Chapter 05: Patient and Family Teaching Test Bank Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Chapter 05: Patient and Family Teaching Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with hypertension and the client’s caregiver wish to learn how to properly use a sphygmomanometer. The nurse will utilize which domain of learning to accomplish this teaching? a. Psychomotor domain b. Affective domain c. Cognitive domain d. Intellectual domain Answer: A Rationale: Measuring blood pressure is a physical skill, which falls under the psychomotor domain of learning. The cognitive or the intellectual domain involves intellectual activities such as thought, recall, decision making, and drawing conclusions. The affective domain involves the client's and the caregiver's attitudes, feelings, beliefs, and opinions. Question Format: Multiple Choice Chapter: 5 Learning Objective: 4 Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 58, Learning Styles and Domains of Learning 2. A client with seasonal allergies has been prescribed a nasal spray and wants to know about the addictive nature of the nasal spray, the adverse reactions, and the harmful effects involved. Which nursing diagnosis should the nurse address while educating the client? a. Ineffective Health Management b. Anxiety c. Deficient Knowledge d. Readiness for Enhanced Health Management Answer: D Rationale: Readiness for Enhanced Health Management indicates a desire by the client to manage their own treatment regimen. It includes teaching about adverse drug reactions, harmful drug effects, and management of harmful effects. Ineffective Health Management helps in teaching clients who have complicated post-discharge medical regimens. Anxiety is appropriate for the client who has uncertainty and fear related to the regimen, for example, a person who is apprehensive about self-injections. Deficient Knowledge is used for clients who are deficient in cognitive knowledge and psychomotor skills. Question Format: Multiple Choice Chapter: 5 Learning Objective: 5 Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 59, Nursing Diagnosis Checklist 3. A client is to be discharged to home and the nurse caring for the client has to provide education regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning? a. Attitude b. Motivation c. Interest d. Grasping power Answer: B Rationale: Motivation is probably the key factor in providing an impetus to the process of client learning and teaching. Attitude, interest, and grasping power may also help the learning process, but without motivation the client could be noncompliant to the treatment. Question Format: Multiple Choice Chapter: 5 Learning Objective: 4 Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 58, Motivation 4. A nurse is teaching the caregiver of a client with cancer how to administer the supplementation oxygen from a cylinder once the client goes home. Which activity is most effective for the nurse to use when evaluating the client's caregiver's understanding? a. Ask questions such as “Do you understand?” b. Ask the client's sibling to demonstrate the procedure. c. Ask the client's sibling to document the technique. d. Ask the client's sibling questions related to the procedure. Answer: B Rationale: To determine the effectiveness of teaching in this case, the nurse must evaluate the client's caregiver's knowledge of the materials presented. This can be done by asking the client's caregiver to demonstrate or explain the presented information. The nurse should not ask questions such as “Do you understand?” as the client may be uncomfortable admitting a lack of understanding. Asking questions related to the procedure may confuse the person. Asking the client's caregiver to document the technique would not provide enough information about whether or not the caregiver does understand what to do. Question Format: Multiple Choice Chapter: 5 Learning Objective: 5 Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 62, Evaluation 5. A client in a local health care center is presented information on drug administration by the nurse. Which factors would the nurse identify as having the least impact on the client's learning?