Chapter 8: Client Teaching |Fundamental Nursing Skills and Concepts 12th Edition, Timby

MULTIPLE CHOICE 1. Before beginning to teach a patient to give himself insulin, the nurse asks, Have you ever known anyone who gave himself insulin injections? This question is primarily designed to: a. assess the patients learning needs. b. stimulate the patient to focus on the teaching goal. c. reduce the patients anxiety relative to insulin injection. d. reduce the amount of information the nurse has to provide. ANS: A Assessing a patients previous experience (as well as education, learning mode, and motivation) gives the nurse valuable information in developing a teaching plan tailored to the individual. It may reduce the amount of information needed, or it may increase it if some of what the patient knows is erroneous. DIF: Cognitive Level: Analysis REF: d. 119 OBJ: Theory #3 TOP: Assessing Learning Needs KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: basic care and comfort 2. The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to: a. give the patient written materials to study and learn the procedure. b. have the patient explain the procedure to the nurse to assess understanding. c. give the patient a day to allow him to process and absorb the information. d. have the patient practice the procedure with the nurse helping. ANS: D Kinesthetic, or hands-on, learning reinforces the visual demonstration. Immediate handling of the materials reduces anxiety. Giving the patient reading materials or asking the patient to explain verbally will not be as effective as the kinesthetic application. DIF: Cognitive Level: Application REF: d. 116 OBJ: Theory #3 TOP: Modes of Learning KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: basic care and comfort 3. In teaching an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to: a. include another person in the instruction because an 82-year-old person will be unable to master the tech b. slow the pace and frequently ask questions to assess comprehension. c. speed through the details because age and experience will shorten learning time. d. provide written material and diagrams alone. ANS: B The older patient needs to have the pace slowed and have time to ask questions to confirm comprehension. The inclusion of written materials to reinforce teaching is also good, but should not be the only method of instruction. DIF: Cognitive Level: Application REF: d. 118 OBJ: Theory #5 TOP: Factors Affecting Learning KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: basic care and comfort 4. An 80-year-old patient is to be taught the process of colostomy irrigation and reattachment of the colostomy bag. The nurses initial assessment prior to instruction should address the patients: a. understanding of the process of irrigation. b. familiarity with the irrigation materials. c. manual dexterity. d. motivation to learn. ANS: D The patients motivation to learn a new skill is essential to the success of the instruction. Some patients need to see the advantage of independence to motivate them to learn. Manual dexterity and basic understanding of materials and process are important, but initially the motivation needs to be assessed. DIF: Cognitive Level: Analysis REF: d. 119 OBJ: Clinical Practice #1 TOP: Motivation KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: basic care and comfort 5. The nurse can assess her patients ability to read and comprehend written instructions by doing which of the following?