Nokea
A nurse is engaged in teaching a patient with low health literacy. Which statement would be most appropriate? Select all that apply.
- A. Your test results are all negative.
- B. Your doctor wants you to take this analgesic.
- C. This medication will help your tumor get smaller.
- D. You should take this pain killer when you start to hurt.
- E. This cream is for the lesion on your arm.
Correct Answer: C,D
Rationale: When teaching a patient with limited health literacy, use simple and clear language. People who are highly literate can have problems understanding language used in health care. The word 'negative' is a positive finding when discussing an infection or cancer. This can be confusing to those who use negative in a different context. The nurse should avoid medical terms and instead use everyday language, for example, saying 'pain killer' instead of 'analgesic' when talking to patients. Other examples include 'wound' instead of 'lesion' or 'tumor' instead of 'carcinoma.'
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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.
The nurse is implementing a teaching plan for a client diagnosed with diabetes and his caregiver. Which of the following actions by the nurse reflects the cognitive domain? 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: B,C,D
Rationale: The nurse makes use of the cognitive domain when giving information to the client or caregiver about the disease process, medication regimen, and adverse reactions. Instructions on correct administration of insulin and how to use a glucometer involve psychomotor skills, which reflect the psychomotor domain.
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.
After teaching a group of nursing students about health communication, the instructor determines that the teaching was successful when the students identify which of the following as being an important factor? Select all that apply.
- A. Health literacy
- B. Learning style
- C. Cultural competency
- D. Identification of limited English proficiency
- E. Learning domain
Correct Answer: A,C,D
Rationale: Three important factors to good health communication include health literacy, cultural competency, and identification of limited English proficiency. Learning style and learning domain are two aspects to consider for the teaching and learning process.
A nurse is working with a client on ways to help the client adapt drug administration in the home. Which of the following would be appropriate? Select all that apply.
- A. Preparing a daily calendar
- B. Preparing a pill box
- C. Providing written instructions
- D. Placing all medication in one bottle
- E. Developing a clear, easy-to-read dosing schedule
Correct Answer: A,B,C,E
Rationale: The nurse can employ the following methods to help the client adapt drug administration in the home: prepare a daily calendar, prepare a pill box, provide written instructions, and develop a clear, easy-to-read dosing schedule.