Concepts & Skills for Nursing Practice
II EXAM STUDY GUIDE 2026/2027
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Galen College of Nursing
1. Health Literacy - ANSWER ✔ How patients show health literacy includes
going to doctor appointments and researching their condition/situation.
2. Cognitive Learning Domain - ANSWER ✔ Involves thinking, analyzing,
and memory; includes recalling related information and knowing
alternatives.
3. Affective Learning Domain - ANSWER ✔ Involves emotions; includes
how patients feel about their condition/treatment, their attitude, motivation,
beliefs, and values.
4. Psychomotor Learning Domain - ANSWER ✔ Involves physical
skill/action; for example, demonstrating how to administer insulin.
5. Teaching Older Adults - ANSWER ✔ Teach in small segments with
adequate timing, starting from easy to hardest topics.
6. Teaching Evaluation in Older Adults - ANSWER ✔ Patients ask questions
and seek outside information.
,7. Formal Education - ANSWER ✔ Involves an educator present and
structured groups, such as a CPR class.
8. Informal Education - ANSWER ✔ Involves impromptu questions and
learner-directed interactions.
9. Isotonic Exercise - ANSWER ✔ Involves constant movement, examples
include running, walking, and swimming.
10.Isometric Exercise - ANSWER ✔ Involves muscle contraction without
movement, such as squeezing a towel between knees.
11.Isokinetic Exercise - ANSWER ✔ Involves muscle contraction with
resistance, such as using a leg machine at the gym.
12.Range of Motion (ROM) - ANSWER ✔ Includes movements like turning
the neck side to side and supination (palms facing up).
13.Passive ROM - ANSWER ✔ If pain is reported, stop the movement and
maintain flexion.
14.Assistive Devices - ANSWER ✔ UAPs can help ambulate with devices but
cannot teach; they must report pain or difficulty.
15.Older Adult Exercise Benefits - ANSWER ✔ Improves bone density and
prevents osteoporosis through weight-bearing exercises like walking.
16.Crutch Gaits - ANSWER ✔ Includes 2-point, 3-point, and 4-point gaits for
proper ambulation.
17.Canes - ANSWER ✔ Hold the cane on the strong side and move it with the
weak side/leg.
18.Physiological Effects of Immobility - ANSWER ✔ Concerns primarily
focus on respiratory issues.
19.What learning activity reflects Bloom's affective domain?
, a. Administering an injection
b. Accepting the loss of a limb
c. Inserting a catheter
d. Learning how to read - ANSWER ✔ b. Accepting the loss of a limb
20.How can the nurse best assess a client's style of learning?
a. Ask the client how he or she best learns
b. Use a variety of teaching strategies
c. Observe the client's interactions with others
d. Ask family members - ANSWER ✔ a. Ask the client how he or she
best learns
21.Which is the best method of helping a client newly diagnosed with diabetes
to learn the dietary requirements associated with the disease?
a. Play a videotape that addresses the dietary requirements associated
with the disease.
b. Ask a nutritionist to visit the client to present information and
handouts about the diabetic diet.
c. Ask the client to make a list of her favorite foods and how to work
them into her diet.
d. Have the client attend a group meeting for clients with diabetes to
discuss their adaptation to this chronic condition. - ANSWER ✔ c.
Ask the client to make a list of her favorite foods and how to work
them into her diet.
22.. A nurse is scheduling a teaching situation. Which client is most ready to
learn?
a. A 45-year-old mand whose health care provider has just informed him
that he has cancer.
b. A 3-year-old whose parents are reading a storybook about going to the
hospital.
c. A 60-year-old female who received a medication 5 minutes ago for
relief of abdominal pain.
d. A 70-year-old man, recovering from a stroke who has returned from
physical therapy. - ANSWER ✔ b. A 3-year-old whose parents are
reading a storybook about going to the hospital.
, 23. A primary care provider admitted a client experiencing hypertensive crisis
because of the failure to take his prescribed medications. To determine
learning needs, which client assessment by the nurse would have the highest
priority?
a. Age.
b. Perception of the effects of hypertension
c. Ability to purchase the needed medications
d. Support system - ANSWER ✔ c. Ability to purchase the needed
medications
24.A nurse is designing a teaching-learning program for a patient who is to be
discharged from the hospital. After developing a nurse-patient relationship,
which should the nurse do next?
a. Identify the patient's locus of control
b. Use a variety of teaching methods appropriate for the patient
c. Formulate achievable, measurable, and realistic patient goals
d. Assess the patient's current understanding of the content to be taught. -
ANSWER ✔ d. Assess the patient's current understanding of the
content to be taught.
25. To be most effective, at which grade reading level should the nurse prepare
written educational medical material?
a. Eighth grade
b. Ninth grade
c. Fifth grade
d. Sixth grade - ANSWER ✔ d. Sixth grade
26. A nurse must implement a teaching plan for a patient recently diagnosed
with heart failure. Which should the nurse do first?
a. Identify the patient's level of recognition of the need for learning.
b. Frame the goal within the patient's value system.
c. Determine the patient's preferred learning style.
d. Assess the patient's personal support system. - ANSWER ✔ a.
Identify the patient's level of recognition of the need for learning.