Deck 28: Teaching and Learning

Question 1

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

A) An individual who has been struggling with following nursing directives regarding discharge goals.
B) A client who is excited to learn about his new prosthesis.
C) A client who has been there the longest and is a great "coach" for newcomers.
D) The client who has just moved in and is already waiting for discharge.

Answer 1

A client who is excited to learn about his new prosthesis.

Question 2

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:

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

Answer 2

deficient knowledge.

Question 3

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

A) Nurse's own knowledge.
B) Client's age.
C) Client's understanding of health problem.
D) Sensory acuity.
E) Learning style.
F) Client's support systems.

Answer 3

Client's age.
Client's understanding of health problem.
Learning style.
Client's support systems.

Question 4

A nursing student must present a teaching project to the class, using each of Bloom's (1956) domains. The student has several activities included in the project. Which of the following activities is an example of the affective domain?

A) Members must demonstrate a favourite nursing skill at the end of the session.
B) All members must list the technical skills they've learned.
C) Members must read a paragraph about a new clinical trial, summarise the information, and present it to the rest of the class.
D) Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.

Question 5

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?

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 6

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

A) Convey sympathy in the nurse-client relationship.
B) Praise the learner for correct behaviour.
C) Provide role models of desired behaviour.
D) Encourage the learners to establish goals.
E) Provide sufficient practice time.
F) Provide opportunities for learning to use trial and error.

Question 7

A client of a domiciliary nursing agency requires vitamin B12 injections every two weeks and insists on self-administration. The client is legally blind. The best way to assist this client is for the nurse to:

A) prefill syringes with the correct dose, so the client can use them for self-administration.
B) schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic.
C) teach the spouse to draw up the medication, then the client can give the injection.
D) make sure that the injection is scheduled during a visit so the nurse can supervise.

Question 8

A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they are still in the hospital. Which of the following statements by a parent reflects a readiness to learn?

A) "If my baby is just a little bigger, I'll be able to handle him."
B) "I want to make sure my spouse is here, in case I don't hear everything that's said."
C) "I'm so afraid I'll hurt my baby with all these tubes."
D) "You'll give us written instructions before we go home, correct?"

Question 9

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

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 10

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?

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

Question 11

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?

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 12

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?

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

Question 13

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

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 14

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

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

Question 15

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

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.

Question 16

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:

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."

Question 17

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:

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 18

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

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

Question 19

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?

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 20

The use of the internet as a source of health information has implications for nurses as educators because:

A) rural and remote locations are more likely to use the internet.
B) unemployed and lower income people have more time to access the internet.
C) those without tertiary education find internet information easier to read and access.
D) they need to integrate it into teaching plans where relevant.

Question 21

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?

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 22

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?

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

Question 23

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:

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 24

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

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 25

A home health client is having difficulty keeping his medication schedule organised. He makes this statement to the nurse at their next visit: "There are so many pills and the names are all confusing to me. I don't even understand what they're for." The nurse should:

A) fill a pill bar and tell the client not to worry, just take the pills according to that system.
B) write out the generic and trade name of all the pills for the client.
C) help the client remember colour and size in relationship to dosing time.
D) have the physician talk to the client about his medications.

Question 26

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

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

Question 27

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:

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 28

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) "If you don't learn this, you can't be discharged."
B) "Next time, dart the needle into your skin, instead of pushing it in."
C) "Maybe it would be better if we taught your spouse to help you with this?"
D) "You know, there are children who can learn to do this."

Question 29

A hospital-in-the-home nurse is working with a client who has pulmonary fibrosis. Of the following teaching priorities, which will take the highest priority?

A) Client will be able to do ADLs (activities of daily living) without shortness of breath in three days.
B) Client will have increased activity level by the end of the week.
C) Client will have a positive attitude about the diagnosis by the end of the month.
D) Client will be able to set up and administer a nebuliser treatment by the end of the day.

Question 30

An Indigenous nurse working in a primary health care centre runs a regular clinic that provides health screening to mainly Aboriginal clients. The nurse wants to have a class on smoking cessation for interested adults of this group. In order to adjust to their time orientation, the nurse should:

A) make sure that the classes are held at specific times.
B) make posters and place them in areas of the community frequented by these groups.
C) mail letters ahead of time to make sure clients are informed about the upcoming class.
D) begin classes when a group of clients are gathered.

Question 31

A nurse is working with a family of a child who is hospitalised with asthma. The family members speak little English, and the child is being sent home on nebuliser treatments as well as an inhaler. In addition to enlisting an interpreter to help with the language barrier, the nurse should:

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

Question 32

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?

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.