CHAPTER 19: TEACHING AND LEARNING (NCLEX REVIEW QUESTIONS WITH CORRECT SOLUTIONS)

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: 2 What is the primary reason why nurses attend continuing education programs? 1. Update professional knowledge 2. Network within the nursing profession 3. Fulfill requirements for an advanced degree 4. Graduate from an accredited nursing program - ANS: 1 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: 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: 4 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: 4 A nursing instructor is evaluating a student nurse's knowledge. Which student behavior indicates that learning has occurred in the highest level of learning in the cognitive domain? 1. Identifies the expected properties of urine 2. Explains the importance of producing urine 3. Recognizes when something is contaminated 4. Interprets laboratory results of diagnostic urine testing - ANS: 4 A patient asks the nurse, "What does 96 indicate when my blood pressure is 140 over 96?" What is the best response by the nurse? 1. "The 96 is the pressure within an artery when the heart is resting between beats." 2. "The 96 reflects the lowest pressure within a vein when blood moves through it." 3. "Everyone is different so it's really relative to each individual what it means." 4. "Let's talk about the concerns you may have about your blood pressure." - 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: 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: 1 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: 3 Every person who attended a smoking cessation educational program completed a questionnaire. What is this type of evaluation called? 1. Survey 2. Post-test 3. Case study 4. Focus group - ANS: 1 A patient is readmitted to the hospital because of complications resulting from nonadherence to the prescribed health-care regimen. What should the nurse do first? 1. Encourage healthy behaviors 2. Develop a trusting relationship 3. Use educational aids to reinforce teaching 4. Establish why the client is not following the regimen - ANS: 2 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: 3 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: 2 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: 3 To be most effective, at what grade reading level should the nurse prepare educational medical material? 1. Fourth-grade 2. Eighth-grade 3. Tenth-grade 4. Sixth-grade - ANS: 4