Nokea
A nurse is caring for a 70-year-old patient diagnosed with diabetes. The patient is to be discharged soon, and the nurse needs to teach him about the administration of the oral medications. Which of the following would be most appropriate in helping the nurse learn about the patient's affective behavior? Select all that apply.
- A. Developing a therapeutic relationship with the patient
- B. Overlooking the concern of the patient's family
- C. Approaching the patient with respect
- D. Nurturing a relationship based on trust and respect
- E. Avoiding the patient's queries on sensitive issues
Correct Answer: A,C,D
Rationale: To learn about the patient's affective behavior, the nurse should always approach the patient with respect and try to develop a therapeutic relationship with the patient. Such a relationship must be based on trust and respect. Overlooking the concern of the patient's family and avoiding the patient's queries on sensitive issues will not help the nurse to learn about the patient's affective behavior.
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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.
A patient with seasonal allergies has been prescribed a nasal spray, which will be administered at home. The patient wants to know about the addictive nature of the nasal spray, the adverse reactions, and the harmful effects involved. Which of the following nursing diagnoses should the nurse address while educating the patient?
- A. Ineffective Self Health Management
- B. Anxiety
- C. Deficient Knowledge
- D. Effective Self Health Management
Correct Answer: D
Rationale: Effective Self Health Management indicates a desire by the client to manage his or her own treatment regimen. It includes teaching about adverse drug reactions, harmful drug effects, and management of harmful effects. Ineffective Self Health Management helps in teaching patients who have complicated postdischarge medical regimens. Anxiety is appropriate for the client who has uncertainty and fear related to the regimen, for example, a person who is apprehensive about self-injections. Deficient Knowledge is used for patients who are deficient in cognitive knowledge and psychomotor skills.
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 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 nurse is formulating a teaching plan for a client receiving a new drug. Which of the following information would the nurse expect to include in the teaching plan? Select all that apply.
- A. Adverse reactions to expect from the drug
- B. Adverse reactions to report to the physician
- C. Therapeutic response to expect from the drug
- D. The route of administration
- E. The dose of drug to administer
Correct Answer: A,B,C,D,E
Rationale: The following information should be included in the teaching plan when discussing a new drug with the client: adverse reactions to expect from the drug, adverse reactions to report to the physician, therapeutic response to expect from the drug, the route of administration, and the dose of drug to administer.