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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.
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To develop an effective teaching plan, the nurse must first determine a client's needs, which can include which of the following? Select all that apply.
- A. Information the client needs to know about a particular medication
- B. Client's ability to read
- C. Client's ability to learn the information presented
- D. Client's ability to use the information presented
- E. Client's ability to accept the information presented
Correct Answer: A,B,C,D,E
Rationale: To develop an effective teaching plan, the nurse must first determine a client's needs, which can include information the client needs to know about a particular medication; the client's ability to learn, accept, and use information; and any barriers or obstacles to learning (which might include the client's ability to read).
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 patient with seasonal allergies has been prescribed a nasal spray, which will be administered at home. The patient wants to know about the addictive nature of the nasal spray, the adverse reactions, and the harmful effects involved. Which of the following nursing diagnoses should the nurse address while educating the patient?
- A. Ineffective Self Health Management
- B. Anxiety
- C. Deficient Knowledge
- D. Effective Self Health Management
Correct Answer: D
Rationale: Effective Self Health Management indicates a desire by the client to manage his or her own treatment regimen. It includes teaching about adverse drug reactions, harmful drug effects, and management of harmful effects. Ineffective Self Health Management helps in teaching patients who have complicated postdischarge medical regimens. Anxiety is appropriate for the client who has uncertainty and fear related to the regimen, for example, a person who is apprehensive about self-injections. Deficient Knowledge is used for patients who are deficient in cognitive knowledge and psychomotor skills.
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.
After teaching a group of nursing students about health communication, the instructor determines that the teaching was successful when the students identify which of the following as being an important factor? Select all that apply.
- A. Health literacy
- B. Learning style
- C. Cultural competency
- D. Identification of limited English proficiency
- E. Learning domain
Correct Answer: A,C,D
Rationale: Three important factors to good health communication include health literacy, cultural competency, and identification of limited English proficiency. Learning style and learning domain are two aspects to consider for the teaching and learning process.