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.
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A patient admitted to a hospital has difficulty with information recall, decision making, and conclusion-drawing skills. The patient also lacks proper psychomotor knowledge. Which of the following nursing diagnoses would the nurse most likely identify for this patient?
- A. Knowledge Deficit
- B. Ineffective Self Health Management
- C. Effective Self Health Management
- D. Anxiety
Correct Answer: A
Rationale: The nursing diagnosis used for patients with deficient cognitive knowledge and psychomotor skills is Deficient Knowledge. Ineffective Self Health Management is useful in discharge teaching. Effective Self Health Management describes a patient who is successfully managing the medication regimen. Anxiety would reflect a patient who is fearful or expresses concern regarding the drug regimen or shows a total lack of adherence to the drug regimen.
After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which of the following would be most appropriate to use? Select all that apply.
- A. Client recitation of information
- B. Client return demonstration
- C. Open-ended questions
- D. Closed-ended questions
- E. Nurse review of information
Correct Answer: A,B,C
Rationale: The nurse can use return demonstration, client recitation of information, and open-ended questions to evaluate a client's knowledge of the material presented.
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 is a kinesthetic learner. Which of the following would the nurse focus on when teaching this patient about drug administration?
- A. Doing the actual steps of the procedure
- B. Watching the nurse perform the procedure
- C. Listening to the nurse's instructions
- D. Observing how to perform the steps
Correct Answer: A
Rationale: A kinesthetic learner learns by moving, touching, and doing. Therefore, the nurse would focus on having the patient perform the actual steps of the procedure. Watching the nurse perform the procedure and observing how to perform the steps would be appropriate for a patient who is a visual learner. Listening to the nurse's instructions would be appropriate for an auditory learner.
Which of the following results occur when nurses teach clients effectively? Select all that apply.
- A. Improved client outcomes
- B. Decreased adherence with drug regimen
- C. Increased ability of client to manage drug therapy
- D. Lengthened time for client outcomes
- E. Limited ability of client to manage drug therapy
Correct Answer: A,C
Rationale: Client teaching improves the client outcome of being able to manage drug therapy. By understanding the reason for the prescribed medications, the patient is more likely to be adherent to the treatment plan and get better.
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