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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.
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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 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.
The nurse prepares a teaching plan to help a patient with viral influenza learn how to administer the prescribed drugs at home. Which factor would the nurse be alert to as posing an obstacle in the patient's learning process?
- A. Varied or different literacy levels
- B. Lack of high grasping skills
- C. Previous experience
- D. Prior knowledge
Correct Answer: A
Rationale: Varied literacy levels pose obstacles in the patient's learning levels. Lack of high grasping skills, previous experience, and prior knowledge do not pose obstacles in the patient's learning process.
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.
Which of the following results occur when nurses teach clients effectively? Select all that apply.
- A. Improved client outcomes
- B. Decreased adherence with drug regimen
- C. Increased ability of client to manage drug therapy
- D. Lengthened time for client outcomes
- E. Limited ability of client to manage drug therapy
Correct Answer: A,C
Rationale: Client teaching improves the client outcome of being able to manage drug therapy. By understanding the reason for the prescribed medications, the patient is more likely to be adherent to the treatment plan and get better.