Nokea
After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which of the following would be most appropriate to use? Select all that apply.
- A. Client recitation of information
- B. Client return demonstration
- C. Open-ended questions
- D. Closed-ended questions
- E. Nurse review of information
Correct Answer: A,B,C
Rationale: The nurse can use return demonstration, client recitation of information, and open-ended questions to evaluate a client's knowledge of the material presented.
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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 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.
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.
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.'
Client goals are set during the planning stage of the client's teaching plan. When the nurse is developing client-specific goals, which of the following should the nurse keep in mind? Select all that apply.
- A. Goals should be measurable.
- B. Goals should be attainable.
- C. Goals should be set by the client.
- D. Goals should be set by the physician.
- E. Goals should be set by the nurse.
Correct Answer: A,B
Rationale: When the nurse is developing client-specific goals, the nurse should keep in mind that goals should be measurable and attainable and should include all parties involved, including the physician's, nurse's, and client's input.