Chapter 19: Teaching and Learning (NCLEX REVIEW QUESTIONS AND ANSWERS GRADED A)

Chapter 19: Teaching and Learning (NCLEX REVIEW QUESTIONS AND ANSWERS GRADED A) A culturally competent nurse is planning to teach a patient about a new regimen of self-care. What must the nurse assess first about the patient before implementing the teaching plan? 1. Religious affiliation 2. Support system 3. National origin 4. Health beliefs - ANS- ANS: 4 A nurse educator designed various educational programs that employ role-playing as a teaching strategy. Which group of people should the nurse anticipate will benefit the most from role-playing? 1. Older adults preparing to retire from the workforce 2. Men unwilling to admit that they have a drinking problem 3. Adolescents learning to abstain from recreational drug use 4. Middle-aged adults preparing for total-knee replacement surgery - ANS- ANS: 3 A nurse is assessing a patient to determine educational needs. Which is most important for the nurse to consider? 1. Make no assumptions about the patient 2. Teaching may be informal or formal in nature 3. The teaching plan should be documented on appropriate records 4. A copy of the teaching/learning contract should be given to the patient - ANS- ANS: 1 A nurse is assessing a patient's readiness to learn about smoking cessation. Which patient factor does the nurse consider is most important when determining if a teaching program is needed by the patient? 1. Previous experience 2. Perceived need 3. Expectations 4. Flexibility - ANS- ANS: 2 A nurse is assessing the results of dietary teaching for a patient with diabetes mellitus. What patient behavior indicates that learning occurred in the affective domain? 1. Discusses which food on the ordered diet must be avoided 2. Eats the food on the special diet ordered by the physician 3. Compiles a list of foods that are permitted on the diet 4. Asks about which foods can be eaten - ANS- ANS: 2 A nurse is attending a class about a new intravenous pump presented by the hospital staff education department. What is this type of educational program? 1. Continuing education program 2. Inservice education program 3. Certification program 4. Orientation program - ANS- ANS: 2 A nurse is designing a teaching-learning program for a patient who is to be discharged from the hospital. What should the nurse do first? 1. Identify the patient's locus of control 2. Use a variety of teaching methods appropriate for the patient 3. Formulate an achievable, measurable, and realistic patient goal 4. Assess the patient's current understanding of the content to be taught - ANS- ANS: 4 A nurse is evaluating a patient's learning regarding nutrition. Which behavior reflects the highest level of learning in the cognitive domain? 1. Modifies favorite recipes by eliminating foods that have to be avoided 2. Evaluates the benefits associated with avoidance of certain foods 3. States why a mother's diet may affect breast-feeding 4. Identifies a list of foods to be avoided - ANS- ANS: 2 A nurse is planning a teaching plan for an older adult. Which common factor among older adult patients must be considered by the nurse? 1. Learning may require more energy 2. Intelligence decreases as people age 3. Older adults rely more on visual rather than auditory learning 4. Older adult patients are more resistant to change that accompanies new learning - ANS- ANS: 1 A nurse is planning a weight reduction program with an obese patient. What should the nurse anticipate will be the most important component that will determine the success or failure of this plan? 1. Rewarding compliant behavior with favorite foods 2. Encouraging at least 1 hour of exercise daily 3. Using an 800-calorie daily dietary regimen 4. Setting realistic goals - ANS- ANS: 4 A nurse is planning teaching about weight reduction strategies to an obese patient. Before implementing the teaching plan the nurse first should assess the patient's: 1. Intelligence 2. Experience 3. Motivation 4. Strengths - ANS- ANS: 3 A nurse is planning to engage a patient in a program to learn about a newly diagnosed illness. Which psychosocial response to the illness will have the greatest impact on the patient's future success with learning? 1. Fear 2. Denial 3. Fatigue 4. Anxiety - ANS- ANS: 2 A nurse is preparing a patient with a colostomy for discharge. What patient outcome indicates that learning has occurred in the psychomotor domain? 1. Accepts the need to have a colostomy 2. Understands why certain foods should be avoided 3. Verbalizes the rationale for daily colostomy irrigations 4. Changes a colostomy bag without contaminating the hands - ANS- ANS: 4 A nurse is providing health teaching for a patient with a comprehension deficit. Which is the best intervention by the nurse that will support this patient's learning? 1. Establishing a structured environment 2. Asking that unclear words be repeated 3. Speaking directly in front of the patient 4. Making a referral for a hearing evaluation - ANS- ANS: 1 A nurse is teaching a patient colostomy care in relation to the affective domain. Which teaching method is most effective for this situation? 1. Discussing a pamphlet about colostomy care from the American Cancer Society 2. Exploring how the patient feels about having a colostomy 3. Providing a demonstration on how to do colostomy care 4. Showing a videotape demonstrating colostomy care - ANS- ANS: 2 A nurse is teaching a patient recently diagnosed with diabetes mellitus the step-by step procedure of administering an insulin injection. However, after two sessions the patient is still reluctant to self-administer the insulin. What should the nurse do? 1. Have the patient administer the injection to an orange 2. Keep reinforcing the principles that have been presented 3. Give the patient an opportunity to explore concerns about the injection 4. Determine if a member of the family is willing to administer the insulin - ANS- ANS: 3 A nurse is teaching a patient with a hearing impairment. What should the nurse do? 1. Limit educational sessions to 10 minutes 2. Provide information in written format 3. Use at least 2 teaching methods 4. Teach in group settings - ANS- ANS: 3 A nurse is teaching a postoperative patient deep breathing and coughing exercises. Which method of instruction is most appropriate in this situation? 1. Explanation 2. Demonstration 3. Video presentation 4. Brochure with pictures - ANS- ANS: 2 A nurse is teaching a preschool-age child. What teaching method is most appropriate for the nurse to use when teaching a child in this age group? 1. Demonstrations 2. Coloring books 3. Small groups 4. Videos - ANS- ANS: 2 A nurse is teaching an older adult how to perform a dressing change. Which nursing action is most important to address a developmental stress of aging? 1. Speak louder when talking to the patient 2. Use terminology understandable to the patient 3. Have the patient provide a return demonstration 4. Allow more time for the patient to process information - ANS- ANS: 4 A nurse is to provide nutritional counseling for an older adult. What should the nurse do first? 1. Plan educational sessions in the late afternoon 2. Speak louder when talking 3. Provide large-print books 4. Assess for readiness - ANS- ANS: 4