Nokea
A nursing instructor is teaching a group of students about learning. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of adult learning? Select all that apply.
- A. Adults prefer a formal learning environment.
- B. Adults draw on past experiences to facilitate learning.
- C. Adults learn best by listening.
- D. Adults learn best by active learning.
- E. Adults are most often visual learners.
Correct Answer: B,D,E
Rationale: The following are true of adult learners: they prefer an informal learning environment; they draw on past experiences to facilitate learning; most adults are visual learners; and adults learn best and retain more by active or hands-on learning.
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The nurse makes use of the psychomotor domain when information is given to the client or caregiver about which of the following? 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: A,E
Rationale: The nurse makes use of the psychomotor domain when information is given to the client or caregiver about a physical skill or task. A review of complications, adverse reactions, and frequency of administration involve the cognitive domain.
A nurse is caring for a client with high blood pressure. The client has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the client and the family member how to take blood pressure measurements using the sphygmomanometer. The nurse identifies which domain of learning as being addressed?
- A. Psychomotor domain
- B. Affective domain
- C. Cognitive domain
- D. Intellectual domain
Correct Answer: A
Rationale: Measuring blood pressure is a physical skill, which falls under the psychomotor domain of learning. The cognitive or the intellectual domain involves intellectual activities such as thought, recall, decision making, and drawing conclusions. The affective domain involves the patient's and the caregiver's attitudes, feelings, beliefs, and opinions.
Which of the following would be considered an appropriate client goal when teaching a client how to use a glucometer? Select all that apply.
- A. Demonstration of appropriate testing procedure
- B. Understanding of steps to take in the case of low blood glucose
- C. Understanding of blood glucose goals
- D. Understanding of the pathophysiology of diabetes
- E. Understanding of frequency of blood glucose testing
Correct Answer: A,B,C,E
Rationale: Demonstration of appropriate testing procedure, understanding of steps to take in the case of low blood glucose, understanding of blood glucose goals, and understanding of frequency of blood glucose testing would be considered appropriate client goals for the nurse to set when teaching a client how to use a glucometer. Understanding of the pathophysiology of diabetes may be too much information for the client to grasp during instruction on how to use a glucometer.
When teaching a client, the nurse interprets which of the following as indicating that the client is using the cognitive domain to do which of the tasks? Select all that apply.
- A. Form new beliefs
- B. Process new information
- C. Make a decision
- D. Ask questions
- E. Demonstrate a physical skill
Correct Answer: B,C,D
Rationale: The client uses the cognitive domain to process the information, ask questions, and make decisions. Forming new beliefs is involved with the affective domain. Demonstrating a physical skill reflects the psychomotor domain.
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.