A patient in a local health care center is presented informa...

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.

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A nurse is caring for a patient with liver cirrhosis. The nurse has to collaborate on an individualized teaching plan to help the client administer the postdischarge medications. Which of the following would the nurse need to integrate into the plan? Select all that apply.

A. The nurse's teaching ability
B. The prescribed drug
C. The patient's learning skills
D. The patient's need to know the drugs
E. The health care provider's preference

Correct Answer: B,D,E

Rationale: Individualized teaching plans vary depending on the prescribed drug, health care provider's preference for facts to include and exclude, and what the patient needs to know to take the drug correctly. Factors such as the patient's learning skills and the nurse's teaching abilities are not considered when formulating an individualized teaching plan.

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 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 students about the domains of learning, the instructor determines that the teaching was successful when the students identify which of the following as a domain? Select all that apply.

A. Cognitive domain
B. Affective domain
C. Physical domain
D. Psychological domain
E. Psychomotor domain

Correct Answer: A,B,E

Rationale: The three domains of learning are the cognitive, affective, and psychomotor domains.