Timby 8, 15, 30, 31 Concept 16, 17 Flashcards
True or false
Nurses should primarily use verbal and visual methods of instruction to teach functionally illiterate clients
True
True or false
Young adults prefer visualizations, stimulations, and other methods of participatory learning
True
True or false
The use of gestures is preferable to the use of translators when neither the nurse nor the client speaks a compatible language
False
True or false
Even if a client favors one domain, nurses can optimize learning by presenting information through a combination of teaching approaches
True
True or false
A method of capturing the clients attention during teaching is to use the clients name frequently throughout the session
True
The _______ domain of learning is demonstrated by processing information by listening or reading facts and descriptions
Cognitive
________ is the study and practice of enhancing learning around older adults
Geragogy
________ is the science of teaching children or those with cognitive ability comparable to children.
Pedagogy
_______ illiterate clients generally posses minimal literacy skills.
Functionally
The ________ domain is the realm of learning that focuses on learning by doing.
Psychomotor
A nurse conducts a session on health teaching for diabetes management to a group of clients. What should be the nurse’s first step?
assessing the functional abilities of the clients who are supposed to attend the session
discussing the focus of the health education with other team members
including everyone who walks in the clinic during the session
preparing a study outline to guide the discussion in the given direction
assessing the functional abilities of the clients who are supposed to attend the session
The nurse is teaching a client newly diagnosed with diabetes about the disease, testing, diet, and how to self-administer insulin. The client does not speak the dominant language. What is the appropriate nursing action?
Use a translating application for cellular phone to aid in communication.
Request other health care providers who speak the client’s language to care for the client.
Have family members translate.
Obtain a medical interpreter.
Obtain a medical interpreter
A nurse is caring for an older adult client with arthritis. Which action is the priority for the nurse when conducting the health education for the client?
Provide an environment that promotes learning.
Divide information into manageable amounts.
Identify how long the education session will last.
Find out what the client wants to know.
Find out what the client wants to know
A nurse educator is teaching a group of nurses about various aspects of care for clients who have experienced a stroke. What activity most clearly reflects the affective domain of learning?
having students demonstrate the correct technique for transferring a stroke client from a bed to a chair
having a person who had a stroke talk about her experiences as a client
asking students to differentiate the typical signs and symptoms of a left-sided stroke from those of a right-sided stroke
having students compare and contrast ischemic strokes from hemorrhagic strokes
having a person who had a stroke talk about her experiences as a client
A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning?
Interpersonal
Psychomotor
Cognitive
Affective
Cognitive
When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way?
Provide less health teaching because of the language barrier.
Elongate the teaching session to be sure the client understands.
Request family members to serve as translators.
Talk with animation and vocal inflection to stimulate the client aurally.
Talk with animation and vocal inflection to stimulate the client aurally.
The nurse determines that which client has accomplished the learning level of remembering according to Bloom’s taxonomy?
44-year-old who understands that all antibiotics must be taken to be free from infection, even if symptom relief comes sooner
22-year-old who has created a device to carry healthy food serving compartments
51-year-old who has a sprained wrist 6 months ago, who now has a sprained ankle, and knows to take anti-inflammatory medication
30-year-old who recalls the name of a medication the provider prescribed
30-year-old who recalls the name of a medication the provider prescribed
An older adult client is advised to undergo a 12-lead electrocardiogram (ECG) assessment. The client seems to be anxious because this is the first time undergoing such a procedure. What explanation should the nurse provide to the client?
“The ECG electrodes are painless and will record electrical activity of the heart.”
“The procedure is short; it will take only 45 minutes to finish.”
“You should lie still when the ECG is recorded; otherwise, the recording may be wrong.”
“The ECG will give information about your heart to the doctor to guide treatment.”
“The ECG electrodes are painless and will record electrical activity of the heart.”
The nurse is preparing to educate a client newly diagnosed with diabetes about various aspects of home management techniques to maintain control of blood glucose levels. When performing education, what actions should the nurse take when assessing the learning needs of the client? Select all that apply.
Determine whether the client has a support system in place to assist if necessary.
Ask the client what the client feels is the greatest learning need to manage diabetic care.
Ask the client what areas of weakness the client has that will prohibit learning.
Determine whether the client is ready to learn about the care of diabetes.
Determine the financial status of the client to be sure the client can afford care.
Determine whether the client has a support system in place to assist if necessary.,
Ask the client what the client feels is the greatest learning need to manage diabetic care.,
Determine whether the client is ready to learn about the care of diabetes.
Following orthopedic surgery, a male client will be discharged home with supplies and instruction to inject himself daily with low molecular-weight heparin to prevent thrombosis. The nurse should be satisfied that the client has achieved the necessary learning for this skill when the client:
is able to explain the process for administering an injection correctly.
stops asking the nurse questions about the administration of the drug.
gives himself an injection of the drug using the correct technique.
states that he understands why the drug is necessary and how to inject it safely.
gives himself an injection of the drug using the correct technique.
A nurse is leading an education session on a cardiac care unit about rehabilitation for clients who have recently undergone heart surgery. Which statement by a participant most clearly indicates that learning has occurred?
“I’ve made a plan for changes that I’m going to make to my routines once I get home.”
“I really appreciated the fact that the nurse didn’t explain things too quickly or in too much detail.”
“I found that the class made a lot more sense to me than the pamphlets that I was given before my surgery.”
“I feel like the care team really understood what I was going through when I was in the hospital.”
“I’ve made a plan for changes that I’m going to make to my routines once I get home.”
A client’s health education is delayed until the time the client is ready to be discharged from the health care facility. What is the probable outcome of this delay?
The nurse cannot perform any health education.
The client loses interest in the health education.
The client already has knowledge of health education.
The client is not satisfied with the education.
The client is not satisfied with the education
When caring for a client with a throat infection, the nurse needs to ensure that the learning needs of the client are met. What is the first stage of the learning process for the client?
independent use of new learning
recognition of what has been taught
recall or description of information to others
explanation or application of information
recognition of what has been taught
The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain?
Provides return demonstration of use of inhaler.
Verbalizes key points of a brochure about diabetes that was read.
Provides a description of what appropriate wound healing should look like.
States “I feel comfortable using my walker.”
Provides return demonstration of use of inhaler.
At completion of the health teaching for a client, the nurse documents the details of the health teaching in the client’s medical record. What can be determined by this documentation?
self-administration of medications
proof of compliance with teaching standards
client’s response to the health teaching
dietary instructions for the client
proof of compliance with teaching standards
The nurse is readmitting a client who was discharged 1 week ago with complications from diabetes mellitus. The client states, “I really did not understand what I was supposed to do to care for myself from those papers that I was sent home with.” What question will the nurse ask to promote the client’s self-esteem?
“Do you have a problem with reading?”
“You understand that if you are not able to care for yourself, will you continue to be admitted?”
“How do you learn best and what can we do to provide you with that information?”
“What was so difficult about the discharge instructions?”
“How do you learn best and what can we do to provide you with that information?”
A Chinese client who was previously treated at the health care facility for an open wound has been admitted again because the wound has become gangrenous. It has been identified that the client failed to understand proper wound care. What is the probable reason for the client failing to understand the instruction?
The client is a passive learner.
The client is not interested.
The client has a short attention span.
The client belongs to a different culture.
The client belongs to a different culture.
The nurse is caring for a client with a migraine, who is admitted to the health care facility for observation. How can the nurse ensure that the client’s learning needs are fulfilled?
Provide the client with adequate support materials.
Begin teaching as soon as possible after admission.
Provide tips to the client for applying knowledge.
Encourage client to self-administer the medications.
Begin teaching as soon as possible after admission.
Which documentation example best reflects the complexity of client teaching by the nurse?
“Told client to take antibiotic as ordered.”
“Taught client about peak flows; client verbalized understanding.”
“Client return demonstrated how to use glucometer.”
“Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal.”
“Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal.”
When preparing client teaching materials, how does the nurse best assess a client’s preferred learning style?
Ask the client, “Do you learn best by observing, valuing, or doing?”
Determine client learning needs based on age and ability to hear effectively.
Provide teaching that works for the broadest base of clients.
Observe the client’s behaviors.
Ask the client, “Do you learn best by observing, valuing, or doing?”
During the health education session at the health care facility, the nurse notes that a client is able to recognize, describe to others, and explain the information learned. What is the final learning stage of the client in this case?
Recall of the information being taught
Involvement in the education in an active way
Independent use of new learning
Repetition of information for memorization
Independent use of new learning
The community health nurse is teaching an 89-year-old community-dwelling client about the care of the client’s venous leg ulcer. In light of this client’s age, the nurse should make which adaptation to this client’s education?
Test the client’s comprehension in formal, rather than informal, ways.
Ensure that a friend or family member of the client is present during education.
Plan education sessions that are briefer than those intended for younger clients.
Perform education sessions that are dependent on technology.
Plan education sessions that are briefer than those intended for younger clients.
A nurse is conducting an education session with a client prior to the client’s discharge. At the beginning of the session, the client was engaged with the material and had several questions. However, the client has stopped asking questions and is now rarely making eye contact with the nurse. How should the nurse best respond?
Bring the education session to a close and continue at a later time.
Emphasize the relevance of the teaching to the client’s recovery.
Enlist the assistance of another nurse in the client education.
Ask the client why the client stopped caring about the material.
Bring the education session to a close and continue at a later time.
After teaching the client about a low-fat diet, which items selected by the client would indicate to the nurse that the client comprehends the nutritional teaching?
Egg white omelet with vegetables
Coffee with non-dairy creamer
Frozen hash browns with vegetables
Peanut-butter sandwich
Egg white omelet with vegetables
A 56-year-old woman with a diagnosis of breast cancer is receiving chemotherapy and has been experiencing debilitating nausea throughout the course of treatment. What nursing diagnosis should the nurse assign to this client’s health problem?
Impaired Swallowing
Imbalanced Nutrition: Less Than Body Requirements
Self-care Deficit: Feeding
Risk for Aspiration
Imbalanced Nutrition: Less Than Body Requirements
A nurse is caring for a client with anorexia. What is the best evidence that the client is responding to the diet recommended by the dietitian?
The client’s electrolytes are stable.
The client remains alert and talks about food.
The client is free of abdominal pain.
The client feels hungry.
The client feels hungry
An 84-year-old resident of a long-term care facility developed the early signs and symptoms of Alzheimer disease several months ago and has experienced a significant decline in food intake as the disease has progressed. What action should the nurse take in order to promote nutrition for this client?
Provide consistency in the time and place for eating each meal.
Eliminate spices and seasonings from the client’s food whenever possible.
Provide the client with a minced or pureed diet that is easier to chew and swallow.
Provide a wide variety of new foods to increase the client’s interest.
Provide consistency in the time and place for eating each meal.
Which nutrient does the nurse identify as appropriate for a client with a normal dietary order who is consuming 2000 calories daily?
sodium less than 2000 mg
total fat less than 65 g
cholesterol greater than 300 mg
saturated fat greater than 20 mg
Total fat less than 65 g
A nurse is assessing a 70-year-old client with a reduced appetite. Which condition contributes to reduced appetite and reduced nutritional intake in older adults?
adverse medication effects
heart disease
arthritis
lack of digestive enzymes
Adverse medication effects
The nurse is caring for a client who wishes to include more antioxidant and anti-inflammatory foods in the diet. Which food(s) will the nurse recommend? Select all that apply.
red meat
pork products
cocoa
milk chocolate
blueberries
Cocoa, blueberries
A client underwent surgical repair of a hernia and has been ordered on a clear fluid diet for the first 24 hours following surgery. The client’s family members are eager to help with recovery and have asked the nurse about permissible food items to bring for the client. Which item is acceptable at this point in the client’s recovery?
orange juice
tomato juice
apple juice
drinkable yogurt
Apple juice
During a meeting with the school nurse, a 15-year-old girl has declared her intention to adopt a vegan diet. The nurse should conduct client education to ensure that the girl maintains an adequate intake of:
carbohydrates.
unsaturated fats.
vitamin C.
protein.
Protein
After a teaching session regarding dietary choices of carbohydrates, which client responses indicate correct understanding of the foods to limit in the diet? Select all that apply.
apple
rice
lean red meat
corn on the cob
wheat germ
Apple,
Rice,
Corn on the cob,
Wheat germ
The nurse is teaching an older adult client about different types of proteins that can be eaten. Which foods will the nurse identify as containing dietary protein? Select all that apply.
nuts
beans
poultry
butter
fish
Nuts,
Beans,
Poultry,
Fish
A nurse is caring for a client who has been prescribed a clear liquid diet. Which should the nurse teach the family to share with the client?
Ice cream
Cream soup
Pudding
Gelatin
Gelatin
A client tells the nurse, “As long as I only eat 2,400 calories per day, it does not matter which foods I eat.” Which response by the nurse is best?
“It does not matter which foods you eat, as long as you always make sure you get 2,400 calories.”
“Can you share an example of what you ate yesterday?”
“Be sure to eat a large amount of carbohydrates so you can have energy.”
“As long as you focus on protein intake, you will get the nutrition you need.”
“Can you share an example of what you ate yesterday?”
The physician has asked the nurse to prepare a list of laboratory tests needed to assess an obese client’s daily fat intake. Which test would the nurse include on the list?
serum albumin test
cholesterol level test
transferrin level test
complete blood count
Cholesterol level test
A nurse is collecting the objective data from a client during the physical assessment. What anthropometric data about the client is documented by the nurse?
estimated weight
clothing
height with shoes
body water
Clothing
A nurse observes that a client coughs and chokes when eating. What instructions should the nurse prepare for this client?
Tell the client to chew his food very thoroughly.
Instruct the client to avoid drinking beverages with meals.
Restrict milk and other dairy products in the diet.
Instruct the dietary department to prepare a liquid diet.
Tell the client to chew his food very throughly
A nurse is caring for a client diagnosed with high risk for cardiovascular disease. Which item should the nurse make sure is not on the client’s dietary tray?
red meat
corn
eggs
fish
Red meat
A client is directed by the health care provider to increase omega fatty acids in daily meals. Which instruction should the nurse give the client?
Add spinach and sunflower seeds to your regular diet.
Add granola and bran to your diet.
Add low-fat milk and hazelnuts to your diet.
Add salmon, trout, and herring to your regular diet.
Add salmon, trout, and herring to your regular diet.
The nurse is caring for a client who is pregnant. Which nutrition education will the nurse provide?
Eliminate red meat and poultry from the diet.
Weight gain is not an issue since the client is pregnant.
Decrease intake of carbohydrates, such as grains.
More servings of milk daily will be required.
More servings of milk daily will be required.
A nurse is caring for a client reporting frequent nausea. Which food should the nurse recommend to the client when the nausea is relieved?
carbonated beverages
boiled vegetables
fruit juices
warm milk
Fruit juices
A 77-year-old female client experienced a stroke several weeks ago that has left her with several motor and sensory deficits, including dysphagia. The client is receiving a diet with a modified texture that is easier to chew and swallow. What nursing action should the nurse perform in order to maintain this client’s safety during feeding?
Ensure that there is a complete and functional suction system at the bedside.
Provide two larger meals each day rather than three smaller meals in order to prevent fatigue.
Encourage the client to hold her breath while she is attempting to swallow.
Position the head of the client’s bed at a height of 30° to 45°.
Ensure that there is a complete and functional suction system at the bedside.
Which of the following terms best describes plant compounds that are thought to have health protecting qualities? Examples include lutein and lycopene. A- macronutrients B- organic nutrients C- micronutrients D- phytochemicals
D
The term malnutrition may be used to describe patients who consume an excessive quantity or quality of macronutrients or micronutrients.
A- true
B- false
True
An elderly individual who lives at a long term care facility is at less risk for nutritional deficits than an elderly patient who lives at home with a frail spouse.
A- true
B- false
False
Which of the following statements is true regarding vitamin D deficiency?
A- vitamin D deficiency is uncommon in African Americans because ethnic food choices include a variety of dairy products
B- vitamin D deficiency is not typically a concern for individuals following a vegan diet
C- vitamin D deficiency often leads to reduced calcium absorption, which affects bone health
D- vitamin D deficiency is associated with neurological damage
C- vitamin D deficiency often leads to reduced calcium absorption, which affects bone health
Which of the following conditions require increased caloric intake as a result of increased metabolic rates? Select all that apply
A- arthritis B- severe burns C- COPD D- AIDS E- hypothyroidism
B
C
D
The absorption of nutrients takes place in the intestinal tract. Which area of the intestine is the primary site for the absorption of water-soluble vitamins and proteins? A- duodenum B- jejunum C- llueum D- colon
B
Which of the following conditions is associated with vitamin C deficiency? A- Kwashiorkor B- marasmus C- scurvy D- pellagra
C- scurvy
The physician suspects a patient has iron deficiency anemia. Which of the following blood tests would assist with the diagnosis of anemia? A- glucose level B- hemoglobin level C- lipid panel D- electrolyte panel
B
For which would it be most important to monitor serum potassium levels? A- COPD B- CKD C- a patient with pernicious anemia D- a patient with diabetes mellitus
B
A client with a new urostomy requires teaching by the nurse. The nurse will construct the plan of care and education based upon which primary nursing diagnosis? Select all that apply.
stress urinary incontinence
risk for infection
functional urinary incontinence
risk for impaired skin integrity
situational low self-esteem
risk for infection,
risk for impaired skin integrity,
situational low self-esteem
A client at the health care facility has been diagnosed with total urinary incontinence. How could the nurse describe the condition of the client?
loss of urine without any identifiable pattern or warning
need to void is perceived frequently, with short-lived ability to sustain control of flow
loss of urine control because a toilet is not accessible
loss of small amount of urine when intra-abdominal pressure rises
Loss of urine without any identifiable pattern or warning
