Fundamentals of Nursing Ch 21 Teacher and Counselor Terms PrepU and NCLEX – Flashcards
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A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which of the following as a characteristic of an adult learner?
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Their readiness to learn is often related to a developmental task or social role
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What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women?
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Lecture/discussion
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A nurse may attempt to help a patient solve a situational crisis during what type of counseling session?
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Short-term counseling
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A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply.
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• The nurse uses critical thinking skills to assess the learning needs and learning readiness of the parents. • The nurse formulates a verbal or written contract with the client. • The nurse relates new learning material to the client's past life experiences to help him to assimilate new knowledge.
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Which statement best describes the client most motivated to learn?
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A 70-year-old female; learning care so spouse can come home
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When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept?
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The client and the nurse are equal participants
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A Chinese client who was previously treated at the health care facility for an open wound has been admitted again because the wound has become gangrenous. It has been identified that the client failed to understand proper wound care. What is the probable reason for the client failing to understand the instruction?
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The client belongs to a different culture
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The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into her class?
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Role-playing
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The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left him immobile. As the nurse enters the home, the client braces his hands on the arms of his chair to rise and uses crutches to walk across the room. What is the best response by the nurse?
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"You have made an amazing recovery."
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A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce his risk for cancer, improve his respiratory status, and enhance the quality of his life. The nurse also shares her story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses his feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client?
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Motivational counseling
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A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point?
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Revise the education plan that has guided education
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The nurse knows which evaluation best represents that the client has learned a new skill?
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The client organizes materials needed and gives return demonstration
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The nurse is coaching a client who stated a desire to stop smoking without medication. At several sessions to assess the client's success with agreed-upon interventions, the client reports roadblocks to each action and continues to smoke. What is the best action of the nurse?
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Discuss the client's case with a colleague
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The client reports to the clinic as ordered by her primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and states having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education?
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"I will be doing well if I lose between 5 and 10 pounds a week."
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As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse?
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Have client rate pain level and reschedule the teaching session
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An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in the bilateral knees. The nurse knows this client does not want to be a burden on his family, and he remains stoic even though he reports the pain as severe. He avoids the topic of surgery and attends church weekly. His family is supportive of any decisions he makes regarding his health. Which of the assessment data are most important to forming an individualized education plan for this client concerning treatment for his osteoarthritis?
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Personal perception of health and aging
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A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment?
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A 28-year-old female; works nights, willing to try, asking about insurance coverage of appointment
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An older adult female client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. She is tearful and verbalizes that she feels lonely and abandoned in the hospital unit. The nurse noticed that family visits daily and that there are flowers and cards in the room. Documentation in the chart indicates that the client's pastor has been by twice in the past week to visit. Which nursing diagnosis and outcome criteria need to be addressed immediately for this client?
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Ineffective Coping; verbalizes support systems
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Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults?
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Allow ample time for psychomotor skills
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A 20-year-old client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need of a balanced diet and its relationship with a quick recovery. Which domain correctly identifies the client's learning style?
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Cognitive domain
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A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?
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The client describes signs and symptoms of hypoglycemia
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The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?
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Cognitive learning theory
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A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning?
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Psychomotor
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The nurse must instruct a 35-year-old client with Down syndrome about use of an albuterol rescue inhaler. Which of the following demonstrates individualization of the education plan for this client?
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client understanding of illness, motor skills and developmental stage assessed, clarification provided
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A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives?
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The nurse writes one long-term objective for each diagnosis, followed by several specific objectives
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When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate?
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motivational counseling
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When the nurse instructs a client about breast self-examination, the primary purpose of the client education is:
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illness prevention
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When a nurse is planning for learning, who must decide who should be included in the learning sessions?
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The nurse and the client
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A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client?
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"The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"
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The nurse is caring for a 70-year-old client with a fractured wrist. Which of the following is the best method to determine if the client has retained the information taught?
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Ask the client to recall after approximately 15 minutes
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Before starting the education process, the nurse should determine the preferred learning style, age and developmental level, capacity to learn, motivation level, readiness to learn, and learning needs of the client. How does this help the nurse in the client's health education?
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by implementing effective teaching
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When deciding what information the patient needs to meet the learner objectives successfully, the nurse is planning which part of the teaching plan?
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Content
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A client is reluctant to learn to do finger sticks for her home INR monitoring. What is the best statement by the nurse?
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Tell me what you know about these tests
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Nursing documentation is inclusive. Which is the best example of documentation of a teaching plan?
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Cord care shown to mother, questions answered. Return demonstration observed.
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The parents of a school-age child are meeting with the nurse for health promotional education for their child. The child has the following assessment data: 7-year-old male, diabetes mellitus type 1 with a hemoglobin A1C of 8.3%, BMI of 31.7, BMI percentile of 99. What are the most appropriate learning diagnoses for this first session?
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Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance
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Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn?
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cognitive
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Which topics would the nurse be most likely to explore with a patient with the aim of restoring health? (Select all that apply.)
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• Patient and nurse's expectations of one another • Orientation to treatment center and staff • The medical and nursing regimens and how the patient can participate in care
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A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives?
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The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.
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The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which of the following is the most appropriate method the nurse should use to conduct new learning?
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Begin the session with a reference to the client's actual experience
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Nurses plan client learning based on the client's developmental stage. Which nursing actions best reflect this consideration? Select all that apply.
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• The nurse directs the health education for a 3-year-old to the parents. • The nurse includes a school-age child in the teaching-learning process. • The nurse provides material that is useful immediately to adult clients. • The nurse uses the same learning strategies for an adolescent as for an adult.
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A nurse is providing teaching to patients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? (Select all that apply.)
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• The nurse uses medical jargon frequently when discussing the teaching plan. • The nurse fails to accept that patients have the right to change their minds. • The nurse ignores the restrictions of the patient's environment.
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A nurse is caring for a 45-year-old male client who lost function in both of his legs due to an automobile accident. Which of the following should the nurse do first to personalize the learning?
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Gather pertinent information from the client
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A female client has recently been diagnosed with early-stage Alzheimer's disease and her husband has asked the nurse to recommend Web sites that may supplement his learning about her diagnosis. How should the nurse respond to the husband's request?
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Identify and recommend some credible Web sites appropriate to his learning needs
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Which topics would the nurse be most likely to explore with a patient with the aim of restoring health? (Select all that apply.)
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• The medical and nursing regimens and how the patient can participate in care • Orientation to treatment center and staff • Patient and nurse's expectations of one another
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When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate?
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Assess for cultural differences
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A client shares with the nurse how much she appreciates understanding the physiology of her breastfeeding. She states, "I felt very comfortable with what you explained to me and I feel I will be successful at breastfeeding." In affective learning, this represents:
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creating an atmosphere for discussion of feelings
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A school nurse is discussing bike and outdoor safety measures with a group of Boy Scouts. What type of health education and counseling is the nurse providing to this group of children?
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Preventing illness
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A nurse is forming an education plan for a client who is being discharged from the nursing unit after cardiac catheterization. Which diagnosis and intervention are most appropriate for this client?
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Knowledge Deficient: Risk for altered perfusion secondary to re-occlusion
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When teaching an adult client how to control stress through relaxation techniques, the nurse should consider what assumption concerning adult learners?
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The nurse should be able to draw from the previous experience of the client to emphasize the importance of stress reduction
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A nurse is documenting assessment data for a new client. What is the best source of assessment information for the nurse?
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Client
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Which of the nurse's following actions is most likely to promote a patient's compliance with her antiretroviral drug regimen for the treatment of human immunodeficiency virus (HIV)?
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Use interactive and learner-appropriate teaching techniques
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A client, eager to go home from an acute care facility, calls out to have discharge education completed. The nurse is not able to get to the client's room until an hour later, and finds the client asleep. The client's significant other states, "She will be out for a couple hours after that pain medication." Which of the following best describes what must happen with the education session?
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The client is not demonstrating readiness to learn due to the effects of medication
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The nurse is assisting a male client 55 years of age to understand the anatomy and physiology of the heart following a heart attack. What type of learning is taking place?
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Andragogy
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A nurse is showing an older adult client with severe diabetes the correct method of self-administering an insulin injection. What should be the nurse's comment be if the client continues making mistakes when learning how to self-administer an insulin injection? Select all that apply.
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"You've just about figured out how to give yourself an injection." "Lots of people have the same concern." "Try to angle the syringe a little more this way."
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With which of the following groups should the nurse apply the COPE (Creativity; Optimism; Planning; Expert Information) model to facilitate learning?
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The parents of a teenager who has just been diagnosed with diabetes
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During the health education session at the health care facility, the nurse notes that a client is able to recognize what is being taught, and is able to describe the information to others. The client is also able to explain the information learned. What is the final learning stage of the client in this case?
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Independent use of new learning
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When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client?
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Use verbal and visual modes
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When the nurse instructs a client about breast self-examination, the primary purpose of the client education is what?
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Illness prevention
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While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, which of the following would be most important for the nurse to keep in mind?
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The nurse and client relationship is based on mutual sharing and negotiation
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A nurse is caring for a client 72 years of age with arthritis. Which action is the highest priority for the nurse when conducting the health education for the client?
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Divide information into manageable amounts
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When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which of the following learning domains does this client's learning style fall?
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Psychomotor domain
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An experienced nurse is educating a client about his disease and how best to promote his optimal health. The nurse is focusing the education on the cognitive domain of learning. The nurse would focus the education on which of the following?
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Critical thinking
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A nurse evaluates whether a middle-aged client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. Which of the following would the nurse most likely use to evaluate the client?
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Return demonstration
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Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn?
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Cognitive
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The nurse observes that a client responds better to health education when the nurse motivates him and assures him about the benefits of the teaching. In which of the following learning domains does the client's learning style fall?
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Affective domain
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A nurse has been working with a client whose vision has been deteriorating as a result of glaucoma. The client is reluctant to participate in education surrounding adaptations and home modifications that could aid in her adjustment to sensory loss, stating, "What's the point of even fighting the inevitable?" The nurse would recognize the potential for which of the following nursing diagnoses?
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Hopelessness
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A client states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty." This is an example of what kind of learning?
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Affective learning
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A couple has just learned that their newborn infant has a congenital cardiac anomaly that will require many lifestyle modifications, surgical corrections, and hospital stays. Place the following aspects of the couple's client education in the correct order that nurses should conduct them.
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-Determine their emotional readiness to learn. -Draft learning outcomes. -Select educational strategies. -Implement various educational techniques. -Revise the learning plan if needed.
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A client age 8 years has just been diagnosed with insulin-dependent diabetes. What type of learning will the nurse focus on?
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Pedagogy
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A nurse is trying to encourage a client with paraplegia, who is depressed and not adhering to his treatment program, to join a support group. Which of the following would be most appropriate for the nurse to do when attempting to modify the client's attitude?
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Acknowledge the client's ability to accept or reject suggestions
