Funds Exam 4 NUR 155 exam questions with complete verified solutions

_____ is the application of the internet and other related technologies in the health care industry to improve the access, efficiency, effectiveness, and quality of clinical and business processes utilized by health care organizations, practitioners, clients, and consumers in an effort to improve the health status of clients. E-health A high level of ____ resulting in agitation and the inability to focus or concentrate can also inhibit learning. anxiety Repetition of key _____ and facts facilitates retention of newly learned material. concepts A client's learning style may be based in that client's _____ background. cultural The person who is not ready to learn is more likely to _____ the subject or situation. avoid _______ depicts learning as a complex cognitive activity. Cognitivism The ____ domain, the "skill" domain, includes motor skills such as giving an injection. Psychomotor A nurse would adhere to all of the following guidelines for teaching clients from various ethnic backgrounds EXCEPT: a. obtains teaching materials, pamphlets, and instructions in languages used by clients. b. Uses visual aids, such as pictures, charts, or diagrams, to communicate meaning. c. Invites and encourages questions during teaching. d. Uses medical terminology or health care language, such as "taking your vital signs" or "apical pulse". d. When a nurse is using demonstration as a teaching strategy, which major type of learning would it be? a. psychomotor b. cognitive c. Affective d. All types of learning a Which of the following is the process by which a person learns by observing the behavior of others? 1. Modeling 2. Imitation 3. Trial and error 4. Positive reinforcement 1 Teaching a client how to self administer insulin is in the ____ domain. 1. Sensorimotor 2. Psychomotor 3. Cognitive 4. Affective 2. In which of the following situations would the nurse be applying the humanistic theory? 1. Encouraging the learner to establish goals and promote self-directed learning. 2. Encouraging a positive teacher-learner relationship. 3. Providing a social, emotional, and physical environment conducive to learning. 4. Selecting multisensory teaching strategies since perception is influenced by the senses. 1. In teaching a client about heart disease, the client may need to know the effects of smoking before recognizing the need to stop smoking. In this situation, what factor can facilitate client learning? 1. Readiness 2. Active involvement 3. Motivation 4. Allotted time 3 Many factors inhibit learning. Which of the following is a barrier to learning? 1. The client receives adequate support from family members. 2. The client exhibits emotional readiness to learn. 3. The client is experiencing an acute illness. 4. The client is physically ready to learn. 3 Which of the clients behaviors may cause a nurse to suspect a literacy problem? 1. The client displays a pattern of compliance. 2. The client reads the instructions slowly. 3. The client recognizes that he or she does not know the information. 4. The client states a pattern of excuses for not reading the instructions. 4 Which of the following is a learning outcome for a teaching plan? 1. The client knows the factors that affect blood sugar level. 2. The client selects low-fat foods from a menu. 3. Teach the client about cardiac risk factor. 4. The client understands a low-salt diet. 2 E-health includes all of the following EXCept: 1. a client making an online appointment 2. e-mail access between the client and health care provider. 3. online health information 4. a billing statement sent to the client's home address. 4 Which of the following is NOT an element in the nursing history that provides clues to learning needs? 1. Age 2. Economic factors 3. Client's support systems 4. Sexual preference 4 Which of the following means having too much muscle tone? a. meningitis b. paresis c. flaccid d. spastic d Which of the following is NOT one of the three factors that collectively predispose a client to the formation of a thrombophlebitis (a clot that is loosely attached to an inflamed vein wall)? a. increased oil in the diet b. Impaired venous return to the heart c. Hypercoagulability of the blood d. Injury to a vessel wall. a A nurse is planning a seminar on preventing back injuries. Which of the following statements is correct? 1. When sitting for a long period of time, periodically move legs and hips, and flex on hip and knee, and rest your foot on an object if possible. 2. When sitting, keep your knees slightly lower than your hips. 3. Use hard mattress and firm pillow that provide good body support at natural body curvatures. 4. Exercise regularly to maintain overall physical condition and regulate weight; include exercises that strengthen the pelvic, abdominal, and spinal muscles. 4 During discharge planning, the nurse is teaching the client how to control postural hypotension. Which of the following statements if correct? 1. Bend down all the way to the floor and stand up quickly after stooping. 2. Wear elastic stockings day and night to inhibit venous pooling in the legs. 3. Use a rocking chair to improve circulation in the lower extremities. 4. Get out of a hot bath very quickly, because high temperatures can lead to venous pooling. 3 Crisis _____ is a short-term helping process of assisting clients to work through a crisis to its resolution and restore their precrisis level of functioning. intervention` ______ focuses on solving immediate problems and involves individuals, groups, families. a. Crisis intervention b. caregiver burden c. Crisis counseling d. burnout c _______ diverts urine from the kidney into a stoma. Nephrostomy A _______ may be formed when the bladder is left intact but voiding through the urethra is not possible. (e.g. due to an obstruction or a neurogenic bladder) vesicostomy ______ refers to a lack of urine production anuria ________ ________ a test that uses 24 hour urine and serum creatinine levels to determine the glomerular filtration rate, a sensitive indicator of renal function. Creatinine clearance _____ low urine output oliguria Normal bladder capacity is between ______ mL of urine. a. 300 and 600 b. 600 and 900 c. 900 and 1,200 d. 1,200 and 1,500 a. An infant may urinate as often as ____ times a day. a. 5 b. 10 c. 15 d. 20 d. About ____ % of all 6-year olds experience difficulty controlling the bladder. a. 10 b. 20 c. 30 d. 40 a Although people's patterns of urination are highly individual, most people void about ____ times a day. a. 3 to 4 b. 5 to 6 c. 7 to 8 d. 9 to 10 b All of the following refers to the process of emptying the bladder EXCEPT: a. micturition b. voiding c. urination d. elimination d. Urinary frequency is: 1. voiding two or more times a night. 2. voiding at frequent intervals, that is, more than four to six times per day. 3. the sudden strong desire to void. 4. voiding that is either painful or difficult. 2. During discharge planning, the nurse is teaching the client ways to prevent a recurrence of a UTI. Which of the following actions is correct? 1. Drink six 6-ounce glasses of water per day to flush bacteria out of the urinary system. 2. Wear nylon rather than cotton underclothes. 3. Girls and women should always wipe the perineal area from back to front following urination or defecation in order to prevent introduction of gastrointestinal bacteria into the urethra. 4. Avoid tight fitting pants or other clothing that creates irritation to the urethra and prevents ventilation of the perineal area. 4. A nurse is evaluating a clients understanding of intermittent self-catherization. Which of the following statements indicates a need for further teaching? Intermittent self-catherization: 1. reduces incidence of urinary tract infection. 2. enables the client to retain independence and gain control of the bladder. 3. allows normal sexual relations without incontinence. 4. protects the lower urinary tract from reflux. 4