Nokea
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.
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When reviewing the nursing process during a class discussion, an instructor determines that the teaching was successful when the class identifies which of the following as being involved? Select all that apply.
- A. Identifying client health needs
- B. Reviewing client medications
- C. Devising a plan of care
- D. Initiating a nursing plan
- E. Evaluating the effectiveness of a plan
Correct Answer: A,C,D,E
Rationale: The nursing process is a systematic method of identifying client health needs, devising a plan of care to meet the identified needs, initiating the plan, and evaluating the plan's effectiveness.
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.
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.
A nursing instructor is teaching a group of students about learning. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of adult learning? Select all that apply.
- A. Adults prefer a formal learning environment.
- B. Adults draw on past experiences to facilitate learning.
- C. Adults learn best by listening.
- D. Adults learn best by active learning.
- E. Adults are most often visual learners.
Correct Answer: B,D,E
Rationale: The following are true of adult learners: they prefer an informal learning environment; they draw on past experiences to facilitate learning; most adults are visual learners; and adults learn best and retain more by active or hands-on learning.
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.