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A nurse is preparing a teaching plan and is determining the best time for teaching. Which of the following would be an inappropriate time for client teaching? Select all that apply.
- A. When there are visitors
- B. Immediately prior to discharge
- C. The day of admission
- D. While the client is sedated
- E. While the client is in pain
Correct Answer: A,B,D,E
Rationale: Client teaching should not be performed when there are visitors, immediately prior to discharge, or if the client is sedated or in pain.
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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 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.
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.
A group of nursing students are reviewing information about the patient-nurse relationship and the various factors affecting it. The students demonstrate a need for additional review when they identify which of the following as a factor?
- A. Health care reform
- B. Health care practice attitudes
- C. Increased rates of chronic illness
- D. Increased cultural diversity
Correct Answer: D
Rationale: Factors that affect the patient-nurse relationship include changes in health care delivery and health care reform, change in attitudes of health care practices, the aging population, and the increase in chronic illness. Cultural diversity affects health communication.
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.