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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.
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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.
The nurse is assessing a patient and suspects that the patient may have limited health literacy. Which of the following would support this suspicion? Select all that apply.
- A. Clear description of how to take the medication
- B. Difficulty naming the medication
- C. Problems filling out forms accurately
- D. English as the primary language
- E. Inability to explain the purpose of the medication
Correct Answer: B,C,E
Rationale: Behaviors indicating limited health literacy include filling out forms incompletely or inaccurately, an inability to name or give the purpose of medications, and an inability to describe how to take the medications. Higher rates of low health literacy are found in individuals with English as a second language.
A client is to be discharged from a nursing home. The nurse caring for the client has to educate the client regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning?
- A. Attitude
- B. Motivation
- C. Interest
- D. Grasping power
Correct Answer: B
Rationale: Motivation is probably the key factor in providing an impetus to the process of patient learning and teaching. Attitude, interest, and grasping power may also help the learning process, but without motivation the patient could be noncompliant to the treatment.
A nurse is formulating a teaching plan for a client receiving a new drug. Which of the following information would the nurse expect to include in the teaching plan? Select all that apply.
- A. Adverse reactions to expect from the drug
- B. Adverse reactions to report to the physician
- C. Therapeutic response to expect from the drug
- D. The route of administration
- E. The dose of drug to administer
Correct Answer: A,B,C,D,E
Rationale: The following information should be included in the teaching plan when discussing a new drug with the client: adverse reactions to expect from the drug, adverse reactions to report to the physician, therapeutic response to expect from the drug, the route of administration, and the dose of drug to administer.
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.