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A cancer patient requires supplemental oxygen at home through an oxygen cylinder. The nurse assigned to the patient teaches the patient's brother to administer oxygen from the cylinder at home. Which of the following is most effective for the nurse to use when evaluating the patient's brother's understanding?
- A. Ask questions such as 'Do you understand?'
- B. Ask the patient's brother to demonstrate the procedure.
- C. Ask the patient's brother to document the technique.
- D. Ask the patient's brother questions related to the procedure.
Correct Answer: B
Rationale: To determine the effectiveness of teaching in this case, the nurse must evaluate the patient's brother's knowledge of the materials presented. This can be done by asking the patient's brother to demonstrate or explain the presented information. The nurse should not ask questions such as 'Do you understand?' as the patient may be uncomfortable admitting a lack of understanding. Asking questions related to the procedure may confuse the person. Asking the patient's brother to document the technique would not provide enough information about whether or not he does understand what to do.
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A nurse is preparing a teaching plan for a client. When developing this plan, which of the following would the nurse do to improve a client's motivation to learn? Select all that apply.
- A. Educate the client about his or her disease process.
- B. Do not include caregivers in the education process as it is a HIPAA violation.
- C. Create an accepting and positive atmosphere.
- D. Ignore the client's questions until you are finished teaching.
- E. Encourage client participation in goal planning.
Correct Answer: A,C,E
Rationale: The nurse can improve a client's motivation by educating the client about his or her disease process, creating an accepting and positive learning atmosphere, and encouraging the client to participate in goal planning.
Which of the following results occur when nurses teach clients effectively? Select all that apply.
- A. Improved client outcomes
- B. Decreased adherence with drug regimen
- C. Increased ability of client to manage drug therapy
- D. Lengthened time for client outcomes
- E. Limited ability of client to manage drug therapy
Correct Answer: A,C
Rationale: Client teaching improves the client outcome of being able to manage drug therapy. By understanding the reason for the prescribed medications, the patient is more likely to be adherent to the treatment plan and get better.
Which of the following would be considered an appropriate client goal when teaching a client how to use a glucometer? Select all that apply.
- A. Demonstration of appropriate testing procedure
- B. Understanding of steps to take in the case of low blood glucose
- C. Understanding of blood glucose goals
- D. Understanding of the pathophysiology of diabetes
- E. Understanding of frequency of blood glucose testing
Correct Answer: A,B,C,E
Rationale: Demonstration of appropriate testing procedure, understanding of steps to take in the case of low blood glucose, understanding of blood glucose goals, and understanding of frequency of blood glucose testing would be considered appropriate client goals for the nurse to set when teaching a client how to use a glucometer. Understanding of the pathophysiology of diabetes may be too much information for the client to grasp during instruction on how to use a glucometer.
When teaching a client, the nurse interprets which of the following as indicating that the client is using the cognitive domain to do which of the tasks? Select all that apply.
- A. Form new beliefs
- B. Process new information
- C. Make a decision
- D. Ask questions
- E. Demonstrate a physical skill
Correct Answer: B,C,D
Rationale: The client uses the cognitive domain to process the information, ask questions, and make decisions. Forming new beliefs is involved with the affective domain. Demonstrating a physical skill reflects the psychomotor domain.
A group of nursing students are reviewing information about the patient-nurse relationship and the various factors affecting it. The students demonstrate a need for additional review when they identify which of the following as a factor?
- A. Health care reform
- B. Health care practice attitudes
- C. Increased rates of chronic illness
- D. Increased cultural diversity
Correct Answer: D
Rationale: Factors that affect the patient-nurse relationship include changes in health care delivery and health care reform, change in attitudes of health care practices, the aging population, and the increase in chronic illness. Cultural diversity affects health communication.