VNSG 1304: Chapter 8 Prep U Questions Exam With
Complete Answers
A nurse is working with a client and suspects the client might have a literacy problem.
What question would the nurse ask initially to get a better sense of the situation? -
ANSWER "How do you learn best?"
Explanation:
Those who are illiterate and functionally illiterate usually develop elaborate mechanisms
to disguise or compensate for their learning deficits. To protect the client's self-esteem,
the nurse can ask, "How do you learn best?" and plan accordingly.
A male client age 61 years has been admitted to a medical unit with a diagnosis of
pancreatitis secondary to alcohol use. Which statement by the client suggests that
nurses' education has resulted in affective learning? - ANSWER "I'm starting to see how
my lifestyle has caused me to end up here."
Explanation:
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.
An elderly client is advised to undergo a 12-lead ECG assessment. The client seems to
be anxious because this is the first time he is undergoing such a procedure. What
explanation should the nurse provide to the client? - ANSWER "The ECG electrodes are
painless and will record electrical activity of the heart."
Explanation: The nurse should explain to the client that ECG electrodes are painless,
and it will take less than 5 minutes to complete the procedure. The client should lie still
while the ECG is recorded. The statements that the client needs to lie still to avoid the
recording being wrong, and that the ECG gives information about the client's heart to
the doctor to guide treatment are both informative but do not reduce anxiety. The
statement that the procedure would finish in 45 minutes is incorrect.
, The nurse is discussing the use of the patient-controlled analgesia pump with the
postoperative patient. Which of the following statements by the patient indicate a need
for additional education? - ANSWER "I should not press the button more often than
every 3-4 hours."
Explanation: Specific dosages and time intervals can be programmed into the machine
to prevent overdose; medication is delivered when the patient pushes a control button.
A nurse is preparing to teach a client with a hearing impairment. Which measures would
the nurse employ to optimize the teaching experience? (Select all that apply.) - ANSWER
Use a magic slate, chalkboard, flash cards, or writing pads to communicate.
Try to select words that do not begin with "f," "s," "k," and "sh."
Insert a stethoscope into the client's ears and speak into the bell with a low voice.
Explanation:
Measures to teach a client with a hearing impairment include using a magic slate,
chalkboard, flash cards, or writing pads to communicate. Writing can substitute for
verbal instructions. Lower the voice pitch. Hearing loss is generally in the higher pitch
ranges. Try to select words that do not begin with "f," "s," "k," and "sh." These letters
are formed with high-pitched sounds and are therefore difficult for clients with hearing
impairment to discriminate. Rephrase rather than repeat when the client does not
understand. Rephrasing may provide additional visual or auditory clues to facilitate the
client's understanding. Insert a stethoscope into the client's ears and speak into the bell
with a low voice. The stethoscope acts as a primitive hearing aid. It projects sounds
directly to the ears and reduces background noise.
Which strategy should the nurse use when providing education to the older adult client?
- ANSWER Remain calm and conduct the teaching session in a quiet environment.
Explanation: Remaining calm and conducting the teaching session in a quiet
environment would decrease anxiety or distractions that interfere with learning for the
older adult. Keeping the session short will increase concentration, but is not unique to
older adults. The nurse is to use colorful materials in a variety of ways and the nurse's
tone and pitch should vary.
Complete Answers
A nurse is working with a client and suspects the client might have a literacy problem.
What question would the nurse ask initially to get a better sense of the situation? -
ANSWER "How do you learn best?"
Explanation:
Those who are illiterate and functionally illiterate usually develop elaborate mechanisms
to disguise or compensate for their learning deficits. To protect the client's self-esteem,
the nurse can ask, "How do you learn best?" and plan accordingly.
A male client age 61 years has been admitted to a medical unit with a diagnosis of
pancreatitis secondary to alcohol use. Which statement by the client suggests that
nurses' education has resulted in affective learning? - ANSWER "I'm starting to see how
my lifestyle has caused me to end up here."
Explanation:
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.
An elderly client is advised to undergo a 12-lead ECG assessment. The client seems to
be anxious because this is the first time he is undergoing such a procedure. What
explanation should the nurse provide to the client? - ANSWER "The ECG electrodes are
painless and will record electrical activity of the heart."
Explanation: The nurse should explain to the client that ECG electrodes are painless,
and it will take less than 5 minutes to complete the procedure. The client should lie still
while the ECG is recorded. The statements that the client needs to lie still to avoid the
recording being wrong, and that the ECG gives information about the client's heart to
the doctor to guide treatment are both informative but do not reduce anxiety. The
statement that the procedure would finish in 45 minutes is incorrect.
, The nurse is discussing the use of the patient-controlled analgesia pump with the
postoperative patient. Which of the following statements by the patient indicate a need
for additional education? - ANSWER "I should not press the button more often than
every 3-4 hours."
Explanation: Specific dosages and time intervals can be programmed into the machine
to prevent overdose; medication is delivered when the patient pushes a control button.
A nurse is preparing to teach a client with a hearing impairment. Which measures would
the nurse employ to optimize the teaching experience? (Select all that apply.) - ANSWER
Use a magic slate, chalkboard, flash cards, or writing pads to communicate.
Try to select words that do not begin with "f," "s," "k," and "sh."
Insert a stethoscope into the client's ears and speak into the bell with a low voice.
Explanation:
Measures to teach a client with a hearing impairment include using a magic slate,
chalkboard, flash cards, or writing pads to communicate. Writing can substitute for
verbal instructions. Lower the voice pitch. Hearing loss is generally in the higher pitch
ranges. Try to select words that do not begin with "f," "s," "k," and "sh." These letters
are formed with high-pitched sounds and are therefore difficult for clients with hearing
impairment to discriminate. Rephrase rather than repeat when the client does not
understand. Rephrasing may provide additional visual or auditory clues to facilitate the
client's understanding. Insert a stethoscope into the client's ears and speak into the bell
with a low voice. The stethoscope acts as a primitive hearing aid. It projects sounds
directly to the ears and reduces background noise.
Which strategy should the nurse use when providing education to the older adult client?
- ANSWER Remain calm and conduct the teaching session in a quiet environment.
Explanation: Remaining calm and conducting the teaching session in a quiet
environment would decrease anxiety or distractions that interfere with learning for the
older adult. Keeping the session short will increase concentration, but is not unique to
older adults. The nurse is to use colorful materials in a variety of ways and the nurse's
tone and pitch should vary.
