Nokea
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.
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The nurse makes use of the psychomotor domain when information is given to the client or caregiver about which of the following? Select all that apply.
- A. Instruction on the correct administration of insulin
- B. Review of complications associated with diabetes
- C. Review of adverse reactions associated with insulin
- D. Review of how frequently to administer insulin
- E. Instruction on how to use a glucometer
Correct Answer: A,E
Rationale: The nurse makes use of the psychomotor domain when information is given to the client or caregiver about a physical skill or task. A review of complications, adverse reactions, and frequency of administration involve the cognitive domain.
A patient with diabetes is being prepared for discharge. The nurse presents information to the patient regarding injections to be administered at home. Which intellectual activities are involved when the patient interprets this information using the cognitive domain of learning? Select all that apply.
- A. Recall
- B. Opinions
- C. Thought
- D. Attitude
- E. Decision making
Correct Answer: A,C,E
Rationale: To interpret information using the cognitive domain, the patient uses intellectual activities such as recall, thought, and decision making. Opinions and attitude come under the affective domain of learning.
Which of the following dosage forms would most likely require relatively little client teaching? Select all that apply.
- A. Injectables
- B. Inhalers
- C. Tablets
- D. Capsules
- E. Transdermal patches
Correct Answer: C,D
Rationale: Tablets and capsules are dosage forms that require relatively little client teaching because they often have simple uses in comparison to other forms such as injectables, inhalers, transdermal patches, suppositories, nasal sprays, and eye or ear drops.
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.
The nurse is assessing a patient and suspects that the patient may have limited health literacy. Which of the following would support this suspicion? Select all that apply.
- A. Clear description of how to take the medication
- B. Difficulty naming the medication
- C. Problems filling out forms accurately
- D. English as the primary language
- E. Inability to explain the purpose of the medication
Correct Answer: B,C,E
Rationale: Behaviors indicating limited health literacy include filling out forms incompletely or inaccurately, an inability to name or give the purpose of medications, and an inability to describe how to take the medications. Higher rates of low health literacy are found in individuals with English as a second language.