Deck 15: Health Teaching and Coaching

Question 1

A theoretical foundation for the use of teaching methodologies in which a learner-centered approach engages clients as active partners in the learning process and helps them to take responsibility for their own learning to whatever extent possible is known as

A) Skinner's behavioral approach.
B) Premack's principle.
C) modeling.
D) client-centered health teaching.

Answer 1

client-centered health teaching.

Question 2

When assessing teaching and learning needs at discharge,the nurse should focus on which of the following?

A) What potential problems are likely to prevent a safe discharge
B) The client's ability to pay for his or her hospitalization
C) What potential problems are likely to cause complications or readmission
D) What prior knowledge or experience the client and family has with the current problem
E) What skills and equipment are needed to manage the problem at home
F) Who or what agency will assume responsibility for continuing care

Answer 2

What potential problems are likely to prevent a safe discharge
What potential problems are likely to cause complications or readmission
What prior knowledge or experience the client and family has with the current problem
What skills and equipment are needed to manage the problem at home
Who or what agency will assume responsibility for continuing care

Question 3

The concept that "the teacher must start where the learner is" was proposed by whom?

A) Skinner
B) Premack
C) Rogers
D) Taylor

Answer 3

Rogers

Question 4

The nurse is teaching a support group about schizophrenia.The format includes a 20-minute video,a didactic portion,and a discussion period.The nurse recognizes that

A) establishment of rapport with the audience is unnecessary.
B) a humorous opening grabs the audience's attention.
C) minimal preparation is needed for this format.
D) it is important to refrain from making eye contact with the audience.

Question 5

The nurse is caring for a client who is suffering from schizophrenia and cocaine abuse.The client remains isolated in his room,refusing to attend unit activities.When implementing a behavioral approach,what is the first step the nurse should take?

A) Define specific consequences.
B) Describe the behavior requiring change.
C) Reframe the problem as a solution statement.
D) Identify the tasks in sequential order.

Question 6

Accurate documentation of client health teaching is a critical component of quality care.When documenting in the client's chart about health teaching for a client admitted for alcoholism,the nurse should write

A) "Client was educated on the physical complications of alcoholism."
B) "Client received written and verbal instructions on diet and vitamin therapy."
C) "Client was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance."
D) "Client was able to identify five triggers for relapse and was assisted to develop a relapse prevention plan."

Question 7

When initiating health teaching,the nurse recognizes that readiness to learn

A) is the same as the cognitive ability to learn.
B) involves a smooth and linear developmental process.
C) requires the nurse to consistently challenge the client's learning pattern.
D) involves incorporation of the client's learning pattern into new opportunities for learning.

Question 8

When planning an education class for clients suffering from addiction,the nurse recognizes that a format that encourages empowerment is an important goal of health teaching.Which of the following is a strategy that could be viewed as disempowering?

A) Providing the client with sufficient information
B) Providing the client with emotional support
C) Placing the learner in charge of his or her learning
D) Having the nurse assume primary responsibility for the learning process

Question 9

A client requires health teaching for exercises related to an arthritic shoulder.During an assessment,the client tells the nurse she is a kinetic learner.What teaching resource should the nurse recommend to this client?

A) Reading a book about arthritis
B) Watching an exercise video
C) Performing water aerobics
D) Listening to an exercise audiotape

Question 10

A client is newly diagnosed with diabetes mellitus.When planning a teaching session to review insulin administration with this client,the nurse should

A) pick times for teaching when energy levels are low.
B) schedule teaching sessions during hospital visiting hours.
C) reserve a block of time for health teaching.
D) provide the client with extensive information during 30-minute intervals.

Question 11

An older adult client is hospitalized after a fall.The client states,"I want to return home because I like to be independent." The nurse notes that the client lives alone and will be required to attend physical therapy three times a week.Which of the following nursing diagnoses is appropriate for this client?

A) Anxiety
B) Ineffective coping
C) Self-care deficit
D) Impaired home maintenance

Question 12

A nurse is working with a client in a drug rehabilitation center.The nurse provides positive reinforcement each time the client demonstrates behavior that moves him closer to accomplishing the goal of remaining drug free.The nurse recognizes this type of reinforcement will motivate the client to engage in the desired behavior.This type of reinforcement is known as

A) empowerment.
B) chaining.
C) modeling.
D) shaping.

Question 13

The nurse is preparing teaching material for a class of diabetic clients.The most important aspect when preparing a presentation with slides for group teaching is

A) the inclusion of greater than five items per slide.
B) use of large font so all participants can see from a distance.
C) use of slides as the primary content for the presentation.
D) having the presenter face the slides, not the audience.

Question 14

Educational standards requiring health care agencies to provide systematic health education and training for clients were established by

A) American Nurses Association.
B) State Nurse Practice Acts.
C) The Joint Commission.
D) Medicare.

Question 15

Which of the following statements is true related to home care?

A) The nurse should consider herself a member of the family when entering the client's home.
B) The nurse should arrive at the client's home unannounced to get an accurate picture of the client's situation.
C) Part of the teaching assessment includes appraisal of the home environment.
D) The nurse should wash her hands in the kitchen sink when visiting the client.

Question 16

When the nurse formulates a goal that "the client will be able to accurately draw up the correct dose of insulin," the nurse recognizes this goal as referring primarily to health teaching in which domain?

A) Changing attitudes
B) Psychomotor
C) Understanding content
D) Promoting acceptance

Question 17

Which of the following is an effective teaching objective? The client will be able to

A) ambulate short distances around the nursing unit.
B) learn subcutaneous self-administration of insulin.
C) understand diabetes and its lifestyle implications.
D) perform foot care correctly after three teaching sessions.

Question 18

The nurse is caring for a client who has a history of alcohol abuse.When formulating a goal that "the client will be able to identify three physical effects of alcohol abuse," the nurse recognizes this goal as referring primarily to health teaching in which domain?

A) Cognitive
B) Affective
C) Psychomotor
D) Promoting acceptance