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NUR 285 Chapter 9 Practice Material
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This is a comprehensive and detailed practice material that contains questions and answers on chapter 9; teaching and counseling.
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Chapter 9, Teaching and CounselingA male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use.
Which of the client’s following statements suggests that nurses’ education has resulted in affective learning?
A) “I’m starting to see how my lifestyle has caused me to end up here.”
B) “I understand why they’re not letting me eat anything for the time being.”
C) “My intravenous drip will keep me from getting dehydrated right now.”
D) “I can see how things could have been much worse if I hadn’t gotten to the hospital when I did.”
Feedback:
The client’s understanding of his contribution to his problem demonstrates a shift in attitude and feelings that is
characteristic of affective learning. Understanding the treatment, course, and prognosis of his illness are aspects of
cognitive learning.
The nurse has been working with a client for several days during the client’s recovery from a femoral head fracture. How
should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?
A) “What changes will you make around your house to reduce the chance of future falls?”
B) “Do you have any questions about the fall prevention measures that we’ve talked about?”
C) “In light of what we’ve talked about, why is it important that you remove the throw rugs in your house?”
D) “Do you think that the safety measures I taught you are clear and realistic?”
Feedback:
An open-ended question that requires the client to apply the information that has been taught is often the most accurate
way to evaluate the effectiveness of client education. Yes/no questions are much less effective (“Do you have any
questions?”; “Do you think that the safety measures I taught you are clear and realistic?”). Asking the client about the
importance of preventing falls does not directly assess what the client will actually do to prevent falls.
A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise,
and medications. What is the goal of this education?
A) To help the client develop self-care abilities
B) To ensure the client will return for follow-up care
C) To facilitate complete recovery from the disease
D) To implement ordered teaching and counseling
Feedback:
The basic purpose of educating and counseling is to help clients and families develop the self-care abilities (knowledge,
attitude, skills) needed to maintain and improve health.
A nurse refers a client with a new colostomy to a support group. This nurse is practicing which of the following aims of
nursing?
A) Promoting health
B) Preventing illness
C) Restoring health
D) Facilitating coping
Feedback:
Not all clients fully recover from their illness or injury; many clients will need to learn to cope with permanent health
alterations.
5. Which of the following is an essential component of the definition of learning?
A) Increases self-esteem
B) Decreases stress
C) Can be measured
D) Cannot be measured
, Ans: C
Feedback:
Learning is the process by which a person acquires or increases knowledge, or changes behavior in a measurable way, as a
result of an experience.
A nursing faculty member is teaching a class of second-degree students who have an average age of What is important to
remember when teaching adult learners?
A) A focus on the immediate application of new material
B) A need for support to reduce anxiety about new learning
C) Older students may feel inferior in terms of new learning
D) All students, regardless of age, learn the same
Ans: A
Feedback:
Adults need to be taught differently. Andragogy, the study of teaching adults, is based on several principles. One of those is
that most adults’ orientation to learning is that new material should be immediately applicable.
A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq.
Which of the following considerations is necessary for culturally competent client teaching?
A) Use materials developed previously for U.S. citizens.
B) Use all visual materials when teaching content.
C) Use a lecture format to teach content with few questions.
D) Develop written materials in the client’s native language.
Feedback:
With changes in society, nurses are faced with the challenge of teaching clients from different cultural and ethnic
backgrounds. One of the strategies is to develop written materials in the native language of the client.
8. Which of the following strategies might a nurse use to increase compliance with education?
A) Include the client and family as partners.
B) Use short, simple sentences for all ages.
C) Provide verbal instruction at all times.
D) Maintain clear role as the authority.
Feedback:
Compliance is facilitated by including the client and family in the education–learning process. Other strategies include
making sure instructions are understandable, using interactive education methods, and having a strong interpersonal
relationship with clients and their families.
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby.
Which nursing diagnosis would be appropriate for this client?
A) Knowledge Deficit: Infant care
B) Impaired Health Maintenance
C) Readiness for Enhanced Parenting
D) Readiness for Enhanced Coping
Feedback:
A client who requests information is demonstrating motivation and readiness to learn. The appropriate nursing diagnosis
would be Readiness for Enhanced Parenting.
10. Developing an education plan is comparable to what other nursing activity?
A) Documenting in the nurses notes
B) Formulating a nursing care plan
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