ATI GERONTOLOGY EXAM
(Detail Solutions)
1. A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a
teaching session with a nurse. In which domain did learning take place?
a. Kinesthetic
b. Cognitive
c. Affective
d. Psychomotor
ANS: B
The patient acquired knowledge, wh...
(Detail Solutions)
1. A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a
teaching session with a nurse. In which domain did learning take place?
a. Kinesthetic
b. Cognitive
c. Affective
d. Psychomotor
ANS: B
The patient acquired knowledge, which is cognitive. Cognitive learning includes
all intellectual skills and requires thinking. In the hierarchy of cognitive
behaviors, the simplest behavior is acquiring knowledge. Kinesthetic is a type of
learner who learns best with a hands-on approach. Affective learning deals with
expression of feelings and development of attitudes, beliefs, or values.
Psychomotor learning involves acquiring skills that require integration of mental
and physical activities, such as the ability to walk or use an eating utensil.
2. A nurse is trying to help a patient begin to accept the chronic nature of
diabetes. Which teaching technique should the nurse use to enhance learning?
a. Lecture
b. Role play
c. Demonstration
d. Question and answer sessions
ANS: B
Affective learning deals with expression of feelings and acceptance of attitudes,
beliefs, or values. Role play and discussion (one-on-one and group) are effective
teaching methods for the affective domain. Lecture and question and answer
1
,sessions are effective teaching methods for the cognitive domain. Demonstration is
an effective teaching method for the psychomotor domain.
3. A nurse is describing a patient’s perceived ability to successfully complete a
task. Which term should the nurse use to describe this attribute?
a. Self-efficacy
b. Motivation
c. Attentional set
d. Active participation
ANS: A
Self-efficacy, a concept included in social learning theory, refers to a person’s
perceived ability to successfully complete a task. Motivation is a force that acts on
or within a person (e.g., an idea, an emotion, a physical need) to cause the person
to behave in a particular way. An attentional set is the mental state that allows the
learner to focus on and comprehend a learning activity. Learning occurs when the
patient is actively involved in the educational session.
4. A toddler is going to have surgery on the right ear. Which teaching method is
most appropriate for this developmental stage?
a. Encourage independent learning.
b. Develop a problem-solving scenario.
c. Wrap a bandage around a stuffed animal’s ear.
d. Use discussion throughout the teaching session.
ANS: C
Use play to teach a procedure or activity (e.g., handling examination equipment,
applying a bandage to a doll) to toddlers. Encouraging independent learning is for
the young or middle adult. Use of discussion is for older children, adolescents,
and adults, not for toddlers. Use problem solving to help adolescents make
choices.
Problem solving is too advanced for a toddler.
2
, 5. A nurse is preparing to teach a patient about smoking cessation. Which
factors should the nurse assess to determine a patient’s ability to learn?
a. Sociocultural background and motivation
b. Stage of grieving and overall physical health
c. Developmental capabilities and physical capabilities
d. Psychosocial adaptation to illness and active participation
ANS: C
Developmental and physical capabilities reflect one’s ability to learn. Sociocultural
background and motivation are factors determining readiness to learn. Psychosocial
adaptation to illness and active participation are factors in readiness to learn.
Readiness to learn is related to the stage of grieving. Overall physical health does
reflect ability to learn; however, because it is paired here with stage of grieving
(which is a readiness to learn factor), this is incorrect.
6. A nurse is teaching a patient about heart failure. Which environment will the
nurse use?
a. A darkened, quiet room
b. A well-lit, ventilated room
c. A private room at 85° F temperature
d. A group room for 10 to 12 patients with heart failure
ANS: B
The ideal environment for learning is a room that is well lit and has good
ventilation, appropriate furniture, and a comfortable temperature. Although a quiet
room is appropriate, a darkened room interferes with the patient’s ability to watch
your actions, especially when demonstrating a skill or using visual aids such as
posters or pamphlets. A room that is cold, hot, or stuffy makes the patient too
uncomfortable to focus on the information being presented. Learning in a group of
six or less is more effective and avoids distracting behaviors.
7. Which assessment finding will cause the nurse to begin teaching a patient
because the patient is ready to learn?
3
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