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A nurse is caring for a patient with liver cirrhosis. The nurse has to collaborate on an individualized teaching plan to help the client administer the postdischarge medications. Which of the following would the nurse need to integrate into the plan? Select all that apply.
- A. The nurse's teaching ability
- B. The prescribed drug
- C. The patient's learning skills
- D. The patient's need to know the drugs
- E. The health care provider's preference
Correct Answer: B,D,E
Rationale: Individualized teaching plans vary depending on the prescribed drug, health care provider's preference for facts to include and exclude, and what the patient needs to know to take the drug correctly. Factors such as the patient's learning skills and the nurse's teaching abilities are not considered when formulating an individualized teaching plan.
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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 nurse is preparing a teaching plan to address the domains of learning. Which of the following would the nurse address when focusing on the cognitive domain? Select all that apply.
- A. Thought
- B. Feelings
- C. Beliefs
- D. Recall
- E. Decision making
Correct Answer: A,D,E
Rationale: The cognitive domain refers to intellectual activities such as thought, recall, decision making, and drawing conclusions. The affective domain involves feelings and beliefs.
To facilitate the teaching and learning process, the nurse demonstrates understanding of the need for developing a therapeutic relationship with a client. The nurse would ensure development of which of the following? Select all that apply.
- A. Trust
- B. Education
- C. Commitment
- D. Dedication
- E. Respect
Correct Answer: A,E
Rationale: Development of a therapeutic relationship with a client is based on trust and respect. Optimizing the relationship helps accomplish the task of client teaching. Education, commitment, and dedication are not involved.
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 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.