Nokea
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.
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A nurse is preparing a teaching plan and is determining the best time for teaching. Which of the following would be an inappropriate time for client teaching? Select all that apply.
- A. When there are visitors
- B. Immediately prior to discharge
- C. The day of admission
- D. While the client is sedated
- E. While the client is in pain
Correct Answer: A,B,D,E
Rationale: Client teaching should not be performed when there are visitors, immediately prior to discharge, or if the client is sedated or in pain.
A patient admitted to a hospital has difficulty with information recall, decision making, and conclusion-drawing skills. The patient also lacks proper psychomotor knowledge. Which of the following nursing diagnoses would the nurse most likely identify for this patient?
- A. Knowledge Deficit
- B. Ineffective Self Health Management
- C. Effective Self Health Management
- D. Anxiety
Correct Answer: A
Rationale: The nursing diagnosis used for patients with deficient cognitive knowledge and psychomotor skills is Deficient Knowledge. Ineffective Self Health Management is useful in discharge teaching. Effective Self Health Management describes a patient who is successfully managing the medication regimen. Anxiety would reflect a patient who is fearful or expresses concern regarding the drug regimen or shows a total lack of adherence to the drug regimen.
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.
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.
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.