Question 1

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

Accepted Answer

A)  Client will be able to do ADLs (activities of daily living) without shortness of breath in three days. 
B)  Client will have increased activity level by the end of the week. 
C)  Client will have a positive attitude about the diagnosis by the end of the month. 
D)  Client will be able to set up and administer a nebuliser treatment by the end of the day. 
A)  Client will be able to do ADLs (activities of daily living) without shortness of breath in three days. 
B)  Client will have increased activity level by the end of the week. 
C)  Client will have a positive attitude about the diagnosis by the end of the month. 
D)  Client will be able to set up and administer a nebuliser treatment by the end of the day.

Question 2

A nursing student must present a teaching project to the class, using each of Bloom's (1956) domains. The student has several activities included in the project. Which of the following activities is an example of the affective domain?

Accepted Answer

A)  Members must demonstrate a favourite nursing skill at the end of the session. 
B)  All members must list the technical skills they've learned. 
C)  Members must read a paragraph about a new clinical trial, summarise the information, and present it to the rest of the class. 
D)  Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning their nursing education. 
A)  Members must demonstrate a favourite nursing skill at the end of the session. 
B)  All members must list the technical skills they've learned. 
C)  Members must read a paragraph about a new clinical trial, summarise the information, and present it to the rest of the class. 
D)  Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.

Question 3

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

Accepted Answer

A)  address any healing beliefs the family has. 
B)  make sure the child comes back for the follow-up appointment. 
C)  provide written instructions before discharge. 
D)  make sure the parents can set up the treatments for their child. 
A)  address any healing beliefs the family has. 
B)  make sure the child comes back for the follow-up appointment. 
C)  provide written instructions before discharge. 
D)  make sure the parents can set up the treatments for their child.

Question 4

A client of a domiciliary nursing agency requires vitamin B12 injections every two weeks and insists on self-administration. The client is legally blind. The best way to assist this client is for the nurse to:

Accepted Answer

A)  prefill syringes with the correct dose, so the client can use them for self-administration. 
B)  schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic. 
C)  teach the spouse to draw up the medication, then the client can give the injection. 
D)  make sure that the injection is scheduled during a visit so the nurse can supervise. 
A)  prefill syringes with the correct dose, so the client can use them for self-administration. 
B)  schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic. 
C)  teach the spouse to draw up the medication, then the client can give the injection. 
D)  make sure that the injection is scheduled during a visit so the nurse can supervise.

Question 5

When making an assessment of the client's learning needs, the nurse will focus on which of the following elements?

Accepted Answer

A)  Nurse's own knowledge. 
B)  Client's age. 
C)  Client's understanding of health problem. 
D)  Sensory acuity. 
E)  Learning style.
F) Client's support systems. 
A)  Nurse's own knowledge. 
B)  Client's age. 
C)  Client's understanding of health problem. 
D)  Sensory acuity. 
E)  Learning style.
F) Client's support systems.

Question 6

A home health client is having difficulty keeping his medication schedule organised. He makes this statement to the nurse at their next visit: "There are so many pills and the names are all confusing to me. I don't even understand what they're for." The nurse should:

Accepted Answer

A)  fill a pill bar and tell the client not to worry, just take the pills according to that system. 
B)  write out the generic and trade name of all the pills for the client. 
C)  help the client remember colour and size in relationship to dosing time. 
D)  have the physician talk to the client about his medications. 
A)  fill a pill bar and tell the client not to worry, just take the pills according to that system. 
B)  write out the generic and trade name of all the pills for the client. 
C)  help the client remember colour and size in relationship to dosing time. 
D)  have the physician talk to the client about his medications.

Question 7

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

Accepted Answer

A)  Convey sympathy in the nurse-client relationship. 
B)  Praise the learner for correct behaviour. 
C)  Provide role models of desired behaviour. 
D)  Encourage the learners to establish goals. 
E)  Provide sufficient practice time.
F) Provide opportunities for learning to use trial and error. 
A)  Convey sympathy in the nurse-client relationship. 
B)  Praise the learner for correct behaviour. 
C)  Provide role models of desired behaviour. 
D)  Encourage the learners to establish goals. 
E)  Provide sufficient practice time.
F) Provide opportunities for learning to use trial and error.

Question 8

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

Accepted Answer

A)  An individual who has been struggling with following nursing directives regarding discharge goals. 
B)  A client who is excited to learn about his new prosthesis. 
C)  A client who has been there the longest and is a great "coach" for newcomers. 
D)  The client who has just moved in and is already waiting for discharge. 
A)  An individual who has been struggling with following nursing directives regarding discharge goals. 
B)  A client who is excited to learn about his new prosthesis. 
C)  A client who has been there the longest and is a great "coach" for newcomers. 
D)  The client who has just moved in and is already waiting for discharge.

Question 9

The nurse is working with a client who has been diagnosed with diabetes and must learn how to self-administer insulin. Which statement regarding feedback will be most beneficial to the client?

Accepted Answer

A)  "If you don't learn this, you can't be discharged." 
B)  "Next time, dart the needle into your skin, instead of pushing it in." 
C)  "Maybe it would be better if we taught your spouse to help you with this?" 
D)  "You know, there are children who can learn to do this." 
A)  "If you don't learn this, you can't be discharged." 
B)  "Next time, dart the needle into your skin, instead of pushing it in." 
C)  "Maybe it would be better if we taught your spouse to help you with this?" 
D)  "You know, there are children who can learn to do this."

Question 10

The use of the internet as a source of health information has implications for nurses as educators because:

Accepted Answer

A)  rural and remote locations are more likely to use the internet. 
B)  unemployed and lower income people have more time to access the internet. 
C)  those without tertiary education find internet information easier to read and access. 
D)  they need to integrate it into teaching plans where relevant. 
A)  rural and remote locations are more likely to use the internet. 
B)  unemployed and lower income people have more time to access the internet. 
C)  those without tertiary education find internet information easier to read and access. 
D)  they need to integrate it into teaching plans where relevant.

Question 11

An Indigenous nurse working in a primary health care centre runs a regular clinic that provides health screening to mainly Aboriginal clients. The nurse wants to have a class on smoking cessation for interested adults of this group. In order to adjust to their time orientation, the nurse should:

Accepted Answer

A)  make sure that the classes are held at specific times. 
B)  make posters and place them in areas of the community frequented by these groups. 
C)  mail letters ahead of time to make sure clients are informed about the upcoming class. 
D)  begin classes when a group of clients are gathered. 
A)  make sure that the classes are held at specific times. 
B)  make posters and place them in areas of the community frequented by these groups. 
C)  mail letters ahead of time to make sure clients are informed about the upcoming class. 
D)  begin classes when a group of clients are gathered.

Question 12

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

Accepted Answer

A)  "If my baby is just a little bigger, I'll be able to handle him." 
B)  "I want to make sure my spouse is here, in case I don't hear everything that's said." 
C)  "I'm so afraid I'll hurt my baby with all these tubes." 
D)  "You'll give us written instructions before we go home, correct?" 
A)  "If my baby is just a little bigger, I'll be able to handle him." 
B)  "I want to make sure my spouse is here, in case I don't hear everything that's said." 
C)  "I'm so afraid I'll hurt my baby with all these tubes." 
D)  "You'll give us written instructions before we go home, correct?"

Exam 28: Teaching and Learning

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

A nursing student must present a teaching project to the class, using each of Bloom's (1956) domains. The student has several activities included in the project. Which of the following activities is an example of the affective domain?

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

A client of a domiciliary nursing agency requires vitamin B12 injections every two weeks and insists on self-administration. The client is legally blind. The best way to assist this client is for the nurse to:

When making an assessment of the client's learning needs, the nurse will focus on which of the following elements?

A home health client is having difficulty keeping his medication schedule organised. He makes this statement to the nurse at their next visit: "There are so many pills and the names are all confusing to me. I don't even understand what they're for." The nurse should:

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

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

The nurse is working with a client who has been diagnosed with diabetes and must learn how to self-administer insulin. Which statement regarding feedback will be most beneficial to the client?

The use of the internet as a source of health information has implications for nurses as educators because:

An Indigenous nurse working in a primary health care centre runs a regular clinic that provides health screening to mainly Aboriginal clients. The nurse wants to have a class on smoking cessation for interested adults of this group. In order to adjust to their time orientation, the nurse should:

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

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