Chapter 19. Teaching & Learning

Chapter 19. Teaching & Learning

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which technique is best for teaching a nursing assistant how to perform finger-stick glucose testing?

ANS:  C

The best way to teach a psychomotor skill is to demonstrate the procedure and then ask for a return demonstration. Supplementary written information or DVD can also be supplied to the patient to reinforce learning. However, they are not the best method for teaching a psychomotor skill; enacting the procedure is more effective.

Difficulty: Moderate

Nursing Process: Interventions

Client Need: Safe and Effective Care

Cognitive Level: Application

PTS:   1

2. A patient with a diabetic foot ulcer will need to perform dressing changes after discharge. When should the nurse schedule the teaching session(s)?

ANS:  B

For learning to be most effective, teaching must occur when the patient is most receptive. A patient’s capacity to take in new information is reduced when he is anxious, in this example about testing or treatment, or is tired, or experiencing pain. Therefore, the best time to teach this patient is when he is rested, such as after a restful nap. Ten minutes is not enough time for oral medication to take effect and relieve pain.

Difficulty: Difficult

Nursing Process: Planning

Client Need: PSI

Cognitive Level: Application

PTS:   1

3. Which intervention by the nurse would be best to motivate a patient newly diagnosed with hypertension to learn about the prescribed treatment plan?

ANS:  A

A patient newly diagnosed with hypertension may not be motivated to learn because he most likely has not experienced physical symptoms or other outward complications. Therefore, the nurse should motivate the patient by pointing out serious risks to the quality of life if the blood pressure control is not achieved. Although readiness to learn is an important consideration, treatment might be delayed too long if the patient does not appropriately perceive the immediacy of the health risk. Simply encouraging a patient to learn about blood pressure and treatment options might not be suitable motivation to engage in active learning and to comply with prescribed treatment. Reassuring the patient and promising a good outcome by complying with medical treatment is not appropriate. Adhering to medical therapy reduces the risk for stroke and other complications; however, this can’t be guaranteed.

Difficulty: Moderate

Nursing Process: Interventions

Client Need: PSI

Cognitive Level: Application

PTS:   1

4. Assume all of the following written instructions about digoxin provide correct information for patient care. Which one is best worded for patient understanding?

ANS:  C

The nurse should provide written instructions that contain short sentences and easy-to-read words. If instructions are written at too high a reading level, the patient may not understand and make a harmful error in dosing. Calling the provider when objects look yellow or green is the clearest statement for patient teaching because the instruction is short, concrete, and written with easy-to-understand words. Patient instructions must not contain words that require a higher level of reading or medical jargon. The instruction pertaining to being consistent with brand use is too wordy, especially for patients who are ill or for whom English is not a primary language.

Difficulty: Difficult

Nursing Process: Interventions

Client Need: Safe and Effective Care

Cognitive Level: Analysis

PTS:   1