Deck 41: Teaching and Learning

Question 1

The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation?

A)The language used for teaching
B)The need for additional teaching
C)The client's questions after the teaching session
D)The supplies required for teaching

Answer 1

The need for additional teaching

Question 2

What is a good way for a nurse to prepare the environment for teaching?

A)Keep to a strict schedule decided in advance.
B)Emphasize the importance of paying close attention if client reactions demonstrate confusion.
C)Evaluate client abilities to perform skills with return demonstrations.
D)Inform students that they need to take effective notes because you will not be repeating yourself.

Answer 2

Evaluate client abilities to perform skills with return demonstrations.

Question 3

A nurse is caring for a child who is hospitalized for an exacerbation of asthma. The nurse is preparing discharge teaching, as the client will be going home on nebulizer treatments and an inhaler. The client and her family members, who are recent immigrants to the United States, speak little English. In addition to enlisting an interpreter to help with the language barrier, what should be a priority for the nurse in developing a teaching plan?

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

Answer 3

Address any healing beliefs the family has.

Question 4

A nurse is working in a neonatal intensive care unit (NICU). The nurse wants to teach a mother of a premature baby how to give her baby a bath. Which statement by the mother reflects a readiness to learn?

A)"You'll give us written instructions before we go home, correct?"
B)"When my baby is just a little bigger, I'll feel more comfortable giving him a bath."
C)"I want to make sure my husband is here, in case I don't hear everything that's said."
D)"I'm so afraid I'll hurt my baby with all these tubes and wires."

Question 5

Which theory of learning holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations?

A)Constructivist
B)Behaviorist
C)Social learning
D)Cognitive

Question 6

The nursing student is planning an educational program for a school project. The program is focusing on cancer detection education for a community group. What should the nursing student plan to include in order to address the various learning styles of the target group?

A)A lecture using many examples for each learning need
B)Multicolored brochures with bright colors
C)A game board with client matching terms
D)Audiovisuals, examples, group discussions, and activities

Question 7

A community health nurse runs a clinic that provides health screening mainly to Mexican American and Filipino American clients. The nurse wants to have a class on smoking cessation for interested adults of this group. What action should the nurse take to adjust to their time orientation?

A)Organize the instructions around short-term objectives.
B)Mail letters ahead of time to make sure clients are informed about the upcoming class.
C)Make posters and place them in areas of the community frequented by these groups.
D)Make sure that the classes are held at specific times.

Question 8

A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?

A)The client may be unable to read the instructions.
B)The client already knows the information.
C)The client does not want the written information.
D)The client is ready to learn.

Question 9

The nurse provides medication teaching for a client who will be going home on new medications. Which statement by the client best illustrates compliance with the medication plan?

A)"I think you should have waited until I was ready to go home. Maybe I'd remember better."
B)"I'm glad to know about my new medications. It makes taking them all a lot easier."
C)"If I take my medications as prescribed, I'll feel better."
D)"I already knew most of what you told me."

Question 10

A nurse is preparing to discharge a client who experienced a myocardial infarction. The client will have to make many lifestyle changes, and the nurse is providing instruction on how to implement a heart-healthy lifestyle. Which is the best description of the client education the nurse is presenting to this client?

A)Dependent function of nursing that needs a healthcare provider's order to implement
B)Important independent nursing function
C)Activity nurses begin to learn after training on the job
D)Way to establish the client's dependence on the nurse

Question 11

A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements. Which client is exhibiting the highest motivation to learn?

A)A client who has been there the longest and is a great "coach" for newcomers
B)A client who has been struggling with following nursing directives regarding discharge goals
C)A client who is excited to learn ambulation techniques
D)The client who has just moved in and is already eager for discharge

Question 12

The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to independently perform fingerstick blood sugar analysis as part of the plan of care. The client says, "I already know what you are attempting to teach because I looked everything up on the internet." Which is the best action by the nurse based on the client's statement?

A)Document that the client understands teaching.
B)Teach the client's support system how to perform the procedure.
C)Give the client printed learning materials.
D)Watch the client perform a return demonstration of the skill.

Question 13

A home health nurse is admitting a new client to the agency who was recently discharged from the hospital with a new diagnosis of pulmonary fibrosis. What is the best way for the nurse to evaluate whether the client is able to set up and administer a nebulizer treatment?

A)Direct observation of behavior
B)Written description by the client of the treatment
C)Oral description by the client of the treatment
D)The client reports success or failure with the treatment at a follow-up appointment

Question 14

The nurse educator is preparing to teach a group of nursing students how to navigate the internet to research healthcare information. Which does the educator plan to include during lecture?

A)A directory of campus internet sites of interest
B)How to search for and evaluate health information
C)A directory of libraries
D)Information technology instruction

Question 15

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?

A)Ask the client to tell the nurse what he knows about caring for the colostomy.
B)Make sure the client's spouse is present before the teaching session begins.
C)Start from the beginning and proceed through all steps required to perform colostomy care.
D)Break the information into small sessions to enhance learning.

Question 16

The nurse has a 7-year-old client recovering from partial-thickness burns to the arms and hands. This client has shown sensitivity to loud noises and bright lights, and at times if she is overstimulated she won't speak to or look at anyone but her parents until she calms down. The nurse considers the best teaching environment for this client to be the

A)client's room.
B)pediatric ward waiting area.
C)hospital cafeteria.
D)pediatric ward play area.

Question 17

The nurse is caring for an adult client who has been diagnosed with high cholesterol. Which is important for the nurse to consider when teaching this adult client?

A)Adults are more oriented to learning when the material is useful immediately.
B)Adults are more likely to adhere to a regimen than are children.
C)Adults usually can find information on their own.
D)Adults do not need to be evaluated for understanding as children do.

Question 18

A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?

A)Impaired Gas Exchange
B)Ineffective Breathing Pattern
C)Anxiety
D)Activity Intolerance

Question 19

A nurse is providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.

A)Fall prevention
B)Medication use and side effects
C)Safe driving evaluations
D)Advance directives
E)Responsible sexual behavior

Question 20

A nursing student has been assigned to present a teaching project to the class, using each of Bloom's taxonomy domains. The student has planned several activities to include when presenting the project to the class. Which activities are within the affective domain? Select all that apply.

A)Class members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class.
B)Class members must list the technical skills they have learned.
C)Class members must demonstrate a favorite nursing skill for the class.
D)Class members must reflect on how they felt the first time they provided direct client care.
E)Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.

Question 21

The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?

A)Human growth and development
B)Nutrition
C)Lifestyle modification
D)Stress management

Question 22

The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?

A)Repeating the information and having the client write it down as the nurse teaches
B)Having the client wait to ask questions until after the presentation
C)Assigning another nurse to provide the teaching for the client
D)Asking the client their preferred learning strategies

Question 23

During the physical examination of a client who took a fall that fractured his hip, the nurse notices an impairment of the client's hearing, but that the client's visual acuity and motor function do not seem to be impaired. The client answers questions very precisely and readily grasps the meaning of everything the nurse says when the client can face the nurse. When teaching this client, the nurse should make it a priority to

A)make verbal instructions face to face with the client.
B)provide only written instructions.
C)use only visual media.
D)use only physical demonstrations with written instructions.

Question 24

The nurse is planning discharge teaching to a client with diabetes who has a large wound. Which is the priority action for the nurse prior to initiating teaching with this client?

A)Asking the client to state what is known about the current dressing changes
B)Teaching the client how to take blood sugars
C)Assessing the client's ability to self-administer insulin
D)Determining the client's reaction to having diabetes

Question 25

A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?

A)The client might not have heard necessary information during the class.
B)The client did not understand the teaching given in the class.
C)The client understood the teaching given in the class but chose to ignore it.
D)The client did not comply with the teaching given in the class.