Nokea
Which of the following are determinants of learning that require learning assessments?
- A. Learner needs
- B. Demonstrated learner behaviour
- C. Learner self-concept
- D. State of learner readiness
- E. Preferred learning style
Correct Answer: A,D,E
Rationale: The three determinants of learning that require learning assessments are learner needs, state of learner readiness, and the client's preferred learning style. Demonstrated learner behaviour is an evaluation of learning. Self-concept is not a determinant of learning.
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The nurse is preparing written handouts to be used as part of the standardized teaching plan for clients who have been recently diagnosed with diabetes and requires an awareness of literacy levels. Which of the following literacy levels is generally reflective of students who graduate from high school?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: C
Rationale: People with Level 3 literacy have the minimum skills necessary for everyday life in a complex society, such as graduation from high school. People with Level 1 literacy have very poor skills; for example, they were unable to determine the correct dose of medication from information on the package. People with Level 2 literacy require material to be simple and clearly laid out, and only tasks that are not too complex are to be included in learning material. People with Levels 4 and 5 literacy had higher order skills in information processing.
The nurse in the hospital has implemented a teaching plan to assist a client with rheumatoid arthritis in accomplishing daily activities independently. Which of the following actions is the best approach for the nurse to take in order to evaluate the client's long-term response to the teaching?
- A. Make a referral to the home health nursing department for home visits.
- B. Assess the client's ability to bathe without any assistance the next day.
- C. Have the client demonstrate the learned skills at the end of the teaching session.
- D. Arrange a physical therapy visit before the client is discharged from the hospital.
Correct Answer: A
Rationale: The client's long-term response may need to be assessed after discharge, long-term evaluation necessitates follow-up by the nurse, outpatient clinic, or outside agency. In this case, a home health referral would allow this to occur. The other actions allow evaluation of the client's short-term response to teaching.
An older-adult client is seen at the health clinic and diagnosed with protein malnutrition. Which of the following actions is priority to be included in the teaching plan?
- A. Suggest the use of liquid supplements as a way to increase protein intake.
- B. Encourage the client to increase the dietary intake of meat, cheese, and milk.
- C. Ask the client to record the intake of all foods and beverages for a 3-day period.
- D. Focus on the use of combinations of beans and rice to improve daily protein intake.
Correct Answer: C
Rationale: Assessment is the first step in assisting a client with health changes. The other answers may be appropriate for the client, but the nurse will not be able to determine this until the assessment of the client is complete.
After the nurse implements diet instruction for a client with heart disease, the client can explain the information but fails to make the recommended dietary changes. Which of the following statements reflects the correct evaluation of the intervention?
- A. Learning did not occur because the client's behaviour did not change.
- B. Choosing not to follow the diet is the behaviour that resulted from learning.
- C. The nursing responsibility for helping the client make dietary changes has been fulfilled.
- D. The teaching methods were ineffective in helping the client learn the dietary information.
Correct Answer: B
Rationale: Although the client's behaviour has not changed, the client's ability to explain the information indicates that learning has occurred and the client is choosing at this time to continue with the previous diet. The client may be in the contemplation or preparation state in the Transtheoretical Model. The nurse should reinforce the need for change and continue to provide information and assistance with planning for change.
A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
- A. The nurse will demonstrate the proper technique for trimming toenails.
- B. The client will list three ways to protect the feet from injury by discharge.
- C. The nurse will instruct the client on appropriate foot care before discharge.
- D. The client will understand the rationale for proper foot care after instruction.
Correct Answer: B
Rationale: Learning goals should state clear, measurable outcomes of what is to be accomplished from the learning process. Demonstrating a proper technique or providing instruction are actions that the nurse will take, rather than behaviours that would indicate if client learning has occurred. Having the client understand the rationale for proper foot care after instruction is an example of a learning outcome.