QUESTIONS AND ANSWERS + RATIONALES | STUDY GUIDE |
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1. The nurse is providing education about improving self-awareness to a small group of
women who have been victims of domestic violence. The nurse should recommend that
clients improve self-awareness by which of the following?
A) Focus only on physical health to avoid emotional triggers
B) Rely on others to identify their emotional states
C) Listen to oneself and pay attention to emotions, thoughts, and reactions
D) Avoid discussing past trauma to prevent re-victimization
Correct Answer: Listen to oneself and pay attention to emotions, thoughts, and reactions
Rationale: Improving self-awareness involves listening to oneself and paying attention to
emotions, thoughts, and reactions. This is a key step in personal growth and healing. Focusing
only on physical health, relying on others for emotional regulation, or avoiding past trauma does
not promote self-awareness or healthy coping.
2. A beginning nursing student or any nurse entering a situation with no previous level of
experience is classified as which stage of skill acquisition according to Benner?
A) Advanced Beginner
B) Competent
C) Proficient
D) Novice
Correct Answer: Novice
Rationale: The novice stage describes a beginning nursing student or any nurse entering a
situation with no previous experience. The learner learns via specific rules or procedures that are
stepwise and linear, without deep understanding. The advanced beginner has observational
experience, competent nurses have 2-3 years of experience, and proficient nurses see the whole
situation.
3. Which statement best describes the relationship between the nursing process and the
teaching process?
A) The nursing process and teaching process are identical and interchangeable
B) The teaching process focuses only on psychomotor skills
C) The nursing process requires assessment of all data for total health care needs, while
the teaching process focuses on learning needs and willingness to learn
D) The teaching process does not require evaluation
Correct Answer: The nursing process requires assessment of all data for total health care needs,
while the teaching process focuses on learning needs and willingness to learn
, Rationale: The nursing and teaching processes differ in that the nursing process requires
assessment of all sources of data to determine a patient's total health care needs, while the
teaching process focuses on a patient's learning needs and willingness and capability to learn.
Both follow a systematic approach but with different primary focuses.
4. The nurse is planning to teach a patient about a new medication. According to the
teaching process, which step involves gathering data about the patient's learning needs,
motivation, and health literacy?
A) Planning
B) Implementation
C) Diagnosis
D) Assessment
Correct Answer: Assessment
Rationale: The assessment phase of the teaching process involves gathering data about the
patient's learning needs, motivation, ability to learn, health literacy, and teaching resources. This
is the foundational step before identifying learning needs or implementing teaching strategies.
5. A nurse is caring for a patient who is newly diagnosed with diabetes and is not ready to
learn about insulin administration. According to the nursing process, which step is the
nurse performing when identifying this learning need?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Diagnosis
Rationale: Identifying a patient's readiness to learn is part of the diagnosis phase, where the nurse
analyzes assessment data to identify actual or potential problems. The diagnosis of "Readiness
for Enhanced Knowledge" or "Deficient Knowledge" would be appropriate for a patient not
ready to learn.
6. The nurse is teaching a patient how to perform a wound dressing change. Which domain
of learning is primarily being addressed?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Behavioral domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves gaining skills that require mental and physical
activity, including demonstration, practice, and return demonstration. Performing a wound
dressing change requires manual dexterity and physical coordination, which falls under this
domain.