Chapter 21 Teacher and Counselor

Chapter 21  Teacher and Counselor

Complete Chapter Questions And Answers
 

Sample Questions

1.
A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which of the client’s following statements suggests that nurses’ education has resulted in affective learning?
A)
“I’m starting to see how my lifestyle has caused me to end up here.”
B)
“I understand why they’re not letting me eat anything for the time being.”
C)
“My intravenous drip will keep me from getting dehydrated right now.”
D)
“I can see how things could have been much worse if I hadn’t gotten to the hospital when I did.”
Ans:
A

Feedback:

The client’s understanding of his contribution to his problem demonstrates a shift in attitude and feelings that is characteristic of affective learning. Understanding the treatment, course, and prognosis of his illness are aspects of cognitive learning.

2.
The nurse has been working with a client for several days during the client’s recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?
A)
“What changes will you make around your house to reduce the chance of future falls?”
B)
“Do you have any questions about the fall prevention measures that we’ve talked about?”
C)
“In light of what we’ve talked about, why is it important that you remove the throw rugs in your house?”
D)
“Do you think that the safety measures I taught you are clear and realistic?”
Ans:
A

Feedback:

An open-ended question that requires the client to apply the information that has been taught is often the most accurate way to evaluate the effectiveness of client education. Yes/no questions are much less effective (“Do you have any questions?”; “Do you think that the safety measures I taught you are clear and realistic?”). Asking the client about the importance of preventing falls does not directly assess what the client will actually do to prevent falls.

3.
A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?
A)
To help the client develop self-care abilities
B)
To ensure the client will return for follow-up care
C)
To facilitate complete recovery from the disease
D)
To implement ordered teaching and counseling
Ans:
A

Feedback:

The basic purpose of educating and counseling is to help clients and families develop the self-care abilities (knowledge, attitude, skills) needed to maintain and improve health.

4.
A nurse refers a client with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?
A)
Promoting health
B)
Preventing illness
C)
Restoring health
D)
Facilitating coping
Ans:
D

Feedback:

Not all clients fully recover from their illness or injury; many clients will need to learn to cope with permanent health alterations.

5.
Which of the following is an essential component of the definition of learning?
A)
Increases self-esteem
B)
Decreases stress
C)
Can be measured
D)
Cannot be measured
Ans:
C

Feedback:

Learning is the process by which a person acquires or increases knowledge, or changes behavior in a measurable way, as a result of an experience.