Nokea
A client is to be discharged from a nursing home. The nurse caring for the client has to educate the client regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning?
- A. Attitude
- B. Motivation
- C. Interest
- D. Grasping power
Correct Answer: B
Rationale: Motivation is probably the key factor in providing an impetus to the process of patient learning and teaching. Attitude, interest, and grasping power may also help the learning process, but without motivation the patient could be noncompliant to the treatment.
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A patient in a local health care center is presented information on drug administration by the nurse. Which of the following would the nurse identify as having the least impact on the patient's learning?
- A. Patient's financial status
- B. Prior knowledge
- C. Prior perceptions
- D. Previous experiences
Correct Answer: A
Rationale: Financial status would have no impact on the patient's learning. To interpret information using the cognitive domain, the patient uses prior knowledge, perceptions, and previous experiences. The patient's opinions and feelings are used in the affective domain.
After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which of the following would be most appropriate to use? Select all that apply.
- A. Client recitation of information
- B. Client return demonstration
- C. Open-ended questions
- D. Closed-ended questions
- E. Nurse review of information
Correct Answer: A,B,C
Rationale: The nurse can use return demonstration, client recitation of information, and open-ended questions to evaluate a client's knowledge of the material presented.
A nurse is caring for a client with high blood pressure. The client has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the client and the family member how to take blood pressure measurements using the sphygmomanometer. The nurse identifies which domain of learning as being addressed?
- A. Psychomotor domain
- B. Affective domain
- C. Cognitive domain
- D. Intellectual domain
Correct Answer: A
Rationale: Measuring blood pressure is a physical skill, which falls under the psychomotor domain of learning. The cognitive or the intellectual domain involves intellectual activities such as thought, recall, decision making, and drawing conclusions. The affective domain involves the patient's and the caregiver's attitudes, feelings, beliefs, and opinions.
Client goals are set during the planning stage of the client's teaching plan. When the nurse is developing client-specific goals, which of the following should the nurse keep in mind? Select all that apply.
- A. Goals should be measurable.
- B. Goals should be attainable.
- C. Goals should be set by the client.
- D. Goals should be set by the physician.
- E. Goals should be set by the nurse.
Correct Answer: A,B
Rationale: When the nurse is developing client-specific goals, the nurse should keep in mind that goals should be measurable and attainable and should include all parties involved, including the physician's, nurse's, and client's input.
A patient is a kinesthetic learner. Which of the following would the nurse focus on when teaching this patient about drug administration?
- A. Doing the actual steps of the procedure
- B. Watching the nurse perform the procedure
- C. Listening to the nurse's instructions
- D. Observing how to perform the steps
Correct Answer: A
Rationale: A kinesthetic learner learns by moving, touching, and doing. Therefore, the nurse would focus on having the patient perform the actual steps of the procedure. Watching the nurse perform the procedure and observing how to perform the steps would be appropriate for a patient who is a visual learner. Listening to the nurse's instructions would be appropriate for an auditory learner.