ATI - Chapter 17

Question 1

Teaching is goal driven and interactive. It involves purposeful actions to help individuals acquire knowledge, modify attitudes, and _____, and learn new skills.

Answer 1

behaviors

Question 2

_____ is the intentional gain of new info, attitudes, or skills, and it promotes behavioral change.

Answer 2

learning

Question 3

____ influences how much and how quickly a person learns. The desire to learn and the ability to learn and understand the content affect motivation.

Answer 3

motivation

Question 4

Information ____ increases access to and delivery of knowledge

Answer 4

technology

Question 5

Nurses provide _______ to individuals, families, and communities.

Answer 5

health education

Question 6

Some of the most common factors influencing clients’ educational needs are health, education level, socioeconomic status, and cultural and ______.

Answer 6

family influences

Question 7

______ status, spiritual factors, health perception, willingness to participate, and developmental level are also important to consider when providing.

Answer 7

emotional

Question 8

Client education provides clients with information and skills to maintain and promote health and _____ (immunizations, lifestyle changes, prenatal care).

Answer 8

prevent illness

Question 9

Client education provides clients with information and skills to _____ healthy (self-administration of insulin).

Answer 9

restore

Question 10

Client education provides clients with information and skills to adapt to permanent illness or ____ (ostomy care, swallowing techniques, speech therapy).

Answer 10

injury

Question 11

______ learning requires intellectual behaviors and focuses on thinking. It involves knowledge, _____, application, analysis, evaluation.

Answer 11

cognitive

comprehension

Question 12

An example of cognitive learning takes place when clients learn the manifestations of hypoglycemia and then can ______ when to notify the provider.

Answer 12

verbalize

Question 13

______ learning involves feelings, beliefs, and values.

Answer 13

affective

Question 14

Hearing the instructors words, responding verbally and nonverbally, valuing the content, creating a method for identifying values and _____, and employing values consistently in decision making are all characteristics of affective learning.

Answer 14

resolving differences

Question 15

Affective learning takes the place when clients learn about the life changes necessary for managing diabetes melitus and then discuss their _____ about having diabetes.

Answer 15

feelings

Question 16

_____ learning is gaining skills that require mental and physical activity.

Answer 16

psychomotor

Question 17

Psychomotor learning relies on perception (or sensory awareness), set (readiness to learn), _____ (task performance with an instructor), mechanism (increased confidence allowing for more complex learning), ______ (the ability to alter performance when problems arise) and origination (use of skills to perform complex tasks that require creating new skills).

Answer 17

guided response

Question 18

_____ learning takes place when clients practice preparing insulin injections.

Answer 18

psychomotor

Question 19

In assessment/data collection you assess/monitor _____.

Answer 19

learning needs

Question 20

In assessment/data collection you evaluate the _____.

Answer 20

learning environment

Question 21

In assessment/data collection you identify the ______ (auditory, visual, kinesthetic).

Answer 21

learning style

Question 22

In assessment/data collection you identify areas of _____ (low literacy levels, pain, distractions)

Answer 22

concerns

Question 23

In assessment/data collection you identify available _____ (financial, social, community).

Answer 23

resources

Question 24

In assessment/data collection you determine ____ and ____ health.

Answer 24

physical and cognitive

Question 25

In assessment/data collection you identify specific _____ (visual impairment, decreased manual dexterity, learning challenges)

Answer 25

needs

Question 26

In assessment/data collection you determine motivation and ____ to learn.

Answer 26

readiness

Question 27

In the planning phase you need to identify mutually agreeable ____.

Answer 27

outcomes

Question 28

In the planning phase you need to prioritize the learning objectives with clients’ _____ in mind.

Answer 28

needs

Question 29

In the planning phase you need to use methods that emphasize the ______.

Answer 29

learning style

Question 30

In the planning phase you need to select _________ teaching methods and materials.

Answer 30

age-appropriate

Question 31

In the planning phase you need to speak and provide print materials at or below the ______ reading level.

Answer 31

6th grade

Question 32

In the planning phase you need to avoid _______ terminology (administer, assess, monitor, implement)

Answer 32

nursing

Question 33

In the planning phase you need to speak and write in the second person, not the ____ (your leg, not the leg)

Answer 33

third

Question 34

In the planning phase you need to speak and write in _____ voice (take the medication, not the medication should be taken).

Answer 34

active

Question 35

In the planning phase you need to provide _____ educational resources (CDs, DVDs, software programs, moblie apps)

Answer 35

electronic

Question 36

In the planning phase you need to use reliable internet sources to access info and ______.

Answer 36

support services

Question 37

In the planning phase you need to organize learning activities to move from simple to more _____ tasks and known to unkown concepts.

Answer 37

complex

Question 38

In the planning phase you need to incorporate active participation in the _____.

Answer 38

learning process

Question 39

In the planning phase you need to schedule teaching sessions at _____ for learning (teaching ostomy care while replacing the pouch).

Answer 39

optimal times

Question 40

In the implementation phase you need to create an _______ that promotes learning (minimal distractions, privacy)

Answer 40

environment

Question 41

In the implementation phase you need to use therapeutic communication (active listening, empathy) to develop trust and _____ of concerns.

Answer 41

promote sharing

Question 42

In the implementation phase you need to review _____ and experience.

Answer 42

previous knowledge

Question 43

In the implementation phase you need to explain the therapeutic regimen or ____.

Answer 43

procedure

Question 44

In the implementation phase you need to present steps that build toward more _____.

Answer 44

complex tasks

Question 45

In the implementation phase you need to demonstrate _____ skills.

Answer 45

psychomotor

Question 46

In the implementation phase you need to allow time for return _____.

Answer 46

demonstrations

Question 47

In the implementation phase you need to provide positive ____.

Answer 47

reinforcement

Question 48

In the evaluation phase you need to ask clients to explain the info in ____.

Answer 48

their own words

Question 49

In the evaluation phase you need to observe return _____ (psychomotor learning).

Answer 49

demonstrations

Question 50

In the evaluation phase you need to use written tools to measure the _____ of information.

Answer 50

accuracy

Question 51

In the evaluation phase you need to ask clients to ____- their own progress.

Answer 51

evaluate

Question 52

In the evaluation phase you need to observe ______ communication.

Answer 52

nonverbal

Question 53

In the evaluation phase you need to reevaluate learning during follow up telephone calls or _____, such as home health visits or appointments with the provider.

Answer 53

contacts

Question 54

In the evaluation phase you need to revise the care plan _____.

Answer 54

accordingly

Question 55

Factors that enhance learning

Answer 55

perceived benefit
cognitive and physical ability
health and cultural beliefs
active participation
age - and educational level

Question 56

Barriers to learning

Answer 56

fear, anxiety, depression
physical discomfort, pain, fatigue
environmental distractions
health and cultural beliefs
sensory and perceptual deficits
psychomotor deficits

Question 57

When a nurse is observing a client drawing up and mixing insulin injections, which of the following best demonstrates that psychomotor learning has taken place?
A. The client is able to discuss the appropriate technique.
B. The client is able to demonstrate the appropriate technique.
C. The client states that he understands.
D. The client is able to write the steps on a piece of paper.

Answer 57

Answer B. Demonstrating the appropriate technique indicates that psychomotor learning has taken place.

Question 58

A nurse in a provider's office is collecting data from the mother of a 1 yr old child. The client states that her child is old enough for toilet training. Following an educational session by the nurse, the client now states that her earlier ideas have changed. She is now willing to postpone toilet training until the child is older. Learning has occurred in which of the following domains?
A. Cognitive
B. Affective
C. Psychomotor
D. Kinesthetic

Answer 58

Answer B. Affective learning has taken place, as evidenced by the client’s changed ideas about toilet training.

Question 59

A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn?
A. “I don’t want my spouse to see my incision.”
B. “Will you be able to give me pain medicine after the surgery?”
C. “Can you tell me about how long the surgery will take?”
D. “My roommate listens to everything I say.”

Answer 59

Answer C. Asking a concrete question about the surgery indicates that the client is ready to discuss the surgery. The client’s new diagnosis of cancer may cause anxiety, fear or depression, all of which can interfere with the learning process.

Question 60

A nurse is preparing an instructional session about managing stress incontinence for an older adult. Which of the following actions should the nurse take first when meeting with the client?
A. Encourage the client to participate actively in learning.
B.Select instructional materials appropriate for the older adult.
C. Identify goals the nurse and the client agree are reasonable.
D. Determine what the client knows about stress incontinence.

Answer 60

Answer D. The first action a nurse should take using the nursing process is to assess or collect data from the client. The nurse should determine how much the client knows about stress incontinence, the accuracy of this knowledge, and what the client needs to learn to manage this condition before proceeding to instructing the client.

Question 61

A nurse is evaluating how well a client learned the information presented in an instructional session about following a heart-healthy diet. The client states that she understands what to do now. Which of the following actions by the nurse should assist in evaluating the client’s learning?
A. Encourage the client to ask questions.
B. Ask the client to explain how to select or prepare meals.
C. Encourage the client to fill out and evaluation form.
D. Ask the client if she has resources for further instruction on this topic.

Answer 61

Answer B. A useful strategy for evaluating learning is to ask the client to explain in her own words how she will implement what she learned.