Deck 25: Client Education

Question 1

For a functionally illiterate client,the nurse particularly focuses on:
1) Using intricate analogies and examples
2) Avoiding lengthy return demonstrations
3) Incorporating familiar nonmedical terminology
4) Providing longer learning sessions with the client

Answer 1

3
When teaching a functionally illiterate client,the nurse should use simple terminology,avoiding medical jargon.The nurse should incorporate familiar terminology to enhance the client's understanding.The nurse should use simple analogies and real life examples.The nurse should ask for return demonstrations as this provides the opportunity to clarify instructions and time to review procedures.Although teaching sessions may be kept short,they should be scheduled at more frequent intervals.

Question 2

In preparing a teaching plan for adult clients in a cancer support group,the nurse incorporates evidence-based information.The nurse recognizes that evidence obtained about adult learners has identified that this group prefers:
1) Computer-assisted instruction
2) Traditional classroom settings
3) Long sessions with plenty of technical information
4) Interesting personal communication techniques

Answer 2

4
Adults have a wide variety of personal and life experiences to employ.Therefore adult learning is enhanced when they are encouraged to use these experiences to solve problems.Evidence-based information indicates that adult clients prefer interactive,personal communication with nurses or physicians.Evidence-based information indicates computer-assisted learning is not a preferred method of instruction by many adult learners.As clients become more comfortable with computers,this preference may change.Evidence-based information indicates that not all clients are comfortable in class settings or in support groups.Other educational opportunities should be available.Adult learners prefer short teaching sessions without a great deal of technical information.

Question 3

The nurse has completed an assessment on the client and identified the following nursing diagnoses.Which one of the following nursing diagnoses indicates a need to postpone teaching that was planned?
1) Activity intolerance related to pain
2) Ineffective management of treatment regimen
3) Noncompliance with prescribed exercise plan
4) Knowledge deficit regarding impending surgery

Answer 3

1
Pain,fatigue,or anxiety can interfere with the ability to pay attention and participate.The nursing diagnosis of activity intolerance related to pain indicates a need to postpone teaching.Teaching may be delayed until the nursing diagnosis is resolved or the health problem is controlled.Ineffective management of treatment regimen does not indicate a need to postpone teaching.Ineffective management of treatment regimen reinforces the need for teaching.Noncompliance with prescribed exercise plan does not indicate a need to postpone teaching.The client who is noncompliant may require further teaching.Knowledge deficit regarding impending surgery does not indicate a need to postpone teaching.A knowledge deficit reinforces the need for teaching.

Question 4

The client continues to ask questions about a surgical wound.The client states,"I think I would like help the first time I look at my wound." This is an example of:
1) Adaptation
2) Perception
3) Organizing
4) Guided response

Question 5

The client has been informed that he can be discharged once he can irrigate his colostomy independently.The client requests the nurse to observe his irrigation technique.Which of the following learning motives is the client displaying?
1) Physical need
2) Social activity
3) Task mastery
4) Evaluation stance

Question 6

In planning to teach an older adult client,the nurse should incorporate which teaching method or principle into the plan?
1) Keep teaching sessions short.
2) Teach in the early morning or late evening.
3) Put as much as possible into each teaching session.
4) Focus on teaching a family member or caregiver instead.

Question 7

The nurse is demonstrating to the client how to put on anti-embolitic stockings.In the middle of the lesson the client asks,"Why have my feet been swelling?" The nurse stops and responds to the client.Which of the following is the teaching principle that the nurse should follow?
1) Timing
2) Setting priorities
3) Building on existing knowledge
4) Organizing the teaching materials

Question 8

The nurse is preparing to present a teaching session on skin protection for a group of older adults at a senior center.A principle that has been found to be most effective in teaching older adults is:
1) Moving the group along at a predetermined pace
2) Providing information in longer teaching sessions
3) Speaking very slowly and in a louder tone of voice
4) Beginning and ending each session with important information

Question 9

There are a variety of teaching methodologies fro a nurse to choose from to use with clients.For a toddler,the nurse should use:
1) Role-playing
2) Problem-solving
3) Independent learning
4) Simple explanations and pictures

Question 10

The nurse established the following objective for the client who was unable to void: The client's intake will be at least 1000 mL between 7 AM and 3:30 PM.Feedback showing success is indicated by the client:
1) Voiding at least 1000 mL during the shift
2) Verbalizing abdominal comfort without pressure
3) Having adequate fluid intake and urinary output
4) Drinking 240 mL of fluid five or six times during the shift

Question 11

Clients give various responses to teaching sessions.For the nurse,an example of an evaluation of a psychomotor skill is:
1) Client states side effects of a medication
2) Client responds appropriately to eye contact
3) Client independently plans an exercise program
4) Client demonstrates the proper use of a walking cane

Question 12

There are many factors are assessed before teaching the client to learn insulin injection sites,but the most important factor for the nurse to assess first is the:
1) Previous knowledge level of the client
2) Willingness of the client to want to learn the injection sites
3) Financial resources available to the client for the equipment
4) Intelligence and developmental level of the individual client

Question 13

There are a variety of teaching methodologies that may be utilized to meet the client's needs.Which teaching method is best applied to a cognitive learning need?
1) Modeling of behavior
2) Discussion of feelings
3) Computer-assisted instruction
4) Demonstration of a procedure

Question 14

The nurse is evaluating the responses of clients to teaching sessions.An example of an evaluation of a client's attainment of a cognitive skill is:
1) Client explains that the medication should be taken with meals
2) Client looks at the surgical incision without requiring prompting
3) Client uses crutches appropriately to move both up and down stairs
4) Client independently capable of dressing self after eating breakfast

Question 15

An industrial nurse is planning to give an informative talk on hypertension to employees in honor of "heart month." He plans to teach individuals how to take their blood pressure measurements.Which information is important for him to ask the planning committee before this presentation?
1) Ages of all employees involved
2) Names of employees who are married
3) Number of employees with high blood pressure
4) Type of room available and number of participants

Question 16

While teaching the client about management of his heart disease,a nurse might use a strategy that is implemented to promote learning in the affective domain such as:
1) Asking the client what he believes he needs to know about the diagnosis
2) Providing brochures both on current exercises and on nutrition guidelines
3) Encouraging the client to personally discuss his feelings about his health status
4) Having the client return-demonstrate self-measurement of his own blood pressure

Question 17

A client,after being taught of the clinical manifestations of inflammation to enable early detection of a complication of a surgical wound states,"I will look at the wound four times a day and tell my surgeon if it looks red or swollen." Her statement is an example of:
1) Attitudes
2) Application
3) Analysis
4) Evaluation

Question 18

The nurse has important information to share with a parent who has brought his child to the emergency department.The nurse discovers that the parent,who appears very anxious,has just learned his son will require surgery.The most effective teaching approach in this situation is:
1) Telling
2) Trusting
3) Participating
4) Group teaching

Question 19

The nurse evaluates which of the following statements as an indication that the client is not ready to learn at this time?
1) "I need to understand more about the reason for the colostomy."
2) "I will find out more about that when the support group meets."
3) "There's no sense in showing me that now.I'm too sick right now."
4) "Please be sure to tell me if I am completing all the steps correctly."

Question 20

Different topics are presented in the information sessions that are held in the outpatient clinic.In planning for a session on health maintenance/illness prevention,the nurse should select a topic on:
1) Use of assistive devices,such as canes
2) Self-help devices for post-CVA clients
3) Stress management techniques for working parents
4) Environmental alterations for clients in wheelchairs

Question 21

The nurse recognizes that the primary goal of a client's teaching plan is to:
1) Facilitate a knowledge-based client decision-making process
2) Provide information that brings about informed client consent
3) Enhance the client's sense of personal control regarding his or her health care
4) Therapeutically affect the client's health,wellness,and independence

Question 22

Which of the following teaching topics is an example of health maintenance and promotion and illness prevention?
1) Glucose monitoring at home
2) Living with rheumatoid arthritis
3) Stress management's impact on depression
4) What to expect after hip replacement surgery

Question 23

A client has been recently told that the primary cancer has metastasized and the cancer is considered terminal.When the nurse offers to discuss palliative care options the client replies,"I can't understand why you all want to upset me by bringing the topic up.Now please just leave me alone." The nurse recognizes this response as:
1) Anger
2) Disbelief
3) Bargaining
4) Acceptance

Question 24

When a client newly diagnosed with type 2 diabetes mellitus selects a lunch menu that correlates with the number of carbohydrates he is allowed for that meal,this is an example of:
1) Cognitive learning
2) Affective learning
3) Impaired learning
4) Psychomotor learning

Question 25

Which of the following teaching topics is an example of restoration of health?
1) Glucose monitoring at home
2) Living with rheumatoid arthritis
3) Stress management's impact on depression
4) What to expect after hip replacement surgery

Question 26

Which of the following actions is the primary nursing responsibility regarding client education?
1) Providing accurate,current,relevant information
2) Answering the client's questions regarding health-related issues
3) Assessing the individual client's readiness and motivation to learn
4) Identifying areas where clients are in need of educational information

Question 27

The nurse is preparing the discharge teaching materials on newly prescribed drugs to a client diagnosed to be in the early stage of Alzheimer's disease.The nurse best deals with the client's cognitive deficits by:
1) Providing written material to supplement the discussion
2) Arranging for family to be present during the discussion
3) Presenting the material in two short but focused sessions
4) Requiring the client to restate the information in her own words

Question 28

When a client newly diagnosed with type 2 diabetes mellitus assumes responsibility for checking her blood glucose level four times a day,this is an example of:
1) Cognitive learning
2) Affective learning
3) Impaired learning
4) Psychomotor learning

Question 29

Which of the following statement best reflects the nurse's appropriate attention to a client's need for self-efficacy?
1) "What can I do to help you lose the weight?"
2) "Are you really ready to start a regular exercise regimen?"
3) "After you watch me demonstrate this inhaler,you will have no problems using it at all."
4) "Come on;with all the self-help products out there,you will be able to stop smoking."

Question 30

The nurse recognizes that the client's teaching plan is most directly driven by:
1) The client's identified learning needs
2) The complexity of the client's health needs
3) The client's readiness and motivation to learn
4) The presence of cultural or physical barriers

Question 31

A client has been recently told that the primary cancer has metastasized,and the cancer is considered terminal.When the nurse offers to discuss palliative care options,the client replies,"I'm going to have the reports reevaluated by another doctor;I feel fine and I think a mistake has been made." The nurse recognizes this response as:
1) Anger
2) Disbelief
3) Bargaining
4) Acceptance