Nokea
A nurse is assessing a client's ability to learn. Which of the following would be most important for the nurse to consider? Select all that apply.
- A. Literacy level
- B. Language
- C. Presence of a learning impairment
- D. Visual impairment
- E. Hearing impairment
Correct Answer: A,B,C,D,E
Rationale: When a nurse assesses a client's ability to learn, the nurse takes the following into consideration: client's literacy level, language, presence of a learning impairment, and hearing or visual impairment.
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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.
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.
After teaching a group of students about the domains of learning, the instructor determines that the teaching was successful when the students identify which of the following as a domain? Select all that apply.
- A. Cognitive domain
- B. Affective domain
- C. Physical domain
- D. Psychological domain
- E. Psychomotor domain
Correct Answer: A,B,E
Rationale: The three domains of learning are the cognitive, affective, and psychomotor domains.
A group of nursing students are reviewing information about the various domains of learning. The students demonstrate understanding of the information when they identify which of the following as reflecting the affective domain? Select all that apply.
- A. Thought
- B. Feelings
- C. Beliefs
- D. Recall
- E. Decision making
Correct Answer: B,C
Rationale: The affective domain includes attitudes, feelings, beliefs, and opinions of the client or caregiver. The cognitive domain includes thought, recall, and decision making.
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.