Question 1

A client is practicing using an incentive spirometer after surgery. The nurse has explained the use, demonstrated how it works, and also given rationale for the client to continue to use this device. By mastering the use of this device, the client will demonstrate learning in which of Bloom's domains?

Accepted Answer

A)   Cognitive.
B)   Psychomotor.
C)   Imitation.
D)   Affective. B

Question 2

When nurses are teaching a client, they may use a discovery/problem-solving approach. An example of this would be:

Accepted Answer

A)   questioning the client about their health beliefs.
B)   the client deciding the action is necessary.
C)   mutual information sharing and client deciding future actions.
D)   questioning the client about what they have discovered. C

Question 3

A nurse educator is working with a group of students who are in their first clinical rotation. They have had a particularly busy clinical day. All have felt rushed to complete medication administration as well as personal cares for their assigned clients. Charting has been completed and they are ready to leave the clinical area for the day. A client on the unit needs medication delivered by a Z-track injection and the Clinical Nurse asks the nurse educator if one of the students would like to perform this. The nurse educator, understanding the important concepts surrounding timing and environment in a learning experience, makes this comment to the Clinical Nurse:

Accepted Answer

A)   "It will take me a moment to explain the procedure to the students since we've not practiced this, but I'll find somebody to administer it."
B)   "We're leaving now, but thanks for asking."
C)   "Would it be okay if the students observed today? Then, we'll do it next time we're here."
D)   "I'll check with the students and see if one of them would like to volunteer." C

Question 4

The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days. When organising the teaching/learning experience, the nurse should:

Accepted Answer

A)   discover what the learner knows before proceeding with further teaching.
B)   break up sessions into shortened time periods.
C)   start from the beginning and proceed through all material.
D)   make sure the client's spouse is present before the teaching session begins.

Question 5

When teaching clients, the nurse recognises that learning is more effective when:

Accepted Answer

A)   learners discover the content for themselves.
B)   learners have good psychomotor skills.
C)   teaching aids are used.
D)   the session is held in a quiet environment.

Question 6

When assessing the learning needs of a client, the nurse considers all of the following except:

Accepted Answer

A)   readiness to learn.
B)   motivation to learn.
C)   quality of resources.
D)   barriers to change.

Question 7

A client needs discharge teaching regarding the use of a walker before going home. The client's room is small and adjacent to a soda machine and small lounge area. In planning a teaching session, the best thing the nurse can do is:

Accepted Answer

A)   make sure a physical therapist is available to do the teaching and can see the client before discharge.
B)   close the door to the client's room and make sure there is no clutter on the floor before the teaching session begins.
C)   wait until just prior to discharge, then do the teaching in the hospital lobby.
D)   take the client to a larger area (treatment room, for example)  for teaching, then evaluate on the way back to the client's room.

Question 8

According to Lewin's (1951) theory of cognitivism, learning is a complex activity that involves what four types of changes?

Accepted Answer

A)   Cognitive structure.
B)   Perception.
C)   Motivation.
D)   Sense of belonging to the group.
E)   Emotions.F)  Voluntary muscle control.

Question 9

A client is being discharged from the hospital after a myocardial infarction and has several new medications that have been added to her therapy. She also has been prescribed to follow a low-fat diet. The client states: "I'm never going to understand what to do, when to do it, and why I should be doing all these things". The nurse documents a potential problem related to:

Accepted Answer

A)   depression.
B)   health-seeking behaviour.
C)   noncompliance.
D)   deficient knowledge.

Question 10

An example of evaluating the psychomotor skills learning of a client, the nurse uses:

Accepted Answer

A)   asking the client to give the correct verbal response to a question.
B)   written questionnaires.
C)   direct observation of doing the procedure.
D)   obtaining a report with a follow-up phone call.

Question 11

The nurse has completed client teaching regarding medication administration. Which of the following statements by the client best illustrates compliance?

Accepted Answer

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

Question 12

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis. How can the nurse best increase the client's motivation to learn?

Accepted Answer

A)   Demonstrating the finger stick on the nurse.
B)   Offering to do the procedure for the client each time it is scheduled.
C)   Encouraging the client's participation each time the procedure is performed.
D)   Teaching the client's support system how to perform the procedure.

Question 13

At the completion of a teaching session, the nurse must evaluate the effectiveness. In a situation where the client was learning a bandaging technique, the most effective evaluation is which of the following?

Accepted Answer

A)   If the wound heals.
B)   Shared by the nurse and client.
C)   A return demonstration by the client.
D)   When the nurse is satisfied that the client can complete the technique.

Question 14

A client has decided to change his eating habits to be more nutritionally sound. An appropriate evaluation of a positive outcome for this client would be which of the following?

Accepted Answer

A)   Client will be able to lose weight.
B)   Client will appreciate the value of using the food guide pyramid.
C)   Client will list foods that are nutritionally sound, low fat, and high fibre.
D)   Client will understand the importance of eating healthy.

Question 15

A client has an incision with a complex dressing change. The client is scheduled to be discharged home and the wound will require continued dressings at home. Which statement by the client indicates a need to postpone teaching?

Accepted Answer

A)   "I'm feeling nauseous, but go ahead and start anyway."
B)   "Let's make sure my spouse is around before you start explaining."
C)   "It's going to take time for me to understand this whole thing."
D)   "I wish my doctor would have explained this more in-depth."

Question 16

The nurse is working with a group of older-aged clients through a community senior citizens' centre. Utilising an understanding of health literacy, the nurse will make sure that:

Accepted Answer

A)   information given to this group is written at a third-grade level
B)   teaching includes a variety of approaches
C)   information includes pictures
D)   there is ample time for teaching

Question 17

A nurse is planning a community health education project that deals with organ donation, and the target audience is a group of adults. When following andragogic concepts, the nurse should make sure that the teaching includes which of the following?

Accepted Answer

A)   Past statistics about organ donors.
B)   Information on how this group can influence their children.
C)   Directions about how to become an organ donor.
D)   Written pamphlets.

Question 18

A community nurse working in primary schools is putting together a program for children about bullying. The nurse should keep in mind that content presented to this age group must be which of the following?

Accepted Answer

A)   Reinforcement.
B)   Demonstrating behaviour.
C)   Role play the behaviour.
D)   Based on sources available within the school system.

Question 19

The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should include which of the following?

Accepted Answer

A)   Diagnosed learning needs.
B)   Supplies required.
C)   Client responses.
D)   Need for additional teaching.
E)   Topics taught.

Question 20

A nurse educator is working with a group of students and demonstrates how to administer an intramuscular injection. The nurse is using which theoretical construct of learning?

Accepted Answer

A)   Pavlov's conditioning response.
B)   Thorndike's behaviourism.
C)   Bandura's imitation.
D)   Skinner's positive reinforcement.

Exam 28: Teaching and Learning