Client Education UPDATED ACTUAL
Questions and CORRECT Answers
The nurse must implement a teaching plan for a patient recently diagnosed with heart failure.
What 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. Assess the patient's personal support system
D. Determine how the patient prefers to learn - CORRECT ANSWER✔✔- A. CORRECT:
The learner must recognize that the need exists and that the material to be learned is valuable.
Motivation is the most important factor influencing learning.
B. INCORRECT: Although this is important, it is not the first thing the nurse should do
before implementing a teaching plan.
C. INCORRECT: Although supportive individuals (family members, friends, neighbors, etc.)
can assist in helping the patient maintain a positive mental attitude and reinforce learning,
another option has a higher priority.
D. INCORRECT:Although the teacher should identify a patient's learning style, a variety of
teaching methods, not just the patient's preference, should be used. This ensures that as many
senses as possible are stimulated when learning, thereby increasing the probability of a
successful outcome to the learning
A teaching-learning concept basic to all teaching plans is to present content from the:
A. Cognitive to the affective domain
B. Formal to the informal
C. Simple to the complex
D. Broad to the specific - CORRECT ANSWER✔✔- A. INCORRECT: Teaching and
learning involve one or all domains of learning and do not move from one to the other in
progressive order. Cognitive learning involves the intellect and requires thinking. Cognitive
learning increases in complexity from knowledge to
comprehension, application, analysis, synthesis, and evaluation of information. Affective
learning involves the expression of feelings and the changing of beliefs, attitudes, or values.
Affective learning increases in complexity from receiving to responding, valuing, organizing,
and characterizing. In addition, there is the psychomotor domain, which is related to
mastering a skill and requires motor activity. Learning in this domain increases in complexity
from readiness to take action to a guided response, mechanism, complex-overt response,
adaptation, and origination.
B. INCORRECT: Teaching methods that are formal or informal
,are equally effective. The key is to select the approach that is most likely to be effective for
the individual learner. This depends on a
variety of factors, such as intelligence, content to be taught, learning style preferences,
available resources, reading level, etc.
C. CORRECT: Complex material is best learned when easily understood aspects of the topic
are presented first as a foundation for the more complex aspects. When moving from the
simple to the complex, a person works at integrating and incorporating the less complex, new
learning into one's body of knowledge and understanding before moving on to more complex
information.
D. INCORRECT: There is no documented principle that supports the need to present content
in the direction of broad to specific rather than specific to broad. Each individual patient and
the information to be taught will influence the direction in which content is taught.
The nurse is planning a teaching plan for an older adult. Which common factor among older
adult patients must be considered by the nurse?
A. Learning may require more energy
B. Intelligence decreases as people age
C. Older adults rely more on visual rather than auditory learning
D. Older adult patients are more resistant to change that accompanies new learning -
CORRECT ANSWER✔✔- A. CORRECT: Various physiological changes of aging impact
on the rate of learning (declines in sensory perception and speed of mental processing, and
more time needed for recall) requiring the use of multisensory teaching strategies and a
slower approach.
In addition, older adults may have less physical and emotional stamina because of more
chronic illnesses, so they may require shorter and more frequent learning sessions.
B. INCORRECT: Although some older adults may experience
a decline in short-term memory, they are not less intelligent. When older adults experience a
decline in sensory function (vision,
hearing), they may feel ashamed or frustrated, causing withdrawal. Behaviors reflective of
withdrawal may be misperceived as a decline in intelligence.
C. INCORRECT: This is not necessarily true. Individuals usually have learning preferences
that persist throughout life.
D. INCORRECT: Older adults generally are not resistant to change. Some older adults may
be less motivated to learn if they believe that death is near. However, in this situation when
older
adults are shown how learning will improve quality of life and independence, they are
motivated to learn.
, The nurse is teaching a postoperative patient deep breathing and coughing exercises. Which
method of instruction is most appropriate in this situation?
A. Explanation
B. Demonstration
C. Video presentation
D. Brochure with pictures - CORRECT ANSWER✔✔- A. INCORRECT: This is not the best
approach to teach a psychomotor skill. An explanation uses words to describe a behavior that
the learner then has to attempt to perform.
B. CORRECT: A demonstration is the best strategy for teaching a psychomotor skill. A
demonstration is an actual performance
of the skill by the teacher who is acting as a role model. A demonstration usually is followed
by a return demonstration.
The learner can imitate the teacher during a return demonstration, ask questions, and receive
feedback from the instructor.
C. INCORRECT: Although a video provides a realistic performance of the skill, it does not
allow for questions or feedback.
D. INCORRECT: A brochure with pictures is too static and unidimensional for teaching a
psychomotor skill
The nurse is teaching a patient colostomy care in relation to the affective domain.Which
teaching method is most affective for this situation?
A. Discussing a pamphlet about colostomy care from the American Cancer Society
B. Exploring how the patient feels about having a colostomy
C. Providing a demonstration on how to do colostomy care
D. Showing a videotape demonstrating colostomy care - CORRECT ANSWER✔✔- A.
INCORRECT: This option reflects learning in the cognitive domain. Cognitive learning
involves the intellect and requires thinking.
B. CORRECT: This option reflects learning in the affective domain. Affective learning is
concerned with feelings, emotions, values,
beliefs, and attitudes about the colostomy.
C. INCORRECT: Providing a demonstration on colostomy care
is an example of teaching strategy in thepsychomotor domain. The psychomotor domain is
related to mastering a skill and requires the use of physical and motor activity.
D. INCORRECT: Showing a videotape demonstrating colostomy
Questions and CORRECT Answers
The nurse must implement a teaching plan for a patient recently diagnosed with heart failure.
What 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. Assess the patient's personal support system
D. Determine how the patient prefers to learn - CORRECT ANSWER✔✔- A. CORRECT:
The learner must recognize that the need exists and that the material to be learned is valuable.
Motivation is the most important factor influencing learning.
B. INCORRECT: Although this is important, it is not the first thing the nurse should do
before implementing a teaching plan.
C. INCORRECT: Although supportive individuals (family members, friends, neighbors, etc.)
can assist in helping the patient maintain a positive mental attitude and reinforce learning,
another option has a higher priority.
D. INCORRECT:Although the teacher should identify a patient's learning style, a variety of
teaching methods, not just the patient's preference, should be used. This ensures that as many
senses as possible are stimulated when learning, thereby increasing the probability of a
successful outcome to the learning
A teaching-learning concept basic to all teaching plans is to present content from the:
A. Cognitive to the affective domain
B. Formal to the informal
C. Simple to the complex
D. Broad to the specific - CORRECT ANSWER✔✔- A. INCORRECT: Teaching and
learning involve one or all domains of learning and do not move from one to the other in
progressive order. Cognitive learning involves the intellect and requires thinking. Cognitive
learning increases in complexity from knowledge to
comprehension, application, analysis, synthesis, and evaluation of information. Affective
learning involves the expression of feelings and the changing of beliefs, attitudes, or values.
Affective learning increases in complexity from receiving to responding, valuing, organizing,
and characterizing. In addition, there is the psychomotor domain, which is related to
mastering a skill and requires motor activity. Learning in this domain increases in complexity
from readiness to take action to a guided response, mechanism, complex-overt response,
adaptation, and origination.
B. INCORRECT: Teaching methods that are formal or informal
,are equally effective. The key is to select the approach that is most likely to be effective for
the individual learner. This depends on a
variety of factors, such as intelligence, content to be taught, learning style preferences,
available resources, reading level, etc.
C. CORRECT: Complex material is best learned when easily understood aspects of the topic
are presented first as a foundation for the more complex aspects. When moving from the
simple to the complex, a person works at integrating and incorporating the less complex, new
learning into one's body of knowledge and understanding before moving on to more complex
information.
D. INCORRECT: There is no documented principle that supports the need to present content
in the direction of broad to specific rather than specific to broad. Each individual patient and
the information to be taught will influence the direction in which content is taught.
The nurse is planning a teaching plan for an older adult. Which common factor among older
adult patients must be considered by the nurse?
A. Learning may require more energy
B. Intelligence decreases as people age
C. Older adults rely more on visual rather than auditory learning
D. Older adult patients are more resistant to change that accompanies new learning -
CORRECT ANSWER✔✔- A. CORRECT: Various physiological changes of aging impact
on the rate of learning (declines in sensory perception and speed of mental processing, and
more time needed for recall) requiring the use of multisensory teaching strategies and a
slower approach.
In addition, older adults may have less physical and emotional stamina because of more
chronic illnesses, so they may require shorter and more frequent learning sessions.
B. INCORRECT: Although some older adults may experience
a decline in short-term memory, they are not less intelligent. When older adults experience a
decline in sensory function (vision,
hearing), they may feel ashamed or frustrated, causing withdrawal. Behaviors reflective of
withdrawal may be misperceived as a decline in intelligence.
C. INCORRECT: This is not necessarily true. Individuals usually have learning preferences
that persist throughout life.
D. INCORRECT: Older adults generally are not resistant to change. Some older adults may
be less motivated to learn if they believe that death is near. However, in this situation when
older
adults are shown how learning will improve quality of life and independence, they are
motivated to learn.
, The nurse is teaching a postoperative patient deep breathing and coughing exercises. Which
method of instruction is most appropriate in this situation?
A. Explanation
B. Demonstration
C. Video presentation
D. Brochure with pictures - CORRECT ANSWER✔✔- A. INCORRECT: This is not the best
approach to teach a psychomotor skill. An explanation uses words to describe a behavior that
the learner then has to attempt to perform.
B. CORRECT: A demonstration is the best strategy for teaching a psychomotor skill. A
demonstration is an actual performance
of the skill by the teacher who is acting as a role model. A demonstration usually is followed
by a return demonstration.
The learner can imitate the teacher during a return demonstration, ask questions, and receive
feedback from the instructor.
C. INCORRECT: Although a video provides a realistic performance of the skill, it does not
allow for questions or feedback.
D. INCORRECT: A brochure with pictures is too static and unidimensional for teaching a
psychomotor skill
The nurse is teaching a patient colostomy care in relation to the affective domain.Which
teaching method is most affective for this situation?
A. Discussing a pamphlet about colostomy care from the American Cancer Society
B. Exploring how the patient feels about having a colostomy
C. Providing a demonstration on how to do colostomy care
D. Showing a videotape demonstrating colostomy care - CORRECT ANSWER✔✔- A.
INCORRECT: This option reflects learning in the cognitive domain. Cognitive learning
involves the intellect and requires thinking.
B. CORRECT: This option reflects learning in the affective domain. Affective learning is
concerned with feelings, emotions, values,
beliefs, and attitudes about the colostomy.
C. INCORRECT: Providing a demonstration on colostomy care
is an example of teaching strategy in thepsychomotor domain. The psychomotor domain is
related to mastering a skill and requires the use of physical and motor activity.
D. INCORRECT: Showing a videotape demonstrating colostomy
