the medication independently and safely. This option accommodates the client's desire for independence while ensuring that the medication is administered correctly. Option A may not be appropriate if the spouse is unable or uncomfortable with drawing up medication. Option B may not be feasible for the client's schedule or may be inconvenient for the client. Option D may not be convenient for the client and may not accommodate the client's desire for independence.

Quiz 27: Teaching

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 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 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

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 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 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 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?

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

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?

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

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 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? (Select all that apply)

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

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?