Nokea
The nurse is teaching a group of student nurses about principles of teaching. Which statement by a student nurse requires further instruction from the licensed nurse?
- A. A client's living situation can affect his readiness and ability to learn.
- B. The client's age and developmental stage must be considered when teaching clients.
- C. Tactile or kinesthetic learners prefer to learn by watching a video or reading a handout.
- D. I should allow clients to demonstrate their understanding of what they have learned and practice skills.
- E. Some barriers to learning include financial resources, lack of support systems, and a low level of literacy.
Correct Answer: C
Rationale: Tactile/kinesthetic learners prefer hands-on learning, not videos or handouts. Other statements are correct.
You may also like to solve these questions
Which should the nurse identify as a situational crisis?
- A. Divorce
- B. Retirement
- C. Loss of a job
- D. An earthquake
- E. The birth of a child
- F. Death of a loved one
Correct Answer: A,C,F
Rationale: A situational crisis arises from an external rather than an internal source and often is unanticipated. Examples of external situations that can precipitate a situational crisis include divorce, the loss of a job, the death of a loved one, an abortion, a change in job, a change in financial status, and severe physical or mental illness. A maturational crisis occurs at a developmental stage; examples include marriage, the birth of a child, and retirement. An adventitious crisis, or crisis of disaster, is not a part of everyday life and is unplanned or accidental. This type of crisis can result from a natural disaster (flood, fire, earthquake), a national disaster (acts of terrorism, war, riots, airplane crashes), or a crime of violence (rape, assault, murder, bombing, spousal or child abuse).
The nurse is performing an assessment on a primigravida client who has been a marathon runner for several years. The client verbalizes concern because she is no longer able to run in marathons and is concerned about the brown discoloration on her face and her increasing size. Which statements by the nurse are therapeutic?
- A. I can see you're disappointed at not being able to run.
- B. Tell me how you are feeling about the changes in your body.
- C. Don't worry. Your body will go back to normal after delivery.
- D. You need to ask your obstetrician about whether or not you can run.
- E. Wait and see. You will be back to marathon running after delivery before you know it.
- F. Some of the changes in pregnancy are permanent and that is the price that you have to pay for that bundle of joy.
Correct Answer: A,B
Rationale: The client is concerned about the body changes and life changes being experienced as a result of pregnancy. Therapeutic communication techniques include focusing on the client's feelings and concerns and acknowledging these concerns by the techniques of clarifying and encouraging discussion of feelings. Telling a client 'not to worry,' placing the client's feelings on hold, and avoiding discussion of the client's feelings are nontherapeutic communication techniques.
Using Naegele's Rule, calculate the estimated date of birth for a client who reports the first day of the last menstrual period was August 7.
- A. 7-May
- B. 14-May
- C. 31-Oct
- D. 14-Nov
Correct Answer: B
Rationale: Naegele's Rule: Add 1 year, subtract 3 months, add 7 days. August 7 + 1 year = August 7 next year; minus 3 months = May 7; plus 7 days = May 14.
The nurse is monitoring a client diagnosed with type 1 diabetes mellitus. Today's blood work reveals a glycosylated hemoglobin level of 10%. The nurse creates a teaching plan based on the understanding that this result indicates which finding?
- A. A normal value that indicates that the client is managing blood glucose control well
- B. A value that does not offer information regarding the client's management of the disease
- C. A low value that indicates that the client is not managing blood glucose control very well
- D. A high value that indicates that the client is not managing blood glucose control very well
Correct Answer: D
Rationale: Glycosylated hemoglobin is a measure of glucose control during the 6 to 8 weeks before the test. It is a reliable measure for determining the degree of glucose control in diabetic clients over a period of time, and it is not influenced by dietary management 1 to 2 days before the test is done. The glycosylated hemoglobin level should be 6.0% or less for a client diagnosed with diabetes mellitus, with elevated levels indicating poor glucose control.
The school nurse teaches an athletic coach how to prevent dehydration among athletes practicing in the hot weather. What is the best advice for the nurse to give to the coach?
- A. Drink plenty of fluids before and after practice.
- B. Have the athletes take a salt tablet before practice.
- C. Reschedule practice for before school and after sunset.
- D. Provide a fluid break every 30 minutes during practice.
Correct Answer: D
Rationale: Hot weather accelerates the body's loss of fluid and electrolytes during strenuous physical activity, so the nurse encourages the coach to schedule fluid breaks at 30-minute intervals so that the athletes can periodically rest and restore body fluids. Drinking fluid before and after practice is a reasonable suggestion; however, because the hot weather accelerates fluid and electrolyte losses, body fluids must be periodically replenished to maintain the fluid and electrolyte balance. Although a sodium load increases fluid retention, the nurse avoids suggesting salt tablets for the athletes because the nurse needs approval from each athlete's primary health care provider before recommending the salt. Rescheduling practice times is unrealistic.