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A patient requires teaching about a newly prescribed medication. The nurse
recognizes that to support the learning process, the teaching process should include
what?
a. The primary focus is the American cultural recognition of learning needs.
b. The preferred communication style is determined by the preference of the nurse.
c. Only immediate family members can be legally included in the teaching process.
d. All interested parties should be included in the teaching process.
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d. All interested parties should be included in the teaching process.
Rationale:
In many cultures, the family assumes a primary role in care of the patient
even when the patient is physically and emotionally capable of self-care.
Including them, and especially those expected to support the learning
process of the patient from the outset, in all aspects of health teaching for
health promotion is important.
The culturally sensitive nurse develops knowledge of the preferred
communication style of different cultural groups and uses this knowledge in
choosing teaching strategies. Patient motivation and participation increase
, with the use of indigenous teachers and cultural recognition of learning
needs.
Client safety and anxiety reduction are two initial goals of:
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crisis intervention
Which of the following is NOT one of the six competencies set for by QSEN (Quality
Safety Education for Nurses)?
a. Client-centered care
b. Evidence-based practice
c. Therapeutic communication
d. Teamwork and collaboration
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c. Therapeutic communication
Rationale:
1. Client-centered care
2. Evidence-based practice
3.Teamwork and collaboration
4. Safety
5. Quality improvement
6. Informatics
A terminally ill patient states, "I understand that I have cancer, but I just want to see
my grandchild born." Which stage of dying is the patient experiencing?
,a. "Why me?"
b. "No, not me"
c. "Yes, me, but...."
d. "Yes, me"
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c. "Yes, me, but...."
Rationale:
b. "No, not me" = denial
a. "Why me?" = anger
c. "Yes, me, but...." = bargaining phase
d. "Yes, me" = depressed, mood swings, acceptance phase
Which of the following best describes anticipatory grief?
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it can be colored by ambivalent feelings
Rationale:
they lose that sense of being very upset about somebody dying because
they've been anticipating it.
A 3-year-old child is having surgery tomorrow. What preoperative teaching strategy
should the nurse use to ensure effective learning?
a. Incorporating previous life experience.
b. Involving parents in teaching.
c. Encouraging self-directed learning.
d.Allowing the child to touch and play with all equipment.
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, d.Allowing the child to touch and play with all equipment.
Rationale:
Parents can provide useful information about their child's immediate life
experiences and commonly used words to incorporate in health teaching.
Encouraging self-directed learning and incorporating previous life
experience are principles of adult learning.
The child should touch and play with safe equipment
An acute, time limited phenomenon experienced as an overwhelming emotional
reaction to a stressful situation, a developmental event, a societal event, a cultural
event, or perception of the event:
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Crisis
Person becomes hostile and isolation may exacerbate this stage.
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Anger
This is used to explain behaviors and actions taken by people to prevent illness and
injury.
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