ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 4 Questions
Question 1 of 5
After the nurse implements diet instruction for a client with heart disease, the client can explain the information but fails to make the recommended dietary changes. Which of the following statements reflects the correct evaluation of the intervention?
Correct Answer: B
Rationale: Although the client's behaviour has not changed, the client's ability to explain the information indicates that learning has occurred and the client is choosing at this time to continue with the previous diet. The client may be in the contemplation or preparation state in the Transtheoretical Model. The nurse should reinforce the need for change and continue to provide information and assistance with planning for change.
Question 2 of 5
When assessing a client's readiness to learn before planning teaching activities, which question should the nurse ask?
Correct Answer: B
Rationale: Motivation and readiness to learn depend on what the client values and perceives as important. The other questions are also important in developing the teaching plan, but do not address what information most interests the client at present.
Question 3 of 5
The nurse is caring for a client with diabetes and develops a nursing diagnosis of ineffective health management related to insufficient knowledge of therapeutic regimen (resulting in low motivation). Which of the following client actions is the basis for this nursing diagnosis?
Correct Answer: C
Rationale: The client's motivation to follow a diabetic diet will be decreased if the client feels that dietary changes do not impact symptoms. The other responses do not indicate that the ineffective health maintenance is caused by lack of motivation.
Question 4 of 5
The nurse is planning a teaching session for a client who needs to improve skills in being more assertive. Which of the following is the most effective teaching strategy for this client?
Correct Answer: A
Rationale: Role playing allows the client to practise assertive behaviour and receive feedback about how the behaviour is perceived. This strategy is most often used when clients need to examine their attitudes and behaviours; understand the viewpoints and attitudes of others, or practise carrying out thoughts, ideas, or decisions. Lecture-discussion, peer teaching, and printed materials are more useful for other learning needs.
Question 5 of 5
A client admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?
Correct Answer: C
Rationale: When time is limited, the nurse should focus on the priorities of teaching. In this situation, the client should know how to test blood glucose and administer medications to control glucose levels. The client will need further teaching about the role of diet, exercise, various medications, and the many potential complications of diabetes, but these topics can be addressed through planning for appropriate referrals.