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Professional Role: My Nursing Lab – Flashcards

Stephen Sanchez

7 July 2022

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question

A nurse educator is planning a seminar about the mentorship process. Which techniques reflect correct understanding of factors that promote learning? (Select all that apply.) 1. Organizing the content in a simple-to-complex order 2. Ensuring that the content is relevant to the nurse educator's personal experience 3. Repeating key concepts and facts throughout the teaching/learning process 4. Adjusting the temperature of the learning environment so that the participants are comfortable 5. Actively engaging the participants in the learning process

answer

1, 3, 4, 5 Strategies that promote learning include actively engaging learners in the learning process; organizing content using a simple-to-complex format; promoting environmental comfort (physical and psychologic); and repeating key concepts and facts. The educator should ensure that content is relevant to the learners' personal experiences, not those of the educator.

question

While teaching a 32-year-old client about colostomy care, the nurse notes the client has tears in his eyes. The client states, "I can't believe I have to live with this thing for the rest of my life." Which nursing response best reflects the nurse's understanding of factors that inhibit learning? 1. "I hear you saying that you're upset. I'll reschedule your teaching for tomorrow morning. Now, please tell me more about how you feel." 2. "Let's reschedule this teaching session for later. I'll check back with you to pick a time. Right now, please tell me more about what you're feeling." 3. "You've been through a lot. As soon as we're finished, I'd like to ask your nurse practitioner to give you a counseling referral." 4. "I'm sorry you have to go through this. Understanding how to take care of yourself should make it a little easier for you, so let's talk a little more about how to clean your colostomy site."

answer

2. "Let's reschedule this teaching session for later. I'll check back with you to pick a time. Right now, please tell me more about what you're feeling."

question

A community health nurse is designing a teaching plan for college students about smoking cessation. What information would be most appropriate for the nurse to include? 1. Accurate educational content that is at least 10 years old 2. Quizzes and verbal assessments 3. Client goals, including that all smokers will stop smoking within one week of completing the class 4.General information that applies to learners of all ages and backgrounds

answer

2. Quizzes and verbal assessments

question

A 64-year-old male client is admitted for treatment of dehydration and diagnosed with diabetes. While the nurse is teaching the client about the signs and symptoms of hypoglycemia, the client's wife states, "While you two are talking, I'm going to get some coffee." Which nursing action best reflects application of the adult learning theory? 1. Explaining to the client's wife that she may be the first to recognize the signs and symptoms of her husband's hypoglycemia, which may help him get treatment sooner 2. Recognizing that the client's wife has personal characteristics, such as impatience and appreciation for coffee, that influence her perception of the nurse's teaching 3. Giving the client's wife a cup of coffee if she stays for the teaching 4. Considering the wife's lack of interest in the teaching from the standpoint of biologic, psychologic, cultural, social, and spiritual perspectives; including her marital beliefs and social status

answer

1. Explaining to the client's wife that she may be the first to recognize the signs and symptoms of her husband's hypoglycemia, which may help him get treatment sooner

question

Which factors influence the nurse's choice of educational content and have the most impact on required documentation of educational sessions? 1. Advances in health care and research 2. Widespread availability of Internet resources 3. Client-specific characteristics 4. Federal regulations

answer

4. Federal regulations

question

The nurse is teaching a 7-year-old client about hand washing. The client is resistant to washing her hands after playing with her pet hamster. Which teaching strategy reflects the nurse's application of the behaviorist theory of learning? 1. Assessing the client's aversion to handwashing through viewing her from biologic, psychologic, cultural, social, and spiritual standpoints, including her health status and psychologic state 2. Explaining to the client how the benefits of handwashing apply to her 3. Giving the client a healthy treat each time she washes her hands after playing with her pet hamster 4. Recognizing that the client has personal characteristics, such as shyness and love of animals, that influence her perception of the nurse's teaching

answer

3. Giving the client a healthy treat each time she washes her hands after playing with her pet hamster

question

When planning client education activities, which factors would affect the nurse's choice of content and teaching method? (Select all that apply.) 1. Advances in health care and research 2. Cultural background of the nurse 3. Federal and state regulations 4. Socioeconomic background of the client 5. Widespread availability of Internet resources

answer

1, 3, 4, 5

question

Which teaching strategy best exemplifies a characteristic of effective teaching? 1. Evaluating the client's comprehension of the content 2. Minimizing question-answer interactions to avoid distracting the client 3. Using one teaching method for the client 4. Avoiding goal-setting to prevent intimidating the client

answer

1. Evaluating the client's comprehension of the content

question

Which learning theory proposes that positively or negatively reinforcing an individual's response to a stimulus produces learning? 1. Cognitive theory 2. Adult learning theory 3. Humanist theory 4. Behaviorist theory

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4. Behaviorist theory

question

Which statement best describes a principle of humanist learning theory? 1. Self-evaluation and self-criticism are more important than others' evaluation of the learner. 2. The learner's personal characteristics affect his perception of a given cue. 3. By altering the stimulus or the type of reinforcement that is delivered, the learner's response can be modified. 4. The learner is motivated to acquire new knowledge by understanding how and why the knowledge is directly applicable to his specific situation.

answer

1. Self-evaluation and self-criticism are more important than others' evaluation of the learner.

question

Which potential barrier to learning is culturally based? 1. Values 2. Shortened attention span 3. Sensorimotor deficits 4. Critical illness

answer

1. Values

question

Which strategies are appropriate for inclusion in the teaching plan for a pediatric client? (Select all that apply.) 1. Exposing the pediatric client to healthcare personnel who are dressed in uniforms, surgical masks, and scrubs prior to the client's hospital admission 2. Gearing instructions toward the comprehension level of the pediatric client's parent or caregiver 3. Addressing the pediatric client primarily through the use of terms of endearment, such as "sweetheart" 4. Demonstrating relevant treatments or procedures using stuffed animals 5. Including the pediatric client's caregiver in the teaching session

answer

1, 4, 5

question

The nurse is developing a teaching plan for clients with hypertension. Which statement by the nurse indicates correct understanding of the principles of effective teaching? 1. "To help keep the clients from feeling intimidated, I should avoid setting goals for them." 2. "I should choose one method of teaching and use that throughout this class." 3. "I need to find out the ages of the clients who will be attending this class." 4. "To avoid distractions, I should ask the clients to hold their questions until I'm finished teaching, then have a question-and-answer session."

answer

3. "I need to find out the ages of the clients who will be attending this class."

question

The nurse teaches principles of diet and nutrition at a community health center. When evaluating one client's comprehension of the content during the third teaching session, the client states, "My friend says I don't know anything about what foods are good for me. I feel like I've learned a lot about nutrition, though. I've started eating healthier, and I already lost two pounds." Which nursing response best reflects application of humanist learning theory? 1. Your opinion of how much you've learned is more important than is your friend's opinion. 2. Because of individual differences, your perception of the teaching material will be different from your friend's perception of the content. 3. Perhaps we should try a different way of teaching this material to you to help you better understand. 4. Perhaps we should explore how knowledge of diet and nutrition applies to you.

answer

1. Your opinion of how much you've learned is more important than is your friend's opinion.

question

The nurse is developing a teaching plan for a client with asthma. To promote client learning, which strategy should the nurse implement? 1. Instruct the client to wait until the teaching session has ended before asking questions about the content. 2. Repeat the key concepts and facts. 3. Organize the teaching content in a complex-to-simple fashion. 4. Encourage the client to wait at least 24 hours before applying new knowledge and skills.

answer

2. Repeat the key concepts and facts.

question

Which statement best describes the influence of the Internet on teaching and learning in the healthcare setting? 1. Due to the widespread use of Internet technology, the nurse should incorporate computer-based learning into every teaching plan. 2. Because the Internet offers information that is mostly incorrect, the nurse must anticipate the need to reeducate all clients. 3. Because of client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not. 4. Due to the widespread use of Internet technology, all clients should be trained to use a computer-based approach to learning.

answer

3. Because of client-specific variations, the nurse must be skilled at implementing effective teaching strategies for clients who use the Internet as well as for those who do not.

question

A 73-year-old female Native American client is hospitalized with an exacerbation of chronic obsructive pulmonary disease (COPD). The client, who has a 55 pack-year history, reports that she still smokes cigarettes. She also reports that she smokes tobacco during certain important religious rituals and tribal celebrations. Which nursing interventions best reflect the nurse's application of humanist theory of learning? (Select all that apply.) 1. Considering the client's tobacco use from the standpoint of her religious beliefs 2. Explaining to the client how smoking cessation at this stage of life still promotes lung healing, and can lead to fewer exacerbations of COPD and improved quality of life 3. Exploring how the client's cultural background influences her decision to continue to smoke 4. Encouraging the client's family members and loved ones to praise the client for not smoking 5. Recognizing that the client has personal characteristics, such as stoicism and mistrust for traditional medicine, that may influence her perception of the nurse's teaching

answer

1, 3 Humanist learning theory recognizes the learner as being a unique combination of biologic, psychologic, cultural, social, and spiritual factors; consideration of the client's religious and cultural influences best refects this approach. Explaining how smoking cessation can positively impact the client at her stage of life is reflective of adult learning theory. Encouraging the client's family members and loved ones to praise her for not smoking reflects behaviorist theory. Recognizing the influence of the learner's personal characteristics, such as the client's stoicism and mistrust for traditional medicine, is reflective of cognitive theory.

question

During a seminar, the nurse educator is asked how the Internet affects the selection of content and teaching methods used in client education. Which is the best response? 1. "Health-related information on the Internet is accurate, and it does not affect the selection of content and teaching methods." 2. "Because the Internet is infrequently used to access health-related information, it does not have much effect on selecting content and teaching methods." 3. "Almost all of the information presented on the Internet is inaccurate, but it still affects the selection of content used in client education." 4. "The Internet offers content that is both accurate and inaccurate. When choosing client education materials, we take this into consideration."

answer

4. "The Internet offers content that is both accurate and inaccurate. When choosing client education materials, we take this into consideration."

question

The nurse at a college health center is discharging a 19-year-old female client following her annual sports physical and gynecological exam. As the nurse is completing the client's discharge teaching, the client states, "I read online that you can't get pregnant while you're on your period." Which information should the nurse include in her response? (Select all that apply.) 1. "I'm glad you brought this up. A lot of people believe that you can't get pregnant while you're on your period, but you can." 2. "Don't believe what you read on the Internet. Almost all online information is incorrect." 3. "Most of what you'll find on the Internet is accurate, but that is not. Where did you read that you couldn't get pregnant while you were on your period?" 4. "That's foolishness. Of course you can get pregnant while you're on your period." 5. "Tell me more about your understanding of the times when a woman is most likely to get pregnant."

answer

1, 5 By praising the client for bringing up a topic of education, the nurse is offering encouragement. By asking the client to share her current knowledge, the nurse is attempting to assess the client's knowledge base and actively engage the client in the learning process, both of which promote effective learning. Instead of referring to the client's erroneous belief as "foolishness," the nurse should offer nonjudgmental support and teach the client accurate information. The Internet is a source of both accurate and inaccurate information.

question

A 21-year-old male pharmacy student is admitted to the ED for treatment of a sprained right ankle. Following treatment, the client is prescribed ibuprofen to reduce pain and swelling. As the nurse begins teaching about the maximum dose of ibuprofen, the client states, "I already know this stuff. Can you finish my discharge paperwork so I can get out of here?" Which nursing approaches reflect the application of cognitive theory? (Select all that apply.) 1. Telling the client, "If you let me finish teaching you about ibuprofen, I'll quickly complete your discharge paperwork." 2. Recognizing the client's disinterest in teaching as being shaped by his history of unpleasant social interactions 3. Considering the client's teaching preferences from the standpoint of his psychologic state 4. Realizing the effects of the client's spiritual beliefs on his learning 5. Recognizing the client's knowledge base and intelligence level as an important consideration in the nurse's choice of teaching content

answer

4, 5 Cognitive theory presents learning as being primarily a mental, intellectual, or thinking process during which the learner selectively chooses his perceptions; the process is shaped by personal characteristics, which impact the learner's perception of a given cue. Recognizing the influence of the client's knowledge and intelligence level on the teaching-learning process reflects application of cognitive theory, as does assessing the client's knowledge base and adjusting the teaching content as needed. Rewarding the client by finishing his discharge paperwork once he has completed the teaching session best reflects application of behaviorist theory. Humanist theory describes the learner as comprising various factors, including spiritual beliefs and psychologic state.

question

The nurse is planning a teaching session on diet and nutrition for a group of teenage mothers who are students at a local high school. When planning the teaching, which client-specific factors should the nurse seek to learn? 1. Level of education 2. Gender 3. Cultural background 4. Age

answer

3. Cultural background

question

The school nurse is developing a client teaching plan for high school students that addresses the prevention of sexually transmitted infections. Which resources are appropriate for use when designing the plan? (Select all that apply.) 1. An infectious disease textbook written by a physician 2. A family practice physician 3. An article in a nursing journal 4. An online blog with no stated author 5. A nursing colleague

answer

1, 2, 3, 5 Acceptable sources of teaching content include textbooks, nursing journals, reputable websites, and other healthcare providers.

question

During a teaching session about early recognition of the signs and symptoms of colon cancer, the client states, "I think ''feces' means 'poop.' Is that right?" How should the nurse respond? 1. "'Feces' is also called 'stool.'" 2. "No, the correct term is 'feces.'" 3. "Yes, that's right." 4. "Let's move on with the teaching."

answer

3. "Yes, that's right."

question

The nursing student asks the nurse educator which elements are included in evaluation of a teaching plan's effectiveness. How should the educator respond? 1. "Feedback questionnaires from the client are not useful in the evaluation process." 2. "Choice of content is included in the evaluation." 3. "Teaching strategies are not evaluated." 4. "The degree to which the plan facilitated the nurse's achievement of the learning outcomes is part of the evaluation."

answer

2. "Choice of content is included in the evaluation."

question

The clinical nurse educator is teaching nursing students about methods of evaluating the client's degree of learning. Which statement should the educator include in the teaching? 1. "Self-reports are acceptable forms of client evaluation. " 2. "Written tests are acceptable, but online tests should be avoided." 3. "Oral questioning is not an objective means of evaluation." 4. "Direct observation of behavior is the only acceptable form of client evaluation."

answer

1. "Self-reports are acceptable forms of client evaluation. "

question

The home health nurse is teaching an older adult client how to use an automatic blood pressure monitoring device. Which teaching strategy reflects the nurse's correct application of lifespan considerations for this client? 1. Encouraging the client to rest as opposed to asking her to perform a return demonstration of skills 2. Using written materials that feature large print, black ink, and reflective, bright white paper 3. Scheduling the session as a one-on-one meeting between the nurse and the client 4. Designing content that targets individuals with a fifth- to sixth-grade reading level

answer

4. Designing content that targets individuals with a fifth- to sixth-grade reading level

question

The nurse is planning a seminar that emphasizes health promotion. Which topics are most appropriate for inclusion in the teaching? (Select all that apply.) 1. Stress management 2. Grief and loss 3. Nutrition 4. Fertility. 5. Growth and development

answer

1, 3, 4, 5 Fertility, nutrition, stress management, and growth and development are most appropriate as topics for health promotion. Grief and loss are better addressed in the context of adaptation to altered health and function.

question

The nurse educator is teaching a group of students about learning environments. Which statement should the educator include? 1. "Private residences do not qualify as teaching environments because the client is away from the clinical setting." 2. "Managed care facilities do not recognize the nurse's role as teacher; therefore, client education is not required in these facilities." 3. "Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the learner." 4. "Community health organizations are not legally considered to be teaching environments."

answer

3. "Teaching may take place in any setting that offers an opportunity for effective communication between the teacher and the learner."

question

During a medical-surgical clinical rotation, the nurse educator is teaching students how to develop client learning outcomes. Which statements should the educator include in the teaching? (Select all that apply.) 1. "Client-specific characteristics, such as age, gender, and cultural background, should be incorporated in the client learning outcomes." 2. "To motivate the client, learning outcomes should include goals that reflect the highest level of accomplishment." 3. "Avoid using words such as 'believes,' 'knows,' 'appreciates,' and 'understands' in the client learning outcomes." 4. "Be sure that each desired client action and response is measurable." 5. "The nursing interventions, including the planned topics of teaching, should be clearly stated in the client learning outcomes."

answer

1, 3, 4 Reaching the highest level of accomplishment may be unrealistic, depending on the client. Client learning outcomes should reflect realistic, achievable goals. The nurse's intention to teach about a specific topic reflects a nursing action, not a client goal. All desired client actions and responses should be measurable. Because words such as believes, knows, appreciates, and understands are not measurable, these terms should not be included. Client learning outcomes should incorporate client-specific characteristics, including age, developmental level, and cultural background.

question

Which statement best describes The American Hospital Association's publication, A Patient's Bill of Rights? 1. It identifies client teaching as a nursing function. 2. It declares that clients have a right to be educated about their health care. 3. It qualifies client teaching as a nursing responsibility within both the professional and legal domains. 4. It requires evidence that clients and their significant others collaborate in the provision of care.

answer

2. It declares that clients have a right to be educated about their health care.

question

Which nursing intervention best reflects a strategy that is conducive to the teaching-learning process? 1. Explaining the content as quickly as possible 2. Disregarding the client's facial expressions 3. Asking the client to perform a return demonstration of skills 4. Avoiding repetition of information

answer

3. Asking the client to perform a return demonstration of skills

question

When formulating learning outcomes, which nursing guideline is most appropriate? 1. Including statements about what the client will understand 2. Identifying the desired nursing action 3. Using measurable data in each statement 4. Avoiding the use of client-specific characteristics

answer

3. Using measurable data in each statement

question

When organizing the client's learning experience, which guideline should the nurse implement in the teaching plan? 1. Avoid documentation of informal or unscheduled teaching sessions, such as during medication administration. 2. Include casual conversation as a form of assessing the client's knowledge base. 3. Ensure that all teaching sessions are formal in nature. 4. Introduce educational content, then assess the client's current knowledge level.

answer

2. Include casual conversation as a form of assessing the client's knowledge base.

question

Which nursing action reflects correct understanding of the principles related to implementing a teaching plan? 1. Avoiding summarizing content that has already been discussed 2. Using teaching methods that engage more than one of the client's senses 3. Using professional healthcare terminology with all clients 4. Scheduling teaching sessions at times that are most convenient for the nurse

answer

2. Using teaching methods that engage more than one of the client's senses

question

Which strategies are appropriate for inclusion in the teaching plan for a pediatric client? (Select all that apply.) 1. Exposing the pediatric client to healthcare personnel who are dressed in uniforms, surgical masks, and scrubs prior to the client's hospital admission 2. Addressing the pediatric client primarily through the use of terms of endearment, such as "sweetheart" 3. Gearing instructions toward the comprehension level of the pediatric client's parent or caregiver 4. Including the pediatric client's caregiver in the teaching session 5. Demonstrating relevant treatments or procedures using stuffed animals

answer

1, 4, 5

question

Which strategies are appropriate for inclusion in the teaching plan for the older adult client? (Select all that apply.) 1. Providing written materials that use non-reflective (e.g., off-white, matte) paper 2. Including the older adult client's caregiver in the teaching session 3. Using teaching materials that feature multicolored print 4. Pacing the teaching session with respect to the client's energy level 5. Gearing teaching content toward individuals with a tenth- to twelfth-grade reading level

answer

1, 2, 4

question

Which of the nurse's statements correctly reflects the use of learning evaluation methods? 1. Written or online tests are not effective evaluation tools. 2. Self-reports and self-monitoring are not valid forms of evaluation. 3. Oral questioning is an acceptable method of learning evaluation. 4. Direct observation of the client's behavior is the only appropriate method of evaluation.

answer

3. Oral questioning is an acceptable method of learning evaluation.

question

Which elements of client teaching should the nurse document in the client's record of care? (Select all that apply.) 1. Client's reading level 2. Degree to which client learning outcomes were achieved 3. Learning outcomes 4. Need for additional teaching 5. Identified learning needs

answer

2, 3, 4, 5

question

The nurse is teaching a postoperative client about using incentive spirometry to prevent pulmonary atelectasis. Upon conclusion of the session, the client points to the incentive spirometer and asks, "What is that thing"? Which nursing response is the most appropriate? 1. Repeat the needed content and ask the client to demonstrate use of the incentive spirometer. 2. Conclude the session and schedule an additional teaching session for a later time. 3. Ask another healthcare provider to assist with teaching the client. 4. Provide the client with written instructions that describe using the incentive spirometer.

answer

1. Repeat the needed content and ask the client to demonstrate use of the incentive spirometer.

question

The nurse is writing a plan of care for a client. Which statement best reflects correct application of the guidelines for writing learning outcomes? 1. Within 30 days, the client will feel less pain and will be exercising more frequently. 2. The client will be taught the signs and symptoms of diabetes. 3. Upon conclusion of the teaching session, the client will verbally identify three types of low-impact exercise. 4. The client will no longer be depressed and will believe that she is valuable.

answer

3. Upon conclusion of the teaching session, the client will verbally identify three types of low-impact exercise.

question

The nurse is teaching a preoperative client methods to avoid infection of his surgical incision during the postoperative period. The client is scheduled for surgery the following day. As the nurse is speaking, the client begins to fall asleep. Which nursing response is best? 1. Gently awaken the client and continue teaching. 2. Allow the client to nap for five minutes, then awaken him and resume teaching. 3. Reschedule the teaching session for a time that is acceptable to the client. 4. Awaken the client and politely ask him to pay attention.

answer

3. Reschedule the teaching session for a time that is acceptable to the client.

question

The nurse is performing a telephone follow-up with a client who received teaching about the use of assistive hearing devices. During the call the client states, "My hearing aids are working just fine. I have no trouble at all adjusting them, and they really help me hear better. I don't have any questions." When considering documentation of client teaching, which nursing action is best? 1. Do not document anything; only formal, in-person meetings qualify as follow-up evaluations. 2. Do not document anything; telephone conversations are not considered to be official forms of follow-up. 3. Document the client's reported success with the use of assistive hearing devices and note that the client denied the need for additional teaching. 4. Document the client's reported successful achievement of learning objectives, but require a face-to-face appointment with her physician to demonstrate proficiency with the use of the devices.

answer

3. Document the client's reported success with the use of assistive hearing devices and note that the client denied the need for additional teaching.

question

The nurse is conducting preoperative teaching for an adult female client who is scheduled to undergo a biopsy for a breast mass. During the session, the nurse notices the client is trembling. Which nursing response is best? 1. Pausing the teaching session and asking the client how she is feeling 2. Canceling the teaching session and leaving the client alone so she can have privacy 3. Asking the client if she understands the information that has been discussed 4. Providing the client with a warm blanket and continuing the teaching session

answer

1. Pausing the teaching session and asking the client how she is feeling

question

The nurse is teaching an older adult client how to use an incentive spirometer. The client has unsuccessfully attempted to use the device several times. Which is the best response by the nurse (Select all that apply.) 1. Encouraging the client to continue to practice using the spirometer 2. Concluding the teaching session 3. Asking the charge nurse to assume the role of teacher 4. Telling the client a return demonstration is necessary 5. Praising the client for his attempts to use the incentive spirometer and repeating the instructions for its use

answer

1, 4, 5 Effective client teaching includes repeating content as needed and providing positive reinforcement. Return demonstration is needed to evaluate the client's comprehension of the teaching. The teaching session should not be concluded abruptly; instead, the nurse should allow sufficient time for the client to process the information. There is no indication for asking the charge nurse to assume the role of teacher.

question

When discussing the process of developing a client teaching plan, the nursing student asks, "What's the purpose of the client learning outcomes?" How should the nurse educator respond? 1. "Learning outcomes help the nurse to evaluate the client's developmental level and select appropriate teaching strategies." 2. "Learning outcomes identify the nursing interventions and help the client evaluate the effectiveness of the plan." 3. "Learning outcomes guide the teaching plan and help the nurse evaluate the effectiveness of the plan." 4. "Learning outcomes help the client set goals and help to evaluate the client's degree of satisfaction with the teaching plan."

answer

3. "Learning outcomes guide the teaching plan and help the nurse evaluate the effectiveness of the plan."

question

The nurse is planning a teaching session for a 6-year-old client who is scheduled to undergo tonsillectomy and adenoidectomy in two weeks. Which strategies reflect the nurse's correct understanding of lifespan considerations? (Select all that apply.) 1. Giving the client a coloring book that depicts the hospital, surgical team, and client monitoring devices 2. Using a doll to demonstrate placement of an oxygen mask 3. Discouraging parents from reading story books about the planned procedure, as this may frighten the child 4. Including instructions that are geared toward the parents' level of comprehension 5. Using terms of endearment for the child, such as "sweetheart," as opposed to addressing the child by name

answer

1, 2 Pediatric clients should be addressed by name. Teaching, including instructions, should be geared toward the pediatric client's comprehension level. The use of coloring books as teaching tools can be an effective way to familiarize pediatric clients with facilities, people, and equipment. Parents and caregivers should also be encouraged to prepare the child for hospital admission through reading the child special story books that describe the clinical setting, procedures, and staff. Demonstrating relevant treatments or procedures on dolls or stuffed animals can be an effective method for teaching the pediatric client.

question

The nurse is developing client learning outcomes for an adult client who experiences recurrent respiratory infections. The client has smoked 1 pack of cigarettes each day for 20 years. Which learning outcome is most appropiate for inclusion in the teaching plan? 1. Upon conclusion of the teaching session, the client will correctly state two types of nicotine replacement products. 2. During the teaching session, the client will be taught how cigarette smoke damages the pulmonary structures. 3. The client will stop smoking today. 4. Within two weeks, the client will not feel like smoking.

answer

1. Upon conclusion of the teaching session, the client will correctly state two types of nicotine replacement products.

question

Prior to discharging a client who has recently been diagnosed with asthma, the nurse plans to teach the client about health restoration. Which topic is most appropriate for inclusion in the teaching? 1. Protective health measures 2. Health screenings 3. Medication administration and side effects 4. First aid

answer

3. Medication administration and side effects

question

When documenting the client's teaching session, which component should the nurse include? 1. Client-specific characteristics, such as cultural background and spiritual beliefs 2. Degree to which client outcomes were achieved 3. A detailed description of each teaching strategy that was used 4. Names of the client's healthcare team members

answer

2. Degree to which client outcomes were achieved

question

The nurse is teaching a 48-year-old client about insulin administration. Which nursing intervention best reflects correct understanding of how to create an atmosphere that is conducive to the teaching-learning process? 1. Using standardized teaching plans that are designed for all clients with diabetes 2. Respecting the client's time by completing the teaching as quickly as possible 3. Verbally assessing the client's comprehension of the material 4. Minimizing the client's boredom by avoiding repetition of information

answer

3. Verbally assessing the client's comprehension of the material

question

Which strategy should the nurse choose to achieve career development through sharing professional opportunities and fostering a sense of belonging? 1. Networking 2. Coaching 3. Preceptorship 4. Mentoring

answer

1. Networking

question

A novice nurse wants to become a hospital administrator. Which career development strategy is most likely to help the nurse work toward this goal? 1. Engaging in networking 2. Finding a coach 3. Requesting a preceptor 4. Seeking a mentor

answer

4. Seeking a mentor

question

The novice nurse is interviewing for a critical care staff nurse position. The unit director asks the nurse to describe the importance of professional development to nursing. Which reply is best? 1. "Professional development enhances collaboration among staff members." 2. "Professional development involves engagement in planned activities that help the nurse maintain proficiency and currency in practice." 3. "Professional development is the same thing as staff development." 4. "Engaging in professional development enhances the nurse's role performance and improves client outcomes."

answer

4. "Engaging in professional development enhances the nurse's role performance and improves client outcomes."

question

James Ullriche, a nurse educator, is mentoring Robert Dellreno, who wants to become a nursing professor. The mentorship process has reached a point at which Robert is becoming more independent. Which phase of the mentorship process does this description reflect? 1. Redefinition 2. Initiation 3. Cultivation 4. Separation

answer

4. Separation

question

The medical-surgical unit's nurse leader is identifying activities and programs that qualify as forms of professional development. Which activities will qualify? (Select all that apply.) 1. In-services 2. Critical care certification courses 3. Preceptorship 4. General policy orientation 5. Employee orientation

answer

1, 2, 3, 5 Professional development programs and activities include employee orientation, in-services, specialty certification courses (such as critical care and quality improvement/quality assurance) and preceptorship opportunities. A general policy orientation would be included in a general orientation, not in a professional development program.

question

Susanna Ronterson is a 36-year-old nurse who wants to become a nursing professor. In selecting her mentor, which individual appears to be most ideal? 1. Stéphanié Gallivieri, a 36-year-old university nursing professor whose protégés have been hired at prestigious universities. 2. Amanda Wiersteine, a 35-year-old university nursing professor who wrote an award-winning book about delegation. 3. Jenny Irrisman, a 47-year-old college nursing professor who is an expert in leadership development. 4. John Hollcombe, a 49-year-old college dean of nursing who is an acclaimed and respected mentor.

answer

3. Jenny Irrisman, a 47-year-old college nursing professor who is an expert in leadership development.

question

Which responsibilities are included in the staff nurse's role in professional development? (Select all that apply.) 1. Requesting constructive criticism and feedback related to professional performance 2. Identifying staff members' learning needs 3. Identifying programs and activities that meet the learning needs of staff members 4. Evaluating staff members' professional performance 5. Participating in activities that meet nurse-specific learning needs and facilitate personal growth

answer

1, 5 Regarding professional development, staff nurse responsibilities include participating in activities that meet nurse-specific learning needs, promote professional development, and facilitate personal growth. In addition, the staff nurse is expected to request constructive criticism and feedback related to professional performance. The nurse leader's responsibilities include identifying staff members' learning needs, as well as designing and identifying programs and activities that meet the learning needs of staff members. The nurse leader also is responsible for evaluating staff members' professional performance.

question

For the new nurse in the hospital setting, which activity is most likely to be included during the nursing orientation phase? 1. Assignment of a preceptor 2. Introduction to unit policies and procedures 3. Discussion of the institution's philosophy 4. Meeting with human resource personnel

answer

1. Assignment of a preceptor

question

Which responsibilities are included as part of the nursing preceptor's function in relationship to the novice nurse? (Select all that apply.) 1. Helping to ensure that nursing care adheres to professional standards 2. Offering professional opportunities and fostering a sense of belonging 3. Evaluating clinical performance and and providing feedback 4. Helping the novice nurse achieve the highest level of personal and professional fulfillment 5. Promoting the use of clinical nursing skills and judgments that are necessary for safe, effective nursing practice

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1, 3, 5 Responsibilities of the preceptor include evaluating the novice nurse's clinical performance and providing feedback; assisting with learning routines, policies, and procedures; and promoting the use of clinical nursing skills and judgments that are necessary for safe, effective nursing practice. Coaching involves helping an individual to achieve the highest level of personal and professional fulfillment. The functions of networking include offering professional opportunities and fostering a sense of belonging.

question

Which action describes a primary function of coaching? 1. Assisting newly hired or novice nurses with learning routines, policies, and procedures 2. Helping an individual learn roles and responsibilities that are associated with a specific task or job 3. Empowering individuals to perform at their highest level of excellence in all areas of life 4. Connecting with other individuals or groups for the purpose of improving professional practice, offering support, advancing career goals, sharing information, and providing advice

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3. Empowering individuals to perform at their highest level of excellence in all areas of life

question

Which activities are included in the process of networking? (Select all that apply.) 1. Promoting professional and personal growth 2. Helping others to experience personal fulfillment 3. Supporting, guiding, and advising others 4. Fostering creativity 5. Sharing information and ideas

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1, 3, 4, 5 Functions of networking include supporting, guiding, and advising others; fostering creativity; sharing information and ideas; and promoting professional and personal growth. Functions of coaching include helping others to experience the greatest possible sense of fulfillment on a professional and personal level.

question

Which characteristic is usually true of individuals who are engaged in a mentor-protege relationship? 1. The mentor is usually of the same gender as the protege . 2. The protege demonstrates a high level of expertise as well as a willingness to share knowledge. 3. The protege typically holds a position of authority in the organization. 4. The mentor is usually younger than the protege .

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1. The mentor is usually of the same gender as the protege .

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A novice nurse is hired to work in the medical-surgical unit of a hospital. Which statement reflects this nurse's understanding of his responsibilities? 1. I'm expected to participate in activities that promote professional development. 2. Part of my role includes providing constructive criticism related to professional performance. 3. Part of my role includes identifying the learning needs of other staff members. 4. I'm expected to evaluate staff members' professional performance.

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1. I'm expected to participate in activities that promote professional development.

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Which description best reflects the function of a nursing preceptor? 1. Promote creativity and share ideas about nursing. 2. Help an individual to achieve the highest level of personal and professional fulfillment. 3. Assist the newly hired nurse with learning a hospital unit's routines, policies, and procedures. 4. Offer professional nursing opportunities and fostering a sense of belonging.

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3. Assist the newly hired nurse with learning a hospital unit's routines, policies, and procedures.

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Jeff Hytrean, a 26-year-old male staff nurse in the emergency department, is seeking a mentor. Which individual best meets the criteria to serve as Jeff's mentor? 1. Kylie Karelli, a 36-year-old female hospital administrator who has successfully mentored nurses in the past 2. Pam Redalvo, a 42-year-old female nurse executive, entrepreneur, and educator 3. Marcus Jellain, a 38-year-old male emergency department manager who enjoys teaching 4. Vince Bellforte, a 43-year-old nursing administrator who describes himself as being "somewhat impatient with students"

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3. Marcus Jellain, a 38-year-old male emergency department manager who enjoys teaching

question

A clinical nurse educator is preparing to teach a group of novice nurses about the staff nurse's professional development responsibilities. Which elements should the nurse educator include? (Select all that apply.) 1. Evaluating the effectiveness of professional development activities in meeting staff members' needs 2. Seeking activities that promote professional and personal growth 3. Identifying staff members' learning needs 4. Evaluating staff members' professional performance 5. Requesting constructive criticism related to professional performance

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1, 4, 5 Responsibilities of the staff nurse include seeking activities that promote professional and personal growth and requesting constructive criticism related to professional performance. The nurse leader's responsibilities include identifying staff members' learning needs; evaluating staff members' professional performance; and evaluating the effectiveness of professional development activities in meeting staff members' needs.

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A nurse executive is asked to describe the responsibilities of a coach. Which statements are the most appropriate? (Select all that apply.) 1. Teaching an individual about job-specific roles and responsibilities 2. Helping one or more individuals accomplish the highest level of achievement 3. Assisting an individual with achieving maximum personal and professional fulfillment 4. Encouraging accountability for actions and behaviors 5. Ensuring that the novice nurse's client care adheres to professional standards

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2, 3, 4 Coaching involves helping one or more individuals to accomplish the highest level of achievement and to experience maximum personal and professional fulfillment. Coaching also includes encouraging accountability for actions and behaviors. Mentoring includes teaching an individual about job-specific roles and responsibilities. Preceptorship ensures that the novice nurse's client care adheres to professional standards.

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A protégé is asked to describe her successful relationship with her nurse mentor. Which statement should she include? 1. "We regularly evaluate professional outcomes, but we do not evaluate personal outcomes." 2. "When we began the mentorship, we set clear definition of goals and objectives." 3. "To facilitate the relationship, we schedule one conversation each week." 4. "My mentor redefines our relationship as necessary."

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2. "When we began the mentorship, we set clear definition of goals and objectives."

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An experienced nurse engages in career development by serving as a preceptor. Which statement best describes the responsibilities of a preceptor to the newly employed nurse? 1. "I guide the nurse in achieving the highest possible level of personal and professional fulfillment." 2. "I help the nurse learn roles and responsibilities associated with a specific job and encourage professional development." 3. "I help the nurse learn routines, policies, and procedures, and I make sure all nursing care adheres to nursing standards of practice." 4. "I guide the nurse in sharing information and improving interpersonal skills."

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3. "I help the nurse learn routines, policies, and procedures, and I make sure all nursing care adheres to nursing standards of practice."

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The nurse is teaching an older adult client how to use an incentive spirometer. The client has unsuccessfully attempted to use the device several times. Which is the best response by the nurse (Select all that apply.) 1. Asking the charge nurse to assume the role of teacher 2. Concluding the teaching session 3. Telling the client a return demonstration is not necessary 4. Encouraging the client to continue to practice using the spirometer 5. Praising the client for his attempts to use the incentive spirometer and repeating the instructions for its use

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3, 4, 5 Effective client teaching includes repeating content as needed and providing positive reinforcement. Return demonstration is needed to evaluate the client's comprehension of the teaching. The teaching session should not be concluded abruptly; instead, the nurse should allow sufficient time for the client to process the information. There is no indication for asking the charge nurse to assume the role of teacher.

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A nurse educator is asked to describe the responsibilities of an effective mentor. Which statements are the most appropriate? (Select all that apply.) 1. "The mentor advises the protege about role expectations." 2. "During the mentorship process, the protege introduces the mentor to influential individuals who can assist with career advancement." 3. "During the mentorship process, the protege challenges the mentor to advance professionally." 4. "The mentor assists the protege with learning policies and procedures." 5. "It is the mentor's responsibility to help the protege evaluate ideas in the context of institutional policy."

answer

1, 5 The mentor's responsibilities include advising the protege regarding role expectations and helping the protege evaluate ideas in the context of institutional policy. The mentor also introduces the protege to influential individuals who can assist with career advancement and challenges the protege to advance professionally, not vice versa. Preceptors assist novice nurses to learn routines, policies, and procedures.

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