Exam (elaborations)
Fundamentals Exam 2 (1)
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- HESI Fundamentals Practice
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- HESI Fundamentals Practice
Fundamentals Exam 2 (1)
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Fundamentals Exam 2Identify factors that allow the nurse to know that a patient exhibits readiness to learn. - CORRECT
ANSWER-Assess the patients learning style, the patient is eager, and interested in the topic and asks
questions.
Understand that when teaching you must keep the information relevant and simple. - CORRECT
ANSWER-When teaching a patient the information must be relevant and simple.
What can the nurse do when a client lacks motivation to learn? - CORRECT ANSWER-Find out what's
important to the patient, get family involved, make sure its an appropriate timing, figure out why they lack
motivation make sure the pt isn't in pain make sure it's a good timing, figure out their goal
What is the affective domain? - CORRECT ANSWER-a change in attitude or emotions that will influence
the person's behavior towards learning
What is cognitive domain? - CORRECT ANSWER-The brain's ability to gather and retain information and
knowledge and be able to recall the information
What is Physcholomotor domain? - CORRECT ANSWER-Having the patient observe the nurse
demonstrating the still then doing it themselves
What is the most effective teaching strategy? - CORRECT ANSWER-Demonstration
How is a teaching session documented? - CORRECT ANSWER-The progress of patient teaching with
detailed description of the goal, what was taught, how was it taught and the patients reaction to the
teaching.
What does the nurse need to know when assessing a client prior to teaching them? - CORRECT
ANSWER-Educational level + health literacy level and the learning style
How and when is feedback given to a patient? - CORRECT ANSWER-After the lesson and after the
patient has repeated what they learned
What findings will make a nurse consider that a patient has low literacy? - CORRECT ANSWER-Unable
to understand the information, having difficulty teaching the information back to the health care provider,
they may also have trouble
• filling out complex health forms
• locating providers and services
• sharing their medical history with providers
• seeking preventive health care
• knowing the connection between risky behaviors and health
• managing chronic health conditions
• understanding directions on medicine
Identify how patient learning can be evaluated. - CORRECT ANSWER-When the patient can successfully
repeat what has been learned or perform a returned demonstration.
How would a nurse enhance patient learning? - CORRECT ANSWER-Accommodate to their learning
style, use hands on and demonstration styles, set a time/ schedule, have the family involved (if they are
comfortable)
, What learning activity reflects Bloom's affective domain? - CORRECT ANSWER-a. Administering an
injection ****
b. Accepting the loss of a limb
c. Inserting a catheter
d. Learning how to read
How can the nurse best assess a client's style of learning? - CORRECT ANSWER-a. Ask the client how
he or she best learns ****
b. Use a variety of teaching strategies
c. Observe the client's interactions with others
d. Ask family members
Which is the best method of helping a client newly diagnosed with diabetes to learn the dietary
requirements associated with the disease? - CORRECT ANSWER-a. Play a videotape that addresses
the dietary requirements associated with the disease.
b. Ask a nutritionist to visit the client to present information and handouts about the diabetic diet.
c. Ask the client to make a list of her favorite foods and how to work them into her diet.*****
d. Have the client attend a group meeting for clients with diabetes to discuss their adaptation to this
chronic condition.
A nurse is scheduling a teaching situation. Which client is most ready to learn? - CORRECT ANSWER-a.
A 45-year-old mand whose health care provider has just informed him that he has cancer.
b. A 3-year-old whose parents are reading a storybook about going to the hospital.******
c. A 60-year-old female who received a medication 5 minutes ago for relief of abdominal pain.
d. A 70-year-old man, recovering from a stroke who has returned from physical therapy.
A primary care provider admitted a client experiencing hypertensive crisis because of the failure to take
his prescribed medications. To determine learning needs, which client assessment by the nurse would
have the highest priority? - CORRECT ANSWER-a. Age
b. Perception of the effects of hypertension
c. Ability to purchase the needed medications ****
d. Support system
A nurse is designing a teaching-learning program for a patient who is to be discharged from the hospital.
After developing a nurse-patient relationship, which should the nurse do next? - CORRECT ANSWER-a.
Identify the patient's locus of control
b. Use a variety of teaching methods appropriate for the patient
c. Formulate achievable, measurable, and realistic patient goals
d. Assess the patient's current understanding of the content to be taught.*****
A nurse must implement a teaching plan for a patient recently diagnosed with heart failure. Which should
the nurse do first? - CORRECT ANSWER-a. Identify the patient's level of recognition of the need for
learning. *****
b. Frame the goal within the patient's value system.
c. Determine the patient's preferred learning style.
d. Assess the patient's personal support system.
A nurse is teaching a patient colostomy care in relation to the affective domain. Which teaching method is
most effective for this situation? - CORRECT ANSWER-a. Discussing a pamphlet about colostomy care
from the American Cancer Society.
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