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When reviewing the nursing process during a class discussion, an instructor determines that the teaching was successful when the class identifies which of the following as being involved? Select all that apply.
- A. Identifying client health needs
- B. Reviewing client medications
- C. Devising a plan of care
- D. Initiating a nursing plan
- E. Evaluating the effectiveness of a plan
Correct Answer: A,C,D,E
Rationale: The nursing process is a systematic method of identifying client health needs, devising a plan of care to meet the identified needs, initiating the plan, and evaluating the plan's effectiveness.
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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.
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.
A patient with diabetes is being prepared for discharge. The nurse presents information to the patient regarding injections to be administered at home. Which intellectual activities are involved when the patient interprets this information using the cognitive domain of learning? Select all that apply.
- A. Recall
- B. Opinions
- C. Thought
- D. Attitude
- E. Decision making
Correct Answer: A,C,E
Rationale: To interpret information using the cognitive domain, the patient uses intellectual activities such as recall, thought, and decision making. Opinions and attitude come under the affective domain of learning.
Which of the following would be considered an appropriate client goal when teaching a client how to use a glucometer? Select all that apply.
- A. Demonstration of appropriate testing procedure
- B. Understanding of steps to take in the case of low blood glucose
- C. Understanding of blood glucose goals
- D. Understanding of the pathophysiology of diabetes
- E. Understanding of frequency of blood glucose testing
Correct Answer: A,B,C,E
Rationale: Demonstration of appropriate testing procedure, understanding of steps to take in the case of low blood glucose, understanding of blood glucose goals, and understanding of frequency of blood glucose testing would be considered appropriate client goals for the nurse to set when teaching a client how to use a glucometer. Understanding of the pathophysiology of diabetes may be too much information for the client to grasp during instruction on how to use a glucometer.
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.