Deck 26: Teaching and Learning

Question 1

A nurse is working with a recently immigrated family who speak little English and whose child is hospitalized with asthma.The child is being discharged with aerosols and an inhaler.In addition to enlisting an interpreter to help with the language barrier,what is the priority action by the nurse?

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

Answer 1

Address any healing beliefs of the family

Question 2

When making an assessment of the client's learning needs,the nurse will focus on which of the following elements?

A)Sensory acuity
B)Nurse's knowledge
C)Client's support system
D)Gender

Answer 2

Client's support system

Question 3

Meeka,15,has been diagnosed with Type 2 diabetes and must learn how to do her own finger stick blood sugar analysis as part of her treatment.She has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase Meeka's motivation to learn?

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

Answer 3

Encouraging Meeka's participation each time the procedure is performed

Question 4

Mrs.Jhang,56,has an incision requiring 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?

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

Question 5

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

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

Question 6

The nurse is working with a client who has been diagnosed with diabetes and must learn how to self-administer insulin.Which statement regarding feedback will be most beneficial to the client?

A)"You know,there are children who can learn to do this."
B)"Maybe it would be better if we taught your spouse to help you with this?"
C)"Next time,dart the needle into your skin,instead of pushing it in."
D)"Your discharge depends upon you learning to do this."

Question 7

Mrs.Duzendorf,45,a home health client who is legally blind,requires vitamin B12 injections every two weeks and insists on self-administration.What is the best way for the nurse to assist this client?

A)Teach her spouse to draw up the medication,then the client can give the injection
B)Tell her it is not safe for a blind person to self-administer
C)Pre-fill syringes with the correct dose,so that the client can use them for self-administration
D)Schedule clinic appointments to coincide with the dosing schedule,then administer that day

Question 8

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 organizing the teaching/learning experience,what should the nurse do?

A)Start from the beginning and proceed through all material
B)Break up sessions into shortened time periods
C)Discover what the learner knows before proceeding with further teaching
D)Ensure the client's spouse is present before the teaching session begins

Question 9

A nurse involved in educating a community group to appreciate the uniqueness of mentally disabled citizens is working with which domain of learning?

A)Affective
B)Cognitive
C)Psychomotor
D)Psychologic

Question 10

The nursing diagnosis health-seeking behaviour (nutrition and diet)related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.An appropriate outcome for this client would be which of the following?

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

Question 11

Which of the following is a type of change influencing learning,according to Lewin's theory of cognitivism?

A)Emotions
B)Adherence
C)Cognitive structure
D)Perception

Question 12

A nurse educator and her students are preparing to leave a hospital unit.A staff nurse asks if one of the students would like to perform a Z-track injection,a skill not yet practiced by the students.The instructor,understanding concepts surrounding timing for a learning experience,should choose which response?

A)"I'll explain the procedure since we've not practiced it,and choose a student to administer it."
B)"Would it be alright if the students just observed today? Then,we'll do it next time we're here."
C)"We're leaving the unit now,but thanks for asking."
D)"I'll check with the students and see if one of them would like to volunteer."

Question 13

Mrs.Lim,59,is being discharged from the hospital after a myocardial infarction and is prescribed several new medications and a low-fat diet.She states,"I'm never going to understand what to do." The nurse formulates which of the following nursing diagnoses for this client?

A)Health-seeking behaviour related to desire to prevent heart problems
B)Deficient knowledge (diet and medication regimen)related to inexperience
C)Noncompliance related to situational factors
D)Risk for myocardial infarction related to deficient knowledge

Question 14

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 ensure that the teaching includes which of the following?

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

Question 15

Zack,a nursing student,is presenting a teaching project to the class,using each of Bloom's domains for the project's class activities.Which of the following activities is an example of the affective domain?

A)Each student identifies two attitudinal changes in their lives since beginning their nursing program.
B)All students must list the technical skills they've learned.
C)Students must demonstrate a favourite nursing skill at the end of the class period.
D)Students must read a paragraph about a new clinical trial,and present it to the class.

Question 16

Nurses working in an outpatient clinic setting are developing teaching strategies for clients with complex treatment requirements.Utilizing the behaviourist theory of learning,these nurses will do which of the following?

A)Praise the clients for correct behaviour
B)Support a positive teacher-learner relationship
C)Encourage the clients to establish goals
D)Convey sympathy in the nurse-client relationship

Question 17

Jenna,16,is practicing using an incentive spirometer after surgery.Her nurse has explained its use,demonstrated how it works,and has also given rationale as to why it is important to use it.By mastering the use of the spirometer,Jenna will demonstrate learning in which of Bloom's domains?

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

Question 18

A home health nurse is conducting teaching sessions with a client who has pulmonary fibrosis.Which of the following client outcomes will take the highest priority?

A)Client will be able to prepare and administer a nebulizer treatment by the end of the day.
B)Client will have increased activity level by the end of the week.
C)Client will perform activities of daily living without shortness of breath within three days.
D)Client will have a positive attitude about the diagnosis by the end of the month.

Question 19

A nurse is conducting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which of the residents described exhibits the highest motivation?

A)Jan,18,who has been struggling with following nursing directives regarding discharge goals
B)Mr.Keevers,42,who has just moved in and is already waiting for discharge
C)Mr.Olander,67,who is excited to learn about his new prosthesis
D)Mrs.Zann,78,who has been there the longest and is a great "coach" for newcomers

Question 20

What is one advantage of using computer-assisted instruction (CAI)?

A)Clients can learn at the pace that suits them best.
B)The nurse-client relationship is strengthened.
C)Psychomotor skills do not need to be practiced on the actual equipment.
D)The nurse controls the content and pace.

Question 21

Which of the following is a special teaching consideration for older adults?

A)Give praise and approval to motivate learning.
B)Try to use a one-on-one setting for this age group.
C)They think logically,but abstract thought is limited.
D)Present information at a Grade 6 reading level.

Question 22

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

A)Shared by the nurse and client
B)A return demonstration by the client
C)The nurse's review of the session
D)If the wound heals

Question 23

Which of the following situations illustrates learning in the psychomotor domain?

A)Prior to taking his medication,a client learns the rationale for checking his heart rate.
B)A client learns the action of his cardiac medication.
C)A client learns how to palpate and count his radial pulse.
D)The need for taking his medication on a daily basis is accepted by a client.

Question 24

Upon what concept is andragogy based?

A)Toddlers learn through imitation of their parents.
B)Adults' previous experiences can be used as resources for learning.
C)Adults are more motivated to learn when the material is useful to their future.
D)School-aged children learn best in brief stages because their attention spans are short.

Question 25

Which theorist was from the humanist theory school of thought?

A)Piaget
B)Maslow
C)Skinner
D)Bandura

Question 26

What should the nurse consider when teaching clients of different cultural and ethnic backgrounds?

A)Visual aids are discouraged,as they inhibit language skills.
B)The use of humour is discouraged,or used with care.
C)Teach to a future time orientation for preventative health behaviours.
D)Encourage individual,not family,teaching to minimize distractions.

Question 27

Mr.Jackman,87,needs discharge teaching regarding the use of a walker before going home.His hospital room is small and adjacent to a vending machine and small lounge area.In planning a teaching session,what is the best action by the nurse?

A)Wait until just prior to discharge,then do the teaching in the hospital lobby
B)Close the door to his room and ensure there is no clutter on the floor before beginning the teaching
C)Take him to a larger area for teaching,then evaluate on the way back to his room
D)Ensure a physical therapist is available to do the teaching and can visit him before discharge

Question 28

Which teaching strategy would be most effective for achieving a goal in the affective domain?

A)Providing explanations
B)Answering questions
C)Role playing
D)Demonstrating