Nokea
You are the oncoming nurse and you have just taken end-of-shift report on your patients. One of your patients newly diagnosed with diabetes was admitted with diabetic ketoacidosis. Which behavior best demonstrates this patients willingness to learn?
- A. The patient requests a visit from the hospitals diabetic educator.
- B. The patient sets aside a dessert brought in by a family member.
- C. The patient wants a family member to meet with the dietician to discuss meals.
- D. The patient readily allows the nurse to measure his blood glucose level.
Correct Answer: A
Rationale: Emotional readiness also affects the motivation to learn. A person who has not accepted an existing illness or the threat of illness is not motivated to learn. The patients willingness to learn is expressed through the action of seeking information on his or her own accord. Seeking information shows an emotional readiness to learn. The other options do not as clearly demonstrate a willingness to learn.
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A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?
- A. Ask the boy specific questions about his medication.
- B. Ask the boy whether he now understands how to use his inhaler.
- C. Directly observe the boy using his inhaler to give himself a dose.
- D. Assess the boys respiratory health at the next scheduled visit.
Correct Answer: C
Rationale: Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample opportunity for practice. By observing the patient using the inhaler, the nurse may identify what learning needs to be enhanced or reinforced. Asking questions is not as an accurate gauge of learning. Respiratory assessment is a relevant, but indirect, indicator of learning. Delaying the appraisal of the patients technique until a later clinic visit is inappropriate because health problems could occur in the interval.
A nurse who provides care at the campus medical clinic of a large university focuses many of her efforts on health promotion. What purpose of health promotion should guide the nurses efforts?
- A. To teach people how to act within the limitations of their health
- B. To teach people how to grow in a holistic manner
- C. To change the environment in ways that enhance cultural expectations
- D. To influence peoples behaviors in ways that reduce risks
Correct Answer: D
Rationale: The purpose of health promotion is to focus on the persons potential for wellness and to encourage appropriate alterations in personal habits, lifestyle, and environment in ways that reduce risks and enhance health and well-being. The other options are incorrect because the purpose of health promotion is not to teach people how to grow in a holistic manner, to accommodate their limitations, or to change the environment in ways that enhances cultural expectations.
An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants?
- A. Desire to expand knowledge
- B. Self-awareness
- C. Adequate time- and task-management
- D. Taking responsibility for oneself
Correct Answer: D
Rationale: Taking responsibility for oneself is the key to successful health promotion, superseding the importance of desire to learn information, self-awareness, or time-management.
A school nurse is facilitating a health screening program among junior high school students. What purpose of health screening should the nurse prioritize when planning this program?
- A. To teach students about health risks that they can expect as they grow and develop
- B. To evaluate the treatment of students current health problems
- C. To identify the presence of infectious diseases
- D. To detect health problems at an early age so they can be treated promptly
Correct Answer: D
Rationale: The goal of health screening in the adolescent population has been to detect health problems at an early age so that they can be treated at this time. An additional goal includes efforts to promote positive health practices at an early age. The focus is not on anticipatory guidance or evaluation of treatment. Health screening includes infectious diseases, but is not limited to these.
Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. Which of the following individuals would most likely benefit from health education that emphasizes adherence?
- A. An older adult who is colonized with methicillin-resistant Staphylococcus aureus (MRSA)
- B. An 80-year-old man who has a small bowel obstruction
- C. A 52-year-old woman who has a new diagnosis of multiple sclerosis
- D. A child who fractured her humerus in a playground accident
Correct Answer: C
Rationale: Many patients do not adhere to their prescribed regimens; rates of adherence are generally low, especially when the regimens are complex or of long duration (e.g., therapy for tuberculosis, multiple sclerosis, and HIV infection and hemodialysis). This is less likely in a person with MRSA, an arm fracture, or a bowel obstruction.