Nokea
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.
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A nurse is engaged in teaching a patient with low health literacy. Which statement would be most appropriate? Select all that apply.
- A. Your test results are all negative.
- B. Your doctor wants you to take this analgesic.
- C. This medication will help your tumor get smaller.
- D. You should take this pain killer when you start to hurt.
- E. This cream is for the lesion on your arm.
Correct Answer: C,D
Rationale: When teaching a patient with limited health literacy, use simple and clear language. People who are highly literate can have problems understanding language used in health care. The word 'negative' is a positive finding when discussing an infection or cancer. This can be confusing to those who use negative in a different context. The nurse should avoid medical terms and instead use everyday language, for example, saying 'pain killer' instead of 'analgesic' when talking to patients. Other examples include 'wound' instead of 'lesion' or 'tumor' instead of 'carcinoma.'
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.
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 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 dosage forms would most likely require relatively little client teaching? Select all that apply.
- A. Injectables
- B. Inhalers
- C. Tablets
- D. Capsules
- E. Transdermal patches
Correct Answer: C,D
Rationale: Tablets and capsules are dosage forms that require relatively little client teaching because they often have simple uses in comparison to other forms such as injectables, inhalers, transdermal patches, suppositories, nasal sprays, and eye or ear drops.