Nokea
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.
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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.
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 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 nurse is preparing a teaching plan to address the domains of learning. Which of the following would the nurse address when focusing on the cognitive domain? Select all that apply.
- A. Thought
- B. Feelings
- C. Beliefs
- D. Recall
- E. Decision making
Correct Answer: A,D,E
Rationale: The cognitive domain refers to intellectual activities such as thought, recall, decision making, and drawing conclusions. The affective domain involves feelings and beliefs.
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.