Chapter 33 Client Teaching

Chapter 33 Client Teaching

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)Which one of the following clients should the nurse determine to be the best candidate forimmediate instruction?1)A)An older adult who has broken his glassesB)A client who has always relied on herbal remedies for treatmentC)A postoperative client who is having difficulty with pain controlD)A client who fears he will have another heart attackAnswer:DExplanation:A)Although the postoperative client with difficulty controlling pain will be a highpriority for the nurse, the client who is fearful is more likely to have a precipitousevent, especially since he or she has already had heart attack. Immediatelyalleviating the client’s fear as much as possible reduces this risk. No immediatedanger is indicated for any of the clients in the other suggested answer choices.AssessmentPhysiological Integrity-Reduction of Risk PotentialApplicationB)Although the postoperative client with difficulty controlling pain will be a highpriority for the nurse, the client who is fearful is more likely to have a precipitousevent, especially since he or she has already had heart attack. Immediatelyalleviating the client’s fear as much as possible reduces this risk. No immediatedanger is indicated for any of the clients in the other suggested answer choices.AssessmentPhysiological Integrity-Reduction of Risk PotentialApplicationC)Although the postoperative client with difficulty controlling pain will be a highpriority for the nurse, the client who is fearful is more likely to have a precipitousevent, especially since he or she has already had heart attack. Immediatelyalleviating the client’s fear as much as possible reduces this risk. No immediatedanger is indicated for any of the clients in the other suggested answer choices.AssessmentPhysiological Integrity-Reduction of Risk PotentialApplicationD)Although the postoperative client with difficulty controlling pain will be a highpriority for the nurse, the client who is fearful is more likely to have a precipitousevent, especially since he or she has already had heart attack. Immediatelyalleviating the client’s fear as much as possible reduces this risk. No immediatedanger is indicated for any of the clients in the other suggested answer choices.AssessmentPhysiological Integrity-Reduction of Risk PotentialApplication2)Four groups of students are assigned to develop role-playing scenarios to demonstrate theirunderstanding of the application of learning theories to client teaching. Which method of teachingis most appropriately paired with the content to be taught?2)A)The client is instructed to read the package insert for information about applying a shoulderimmobilizer and is encouraged to call the advice nurse anytime if she has any questions orproblems.B)The client who has had a sigmoid colostomy is encouraged to experiment with modifying thebasic procedure for irrigation with suggestions and assistance from the nurse.1
C)The nurse tells the client, who is to have a low sodium diet, to read the product labels.D)The nurse gives the client three written goals to be met within 1 week after dischargefollowing abdominal surgery.Answer:BExplanation:A)The procedure of colostomy irrigation can be easily and safely modified to be moreconvenient as well as individualized for the client (amount and temperature offluid used, position during procedure, time of day, etc). The nurse can suggest howthe client might adjust the procedure to fit the home setting. It is most appropriateto demonstrate the application of the shoulder immobilizer and then determine ifthe client is able to self-apply the brace. Using package insert instructions andencouraging the client to call if needed are insufficient for safe client instruction.Telling a client to read product labels does not teach the client how to read thelabels. The most effective way to teach the client is to have examples of variousfood product labels with written information about interpretation of the data.Providing a client with pre-stated goals is less effective in client learning thanproviding the opportunity for the client to be involved in setting those goals.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysisB)The procedure of colostomy irrigation can be easily and safely modified to be moreconvenient as well as individualized for the client (amount and temperature offluid used, position during procedure, time of day, etc). The nurse can suggest howthe client might adjust the procedure to fit the home setting. It is most appropriateto demonstrate the application of the shoulder immobilizer and then determine ifthe client is able to self-apply the brace. Using package insert instructions andencouraging the client to call if needed are insufficient for safe client instruction.Telling a client to read product labels does not teach the client how to read thelabels. The most effective way to teach the client is to have examples of variousfood product labels with written information about interpretation of the data.Providing a client with pre-stated goals is less effective in client learning thanproviding the opportunity for the client to be involved in setting those goals.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysisC)The procedure of colostomy irrigation can be easily and safely modified to be moreconvenient as well as individualized for the client (amount and temperature offluid used, position during procedure, time of day, etc). The nurse can suggest howthe client might adjust the procedure to fit the home setting. It is most appropriateto demonstrate the application of the shoulder immobilizer and then determine ifthe client is able to self-apply the brace. Using package insert instructions andencouraging the client to call if needed are insufficient for safe client instruction.Telling a client to read product labels does not teach the client how to read thelabels. The most effective way to teach the client is to have examples of variousfood product labels with written information about interpretation of the data.Providing a client with pre-stated goals is less effective in client learning thanproviding the opportunity for the client to be involved in setting those goals.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysis2
D)The procedure of colostomy irrigation can be easily and safely modified to be moreconvenient as well as individualized for the client (amount and temperature offluid used, position during procedure, time of day, etc). The nurse can suggest howthe client might adjust the procedure to fit the home setting. It is most appropriateto demonstrate the application of the shoulder immobilizer and then determine ifthe client is able to self-apply the brace. Using package insert instructions andencouraging the client to call if needed are insufficient for safe client instruction.Telling a client to read product labels does not teach the client how to read thelabels. The most effective way to teach the client is to have examples of variousfood product labels with written information about interpretation of the data.Providing a client with pre-stated goals is less effective in client learning thanproviding the opportunity for the client to be involved in setting those goals.EvaluationSafe, Effective Care Environment-Safety and Infection ControlAnalysis3)A 14-year-old middle school student has recently been diagnosed with nephrosis and has beguntaking several medications for the condition, including a corticosteroid. During a follow-up visit atthe health clinic, he tells the clinic nurse that he hates taking the medicine because it makes himlook and feel funny and some classmates are making comments about this. What is the mosthelpful initial response by the nurse to promote the client’s continuation of the medication at thistime?3)A)Ask for specific examples of the changes he is experiencing.B)Encourage him to look for the humor in this because at his age all of his classmates areexperiencing physical and psychological changes.C)Review the side effects of corticosteroids to determine if anything he is experiencing might bea toxic reaction to the medication.D)Advise him to explain to the classmates why he is experiencing physical and psychologicalchanges.Answer:AExplanation:A)To reinforce the importance for the client to continue to take the prescribedmedications, the nurse should initially gather additional information about thespecifics of the comments, such as what looks different and what feels funny. Someof the changes the teen is experiencing may be expected adolescent changes andnot related to medications. For most young people with nephrosis, corticosteroidscan be tapered and discontinued after several weeks, so the changes may berelatively short-term. Avoid giving advice. Avoid trivializing the client and hisconcerns by encouraging him to see the humor in the situation. Common sideeffects of corticosteroids include fluid retention, moon face, increased appetite, andmood swings. Although toxicity is a possibility, the nurse must first gatheradditional information.AssessmentPsychosocial IntegrityAnalysis3
B)To reinforce the importance for the client to continue to take the prescribedmedications, the nurse should initially gather additional information about thespecifics of the comments, such as what looks different and what feels funny. Someof the changes the teen is experiencing may be expected adolescent changes andnot related to medications. For most young people with nephrosis, corticosteroidscan be tapered and discontinued after several weeks, so the changes may berelatively short-term. Avoid giving advice. Avoid trivializing the client and hisconcerns by encouraging him to see the humor in the situation. Common sideeffects of corticosteroids include fluid retention, moon face, increased appetite, andmood swings. Although toxicity is a possibility, the nurse must first gatheradditional information.AssessmentPsychosocial IntegrityAnalysisC)To reinforce the importance for the client to continue to take the prescribedmedications, the nurse should initially gather additional information about thespecifics of the comments, such as what looks different and what feels funny. Someof the changes the teen is experiencing may be expected adolescent changes andnot related to medications. For most young people with nephrosis, corticosteroidscan be tapered and discontinued after several weeks, so the changes may berelatively short-term. Avoid giving advice. Avoid trivializing the client and hisconcerns by encouraging him to see the humor in the situation. Common sideeffects of corticosteroids include fluid retention, moon face, increased appetite, andmood swings. Although toxicity is a possibility, the nurse must first gatheradditional information.AssessmentPsychosocial IntegrityAnalysisD)To reinforce the importance for the client to continue to take the prescribedmedications, the nurse should initially gather additional information about thespecifics of the comments, such as what looks different and what feels funny. Someof the changes the teen is experiencing may be expected adolescent changes andnot related to medications. For most young people with nephrosis, corticosteroidscan be tapered and discontinued after several weeks, so the changes may berelatively short-term. Avoid giving advice. Avoid trivializing the client and hisconcerns by encouraging him to see the humor in the situation. Common sideeffects of corticosteroids include fluid retention, moon face, increased appetite, andmood swings. Although toxicity is a possibility, the nurse must first gatheradditional information.AssessmentPsychosocial IntegrityAnalysis