The nurse makes use of the psychomotor domain when information is given to the client or caregiver about which of the following? 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: A,E
Rationale: The nurse makes use of the psychomotor domain when information is given to the client or caregiver about a physical skill or task. A review of complications, adverse reactions, and frequency of administration involve the cognitive domain.
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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 group of nursing students are reviewing information about the patient-nurse relationship and the various factors affecting it. The students demonstrate a need for additional review when they identify which of the following as a factor?
- A. Health care reform
- B. Health care practice attitudes
- C. Increased rates of chronic illness
- D. Increased cultural diversity
Correct Answer: D
Rationale: Factors that affect the patient-nurse relationship include changes in health care delivery and health care reform, change in attitudes of health care practices, the aging population, and the increase in chronic illness. Cultural diversity affects health communication.
To facilitate the teaching and learning process, the nurse demonstrates understanding of the need for developing a therapeutic relationship with a client. The nurse would ensure development of which of the following? Select all that apply.
- A. Trust
- B. Education
- C. Commitment
- D. Dedication
- E. Respect
Correct Answer: A,E
Rationale: Development of a therapeutic relationship with a client is based on trust and respect. Optimizing the relationship helps accomplish the task of client teaching. Education, commitment, and dedication are not involved.
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.
A nurse is caring for a 70-year-old patient diagnosed with diabetes. The patient is to be discharged soon, and the nurse needs to teach him about the administration of the oral medications. Which of the following would be most appropriate in helping the nurse learn about the patient's affective behavior? Select all that apply.
- A. Developing a therapeutic relationship with the patient
- B. Overlooking the concern of the patient's family
- C. Approaching the patient with respect
- D. Nurturing a relationship based on trust and respect
- E. Avoiding the patient's queries on sensitive issues
Correct Answer: A,C,D
Rationale: To learn about the patient's affective behavior, the nurse should always approach the patient with respect and try to develop a therapeutic relationship with the patient. Such a relationship must be based on trust and respect. Overlooking the concern of the patient's family and avoiding the patient's queries on sensitive issues will not help the nurse to learn about the patient's affective behavior.
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