Nokea
The nurse is implementing a teaching plan for a client diagnosed with diabetes and his caregiver. Which of the following actions by the nurse reflects the cognitive domain? Select all that apply.
- A. Instruction on the correct administration of insulin
- B. Review of complications associated with diabetes
- C. Review of adverse reactions associated with insulin
- D. Review of how frequently to administer insulin
- E. Instruction on how to use a glucometer
Correct Answer: B,C,D
Rationale: The nurse makes use of the cognitive domain when giving information to the client or caregiver about the disease process, medication regimen, and adverse reactions. Instructions on correct administration of insulin and how to use a glucometer involve psychomotor skills, which reflect the psychomotor domain.
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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 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.
When teaching a client, the nurse interprets which of the following as indicating that the client is using the cognitive domain to do which of the tasks? Select all that apply.
- A. Form new beliefs
- B. Process new information
- C. Make a decision
- D. Ask questions
- E. Demonstrate a physical skill
Correct Answer: B,C,D
Rationale: The client uses the cognitive domain to process the information, ask questions, and make decisions. Forming new beliefs is involved with the affective domain. Demonstrating a physical skill reflects the psychomotor domain.
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.
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.