Question 1

Which of the following is a type of change influencing learning,according to Lewin's theory of cognitivism?

Accepted Answer

A) Emotions 
B) Adherence 
C) Cognitive structure 
D) Perception 
A) Emotions 
B) Adherence 
C) Cognitive structure 
D) Perception C

Question 2

Upon what concept is andragogy based?

Accepted Answer

A) Toddlers learn through imitation of their parents. 
B) Adults' previous experiences can be used as resources for learning. 
C) Adults are more motivated to learn when the material is useful to their future. 
D) School-aged children learn best in brief stages because their attention spans are short. 
A) Toddlers learn through imitation of their parents. 
B) Adults' previous experiences can be used as resources for learning. 
C) Adults are more motivated to learn when the material is useful to their future. 
D) School-aged children learn best in brief stages because their attention spans are short. B

Question 3

What should the nurse consider when teaching clients of different cultural and ethnic backgrounds?

Accepted Answer

A) Visual aids are discouraged,as they inhibit language skills. 
B) The use of humour is discouraged,or used with care. 
C) Teach to a future time orientation for preventative health behaviours. 
D) Encourage individual,not family,teaching to minimize distractions. 
A) Visual aids are discouraged,as they inhibit language skills. 
B) The use of humour is discouraged,or used with care. 
C) Teach to a future time orientation for preventative health behaviours. 
D) Encourage individual,not family,teaching to minimize distractions. B

Question 4

A home health nurse is conducting teaching sessions with a client who has pulmonary fibrosis.Which of the following client outcomes will take the highest priority?

Accepted Answer

A) Client will be able to prepare 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 perform activities of daily living without shortness of breath within three days. 
D) Client will have a positive attitude about the diagnosis by the end of the month. 
A) Client will be able to prepare 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 perform activities of daily living without shortness of breath within three days. 
D) Client will have a positive attitude about the diagnosis by the end of the month.

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,what should the nurse do?

Accepted Answer

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) Ensure the client's spouse is present before the teaching session begins 
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) Ensure the client's spouse is present before the teaching session begins

Question 6

Which teaching strategy would be most effective for achieving a goal in the affective domain?

Accepted Answer

A) Providing explanations 
B) Answering questions 
C) Role playing 
D) Demonstrating 
A) Providing explanations 
B) Answering questions 
C) Role playing 
D) Demonstrating

Question 7

Mrs.Duzendorf,45,a home health client who is legally blind,requires vitamin B12 injections every two weeks and insists on self-administration.What is the best way for the nurse to assist this client?

Accepted Answer

A) Teach her spouse to draw up the medication,then the client can give the injection 
B) Tell her it is not safe for a blind person to self-administer 
C) Pre-fill syringes with the correct dose,so that the client can use them for self-administration 
D) Schedule clinic appointments to coincide with the dosing schedule,then administer that day 
A) Teach her spouse to draw up the medication,then the client can give the injection 
B) Tell her it is not safe for a blind person to self-administer 
C) Pre-fill syringes with the correct dose,so that the client can use them for self-administration 
D) Schedule clinic appointments to coincide with the dosing schedule,then administer that day

Question 8

Which of the following is a special teaching consideration for older adults?

Accepted Answer

A) Give praise and approval to motivate learning. 
B) Try to use a one-on-one setting for this age group. 
C) They think logically,but abstract thought is limited. 
D) Present information at a Grade 6 reading level. 
A) Give praise and approval to motivate learning. 
B) Try to use a one-on-one setting for this age group. 
C) They think logically,but abstract thought is limited. 
D) Present information at a Grade 6 reading level.

Question 9

Zack,a nursing student,is presenting a teaching project to the class,using each of Bloom's domains for the project's class activities.Which of the following activities is an example of the affective domain?

Accepted Answer

A) Each student identifies two attitudinal changes in their lives since beginning their nursing program. 
B) All students must list the technical skills they've learned. 
C) Students must demonstrate a favourite nursing skill at the end of the class period. 
D) Students must read a paragraph about a new clinical trial,and present it to the class. 
A) Each student identifies two attitudinal changes in their lives since beginning their nursing program. 
B) All students must list the technical skills they've learned. 
C) Students must demonstrate a favourite nursing skill at the end of the class period. 
D) Students must read a paragraph about a new clinical trial,and present it to the class.

Question 10

Mrs.Jhang,56,has an incision requiring a complex dressing change.The client is scheduled to be discharged home and the wound will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?

Accepted Answer

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 had explained this in more depth." 
D) "I'm feeling nauseous,but go ahead and start anyway." 
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 had explained this in more depth." 
D) "I'm feeling nauseous,but go ahead and start anyway."

Question 11

A nurse involved in educating a community group to appreciate the uniqueness of mentally disabled citizens is working with which domain of learning?

Accepted Answer

A) Affective 
B) Cognitive 
C) Psychomotor 
D) Psychologic 
A) Affective 
B) Cognitive 
C) Psychomotor 
D) Psychologic

Question 12

What is one advantage of using computer-assisted instruction (CAI)?

Accepted Answer

A) Clients can learn at the pace that suits them best. 
B) The nurse-client relationship is strengthened. 
C) Psychomotor skills do not need to be practiced on the actual equipment. 
D) The nurse controls the content and pace. 
A) Clients can learn at the pace that suits them best. 
B) The nurse-client relationship is strengthened. 
C) Psychomotor skills do not need to be practiced on the actual equipment. 
D) The nurse controls the content and pace.

Question 13

Mrs.Lim,59,is being discharged from the hospital after a myocardial infarction and is prescribed several new medications and a low-fat diet.She states,"I'm never going to understand what to do." The nurse formulates which of the following nursing diagnoses for this client?

Accepted Answer

A) Health-seeking behaviour 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 
A) Health-seeking behaviour 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

Question 14

Meeka,15,has been diagnosed with Type 2 diabetes and must learn how to do her own finger stick blood sugar analysis as part of her treatment.She has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase Meeka's motivation to learn?

Accepted Answer

A) Demonstrating the finger stick on the nurse 
B) Offering to perform the procedure for Meeka each time it is scheduled 
C) Teaching Meeka's family how to perform the procedure 
D) Encouraging Meeka's participation each time the procedure is performed 
A) Demonstrating the finger stick on the nurse 
B) Offering to perform the procedure for Meeka each time it is scheduled 
C) Teaching Meeka's family how to perform the procedure 
D) Encouraging Meeka's participation each time the procedure is performed

Question 15

Which theorist was from the humanist theory school of thought?

Accepted Answer

A) Piaget 
B) Maslow 
C) Skinner 
D) Bandura 
A) Piaget 
B) Maslow 
C) Skinner 
D) Bandura

Question 16

At the completion of a teaching session,the nurse must evaluate the effectiveness.In a situation where the client is learning a bandaging technique,what is the most effective type of evaluation?

Accepted Answer

A) Shared by the nurse and client 
B) A return demonstration by the client 
C) The nurse's review of the session 
D) If the wound heals 
A) Shared by the nurse and client 
B) A return demonstration by the client 
C) The nurse's review of the session 
D) If the wound heals

Question 17

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

Accepted Answer

A) Jan,18,who has been struggling with following nursing directives regarding discharge goals 
B) Mr.Keevers,42,who has just moved in and is already waiting for discharge 
C) Mr.Olander,67,who is excited to learn about his new prosthesis 
D) Mrs.Zann,78,who has been there the longest and is a great "coach" for newcomers 
A) Jan,18,who has been struggling with following nursing directives regarding discharge goals 
B) Mr.Keevers,42,who has just moved in and is already waiting for discharge 
C) Mr.Olander,67,who is excited to learn about his new prosthesis 
D) Mrs.Zann,78,who has been there the longest and is a great "coach" for newcomers

Question 18

Nurses working in an outpatient clinic setting are developing teaching strategies for clients with complex treatment requirements.Utilizing the behaviourist theory of learning,these nurses will do which of the following?

Accepted Answer

A) Praise the clients for correct behaviour 
B) Support a positive teacher-learner relationship 
C) Encourage the clients to establish goals 
D) Convey sympathy in the nurse-client relationship 
A) Praise the clients for correct behaviour 
B) Support a positive teacher-learner relationship 
C) Encourage the clients to establish goals 
D) Convey sympathy in the nurse-client relationship

Question 19

A nurse is working with a recently immigrated family who speak little English and whose child is hospitalized with asthma.The child is being discharged with aerosols and an inhaler.In addition to enlisting an interpreter to help with the language barrier,what is the priority action by the nurse?

Accepted Answer

A) Provide written instructions before discharge 
B) Address any healing beliefs of the family 
C) Ensure that the child comes back for the follow-up appointment 
D) Ensure that the parents can set up the treatments for their child 
A) Provide written instructions before discharge 
B) Address any healing beliefs of the family 
C) Ensure that the child comes back for the follow-up appointment 
D) Ensure that the parents can set up the treatments for their child

Question 20

Mr.Jackman,87,needs discharge teaching regarding the use of a walker before going home.His hospital room is small and adjacent to a vending machine and small lounge area.In planning a teaching session,what is the best action by the nurse?

Accepted Answer

A) Wait until just prior to discharge,then do the teaching in the hospital lobby 
B) Close the door to his room and ensure there is no clutter on the floor before beginning the teaching 
C) Take him to a larger area for teaching,then evaluate on the way back to his room 
D) Ensure a physical therapist is available to do the teaching and can visit him before discharge 
A) Wait until just prior to discharge,then do the teaching in the hospital lobby 
B) Close the door to his room and ensure there is no clutter on the floor before beginning the teaching 
C) Take him to a larger area for teaching,then evaluate on the way back to his room 
D) Ensure a physical therapist is available to do the teaching and can visit him before discharge

Exam 26: Teaching and Learning

Which of the following is a type of change influencing learning,according to Lewin's theory of cognitivism?

Upon what concept is andragogy based?

What should the nurse consider when teaching clients of different cultural and ethnic backgrounds?

A home health nurse is conducting teaching sessions with a client who has pulmonary fibrosis.Which of the following client outcomes will take the highest priority?

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,what should the nurse do?

Which teaching strategy would be most effective for achieving a goal in the affective domain?

Mrs.Duzendorf,45,a home health client who is legally blind,requires vitamin B12 injections every two weeks and insists on self-administration.What is the best way for the nurse to assist this client?

Which of the following is a special teaching consideration for older adults?

Zack,a nursing student,is presenting a teaching project to the class,using each of Bloom's domains for the project's class activities.Which of the following activities is an example of the affective domain?

Mrs.Jhang,56,has an incision requiring a complex dressing change.The client is scheduled to be discharged home and the wound will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?

A nurse involved in educating a community group to appreciate the uniqueness of mentally disabled citizens is working with which domain of learning?

What is one advantage of using computer-assisted instruction (CAI)?

Mrs.Lim,59,is being discharged from the hospital after a myocardial infarction and is prescribed several new medications and a low-fat diet.She states,"I'm never going to understand what to do." The nurse formulates which of the following nursing diagnoses for this client?

Meeka,15,has been diagnosed with Type 2 diabetes and must learn how to do her own finger stick blood sugar analysis as part of her treatment.She has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase Meeka's motivation to learn?

Which theorist was from the humanist theory school of thought?

At the completion of a teaching session,the nurse must evaluate the effectiveness.In a situation where the client is learning a bandaging technique,what is the most effective type of evaluation?

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

Nurses working in an outpatient clinic setting are developing teaching strategies for clients with complex treatment requirements.Utilizing the behaviourist theory of learning,these nurses will do which of the following?

A nurse is working with a recently immigrated family who speak little English and whose child is hospitalized with asthma.The child is being discharged with aerosols and an inhaler.In addition to enlisting an interpreter to help with the language barrier,what is the priority action by the nurse?

Mr.Jackman,87,needs discharge teaching regarding the use of a walker before going home.His hospital room is small and adjacent to a vending machine and small lounge area.In planning a teaching session,what is the best action by the nurse?

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