Chapter 21 Client Education

Chapter 21  Client Education

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The client who demonstrates how to change his dressing is exhibiting learning in which of the following domains?
a.
Cognitive
c.
Psychomotor
b.
Affective
d.
Conditioning

ANS: C
An example of learning in the psychomotor domain is one that uses motor skills to perform a learned activity. This would be the client who demonstrates how to change his dressing. Learning in the cognitive domain is the acquisition of facts and data to solve problems and make decisions. Learning in the affective domain involves changing attitudes and beliefs. Conditioning is not a learning domain.

PTS: 1 DIF: Analysis REF: Table 21-5 Domains of Learning

2. Which of the following is an example of learning in the affective domain?
a.
Client plans a 1000-mg sodium diet for 3 days.
b.
Client accepts that she has a terminal illness.
c.
Client walks with crutches using the correct gait.
d.
Client gives herself an injection.

ANS: B
Learning in the affective domain involves changing attitudes, emotions, and beliefs. An example of this type of learning is the client who accepts that she has a terminal illness. The client who plans a diet for 3 days is demonstrating learning in the cognitive domain. The client who crutch walks and the client who gives herself an injection are both demonstrating learning in the psychomotor domain.

PTS: 1 DIF: Analysis REF: Table 21-5 Domains of Learning

3. A client who understands how his body functions in relation to his illness because the nurse provided him with pictures would be considered as being which type of learner?
a.
Visual
c.
Auditory
b.
Kinesthetic
d.
Multifocal

ANS: A
Visual learners learn by seeing information. Kinesthetic learners learn by doing. Auditory learners learn by hearing. Multifocal is not a type of learner.

PTS: 1 DIF: Analysis REF: Learning Styles

4. The client is a kinesthetic learner. Which teaching method would be best to teach this client about her newly prescribed diet?
a.
Have her tell you what foods she should eat.
b.
Show the client pictures of the foods that are allowed and not allowed on her diet.
c.
Have the client plan meals using food models.
d.
Give the client a written description of the diet.

ANS: C
The kinesthetic learner learns by doing. The client who would plan meals using food models would be the best method to teach this client. Having the client tell the nurse the foods she should eat would support an auditory learner. Showing the client pictures of foods would support a visual learner. Giving the client a written description of the diet supports a visual learner.

PTS: 1 DIF: Application REF: Learning Styles

5. Which of the following examples demonstrates the assumption that immediacy reinforces learning?
a.
The nurse teaches postoperative care immediately after surgery.
b.
The client performs the learned skill several times right after learning it.
c.
The nurse encourages the client to talk about what he has learned.
d.
When the client makes an error, the nurse corrects him.

ANS: B
According to Knowles, there are four assumptions about adult learners. One assumption is that of immediacy reinforces learning. This means that opportunities for immediate application of knowledge and skills must be provided. The one example that demonstrates this assumption is “the client performs the learned skill several times right after learning it.” The other examples do not demonstrate the application of immediacy and are incorrect.

PTS: 1 DIF: Analysis REF: Facilitators of Learning