Deck 26: Teaching Learning

Question 1

The nurse wants to determine the amount of material that a group of clients has retained after attending a class on management of diabetes.Which approach should the nurse use?

A) Checklist
B) Interview
C) Written test
D) Direct observation

Answer 1

Written test

Question 2

An older adult patient who underwent bowel resection is recovering from surgery without complication.He ambulates in the hallway and requires little analgesia for pain.During the healthcare team's morning rounds,the surgeon informs the patient that the lesion removed was cancerous.Which factor will likely be the patient's most significant obstacle for learning?

A) The patient's baseline physical condition
B) A negative environmental influence
C) Anxiety associated with the new diagnosis
D) Reduced ability to understand the diagnosis

Answer 2

Anxiety associated with the new diagnosis

Question 3

Which teaching technique is best for teaching a nursing assistant how to perform fingerstick glucose testing?

A) Provide a manufacturer's pamphlet with detailed instruction.
B) Explain the best technique for performing glucose testing.
C) Demonstrate the procedure; then ask for a return demonstration.
D) Suggest that the assistant watch a DVD showing the procedure.

Answer 3

Demonstrate the procedure; then ask for a return demonstration.

Question 4

It is a busy day on the medical-surgical floor,and the nurse must teach a patient ready for discharge about his medications.How can the nurse most efficiently utilize time and provide this education?

A) Write down instructions so the patient can read them at home.
B) Discuss the information while assisting the patient with his bath.
C) Educate the patient about his medications as each one is given.
D) Follow up with the patient after discharge with a phone call.

Question 5

During family therapy,to improve communication skills the nurse teaches family members to rehearse responses to situations involving interpersonal conflict.What is the primary drawback of using this teaching strategy?

A) Some people might have difficulty with an interactive approach when there is conflict among participants.
B) Nurses might rehearse responses that are not effective for resolving interpersonal conflict.
C) Nurses do not use the rehearsal technique because it is an inefficient use of time for participants.
D) This type of interactive teaching strategy is not as effective as dispersing information verbally or in print.

Question 6

A preschool-age child is scheduled for a tonsillectomy.Which strategy might help lessen the child's anxiety before surgery?

A) Show the child a short,animated video (DVD)about the hospital visit and procedure.
B) Give the child a tour of the hospital a week before the surgery is scheduled.
C) Allow the child to use computer-assisted instruction to teach him about the procedure.
D) Provide one-to-one instruction about the care he will need after surgery.

Question 7

At the conclusion of a teaching session the nurse provides the client with an evaluation tool.What is an advantage of this method to evaluate teaching?

A) Measures retention
B) Client evaluates own progress
C) Used to reinforce client behavior
D) Evaluates data and provides

Question 8

A patient with a diabetic foot ulcer will need to perform dressing changes after discharge.When should the nurse schedule the teaching sessions?

A) Within 10 minutes after his next dose of oral pain medication
B) After the patient wakes up from a restful nap
C) Before the surgeon débrides the wound
D) Before the patient undergoes flow studies of his affected leg

Question 9

An older client asks why teaching is required before being discharged.What should the nurse explain about the importance of teaching? Select all that apply.

A) Teaching reinforces self-care.
B) Healthcare is costly.
C) Teaching supports informed consent.
D) Hospitalizations are shorter.
E) Clients participate in healthcare decisions.
F) None of the above

Question 10

Which teaching strategy is typically most effective for presenting information to large groups?

A) Distributing printed materials
B) Lecturing using audiovisual format
C) Providing online sources of information
D) Role modeling

Question 11

The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU.Implementation is planned in 6 weeks.When is the best time for the manager to schedule the teaching sessions?

A) Immediately
B) One week before implementation
C) Two weeks before implementation
D) Four weeks before implementation

Question 12

Which phrase is stated as a teaching goal for a patient who had bowel resection with creation of a colostomy?

A) Empties the colostomy appliance when half filled
B) Performs skin care around the stoma site
C) Will perform ostomy self-care within 3 days after surgery
D) Applies a new ostomy appliance,making sure it adheres properly

Question 13

The nurse assesses a client prior to teaching a new skill.On what should the nurse focus to assess the client's health beliefs and practices?

A) Manual dexterity
B) Actions taken to stay healthy
C) Reasons for the current health problem
D) Ways the problem has affected current activities

Question 14

During advanced cardiac life support (ACLS)training,a nurse performs defibrillation using a mannequin.Which teaching strategy is being employed?

A) One-to-one instruction
B) Computer-assisted instruction
C) Role modeling
D) Simulation

Question 15

How can teaching be best provided to a patient who has a different primary language than the nurse?

A) Provide written materials in the patient's primary language.
B) Make arrangements to teach using an interpreter.
C) Provide a demonstration and request a return demonstration.
D) Use visual teaching aids to convey information.

Question 16

Which statement is best to use when instructing a patient about digoxin?

A) Obtain your radial pulse every morning before taking your digoxin dose.
B) Return to your healthcare provider for monthly laboratory studies of your digoxin levels.
C) Call your provider if you notice that objects look yellow or green.
D) Always take the same brand of medication because certain brands may not be interchangeable.

Question 17

Which intervention by the nurse would be best to motivate a patient newly diagnosed with hypertension to learn about the prescribed treatment plan?

A) Explain that when left untreated,hypertension may lead to stroke.
B) Ask the patient to let you know when he is ready to learn.
C) Encourage the patient to learn about various treatment options.
D) Reassure the patient that adhering to the treatment produces a good outcome.

Question 18

Prior to discharge,a patient with diabetes needs to learn how to check a fingerstick blood sugar before taking insulin.Which action will best help the patient remember proper technique?

A) Encouraging the patient to check his blood sugar each time the nurse gives insulin
B) Providing
C) Verbally instructing the patient about how to obtain a fingerstick blood sugar
D) Offering a brochure that describes the technique for checking blood sugar

Question 19

For which patient is the nursing diagnosis Deficient Knowledge most appropriate?

A) Adolescent with Down syndrome and newly diagnosed with cardiac problem
B) Young adult admitted with acute renal failure who requires hemodialysis
C) Middle-aged woman with breast cancer receiving the last round of chemotherapy
D) Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer

Question 20

During a learning assessment the client says,"I love to read." Which assessment category does this information support?

A) Learning style
B) Ability to learn
C) Physical readiness
D) Emotional readiness

Question 21

A client is reluctant to participate in a teaching session.What should the nurse consider as reasons for this client's behavior? Select all that apply.

A) Anxiety
B) Fear of failure
C) Past bad experiences
D) Established dependency
E) Formal education occurred years ago

Question 22

The nurse creates a teaching plan that focuses on the higher levels of learning.What actions will the nurse expect the client to demonstrate to measure these higher levels? Select all that apply.

A) Apply standards.
B) Design an approach.
C) Implement a new skill.
D) Summarize information.
E) Identify relationships between information.

Question 23

The nurse prepares a teaching plan for a client with a new health problem.What should the nurse keep in mind when creating this plan? Select all that apply.

A) Right time
B) Right goal
C) Right place
D) Right content
E) Right context

Question 24

The nurse determines that teaching provided has impacted a client's affective domain.What did the nurse observe to make this clinical determination? Select all that apply.

A) Asked questions
B) Designed a schedule
C) Brought personal equipment
D) Read directions before starting
E) Made eye contact with the nurse