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.
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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.
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 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.
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.
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