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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.
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A patient is a kinesthetic learner. Which of the following would the nurse focus on when teaching this patient about drug administration?
- A. Doing the actual steps of the procedure
- B. Watching the nurse perform the procedure
- C. Listening to the nurse's instructions
- D. Observing how to perform the steps
Correct Answer: A
Rationale: A kinesthetic learner learns by moving, touching, and doing. Therefore, the nurse would focus on having the patient perform the actual steps of the procedure. Watching the nurse perform the procedure and observing how to perform the steps would be appropriate for a patient who is a visual learner. Listening to the nurse's instructions would be appropriate for an auditory learner.
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.
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.
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.
After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which of the following would be most appropriate to use? Select all that apply.
- A. Client recitation of information
- B. Client return demonstration
- C. Open-ended questions
- D. Closed-ended questions
- E. Nurse review of information
Correct Answer: A,B,C
Rationale: The nurse can use return demonstration, client recitation of information, and open-ended questions to evaluate a client's knowledge of the material presented.