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NSG 3130 EXAM 2 QUESTIONS AND ANSWERS
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NSG 3130 EXAM 2 QUESTIONS AND ANSWERS
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NSG 3130 EXAM 2 QUESTIONS ANDANSWERS
Thernurserisrcaringrforrar6-year-
oldrpatientrinrtheremergencyrdepartmentrwhorjustrhadrarfullrleftrlegrcastrplacedrforrarfracture.r
Asrthernurserisrreviewingrtherdischargerinstructionsrwithrtherpatient'srmother,rsherstates,r"Y
ourdon'trhavertorgoroverrthose—I'llrreadrthemratrhome."rWhatrshouldrthernurserdo?
a.rContactrtherphysicianrimmediately.
b.rConsiderrtherpossibilityrofrhealthrliteracyrlimitationsrandrassessrfurther.
c.rStoprtherteaching,rbecauserthermotherrobviouslyrhasrtakenrcarerofrcastsrbefore.
d.rExplainrtorthermotherrthatrreadingrtherinstructionsrwithrherrisrrequired.r-
rb.rConsiderrtherpossibilityrofrhealthrliteracyrlimitationsrandrassessrfurther.
Arpatient'srmotherrmayrhaverlimitedrreadingrskillsrorrhealthrliteracyrandrshouldrberfurtherrass
essed.rContactingrtherphysicianrinrthisrsituationrwouldrnotrberappropriaterbecauserensuringr
thatrtherpatientrandrfamilyrunderstandrdischargerinstructionsrisrtherresponsibilityrofrthernurs
e.rAssumingrthatrthermotherrhasrtakenrcarerofrcastsrinrtherpastrmayrberinaccurate.rStatingrth
atrreadingrtherinstructionsrwithrthernurserisrarrequirementrdoesrnotrensurerthatrtherpatientrorr
motherrcomprehendsrtherinstructions.
Ar58-year-oldrmanrisradmittedrforrarsmall-
bowelrobstructionrlaterSaturdayrnight.rTheradmittingrordersrincludertherneedrtorplacerarnaso
gastricr(NG)rtubertorlowrintermittentrsuction.rDuringrtherassessment,rthernurserdeterminesrt
hatrtherpatientrdoesrnotrspeakrEnglish.rWhichractionrshouldrthernursertakerfirstrbeforerplacin
grtherNGrtube?
a.rUsertworadditionalrstaffrmembersrwhenrplacingrthertubersortherpatientrcanrberrestrainedrifr
needed.
b.rRequestranrinterpreterrperrfacilityrprotocol.
c.rDornotrplacertherNGrtuberbecausertherphysicianrwouldrnotrwantrtorfrightenrtherpatient.
d.rDocumentrtherinabilityrtorplacertherNGrtuberduertorlackrofrabilityrtorcommunicate.r-
rb.rRequestranrinterpreterrperrfacilityrprotocol.
Anrinterpreterremployedrbyrtherhospitalrwouldrbertherbestrchoicersorthatrsomeonerinrtherroo
mrcanrcommunicaterandrprovidercomfortrforrtherpatient.rTakingradditionalrstaffrintortherroom
rmayrincreasertherpatient'sranxiety,rtherebyrdecreasingrhisrabilityrtorcomprehendrtherinstruc
tions.rAlthoughrtherphysicianrwouldrnotrwantrtorfrightenrtherpatient,rtherphysicianrorderedrth
,ernasogastricr(NG)rtuberforrtherbenefitrofrtherpatient;rtherefore,ritrneedsrtorberplaced.rDocum
entingrtherinabilityrtorplacertherNGrtuberduertorlackrofrmeansrofrcommunicationrisrnotraccept
ablerandrdoesrnotrensurerthatrtherpatientrgetsrtherneededrtreatment.
Whichrnursingrdiagnosesrarerusedrinrdevelopingrarpatientrteachingrplan?
r(Selectrallrthatrapply.)
a.rMoralrDistress
b.rLackrofrKnowledge
c.rDifficultyrCoping
d.rTeachingraboutrDisease
e.rAnxietyr-rb
LackrofrKnowledgerandrLiteracyrProblemrarerappropriaternursingrdiagnosesrforruserinrdevel
opingrarpatientrteachingrplan.rMoralrDistressrisrarnursingrdiagnosisrforrthoserfacingrethicalrd
ecisions.rDifficultyrCopingrisrnotrarnursingrdiagnosisrusedrinrdevelopingrarteachingrplan,rbutri
frarpatientrisrnotrcopingreffectively,ritrmayraffectrtherabilityrtorlearn.rArnursingrdiagnosisrofrAnx
ietyrmayraffectrtherpatient'srabilityrtorlearnrbutrisrnotrdirectlyrrelatedrtordevelopingrarteachingr
plan.rTeachingraboutrDiseaserisrnotrarnursingrdiagnosis.rItrisranrinterventionrperformedrbyrth
ernurse.
Whichrnursingrdiagnosisrisrappropriaterifrarpatientrexpressesranrinterestrinrlearning?
a.rReadyrtorLearn
b.rLackrofrKnowledge
c.rEffectiverInformationrProcessing
d.rHealth-SeekingrBehaviorsr-ra.rReadyrtorLearn
Arpatient'srexpressionrofranrinterestrinrlearningrwouldrindicatercorrectruserofrthernursingrdiag
nosis,rReadyrtorLearn.rLackrofrKnowledgerwouldrindicatertherpatientrhasrardeficiencyrofrkno
wledgeronrarparticularrsubject.rEffectiverInformationrProcessingrisrtherpatient'srabilityrtoracq
uirerusefulrinformation.rHealth-
SeekingrBehaviorsrisractiverseekingrbyrarpersonrofrwaysrtoralterrhabitsrtorenhancerhealth.
Ar61-year-
oldrmanrisrundergoingranremergencyrcardiacrcatheterization.rThernursergivesrhisrwifertherre
gistrationrpaperworkrtorcomplete.rWhichrobservedractionsrmayrindicaterarhealthrliteracyriss
ue?r(Selectrallrthatrapply.)
a.rPuttingronrglassesrbeforerbeginningrtherpaperwork.
b.rAskingrsomeonerinrtherwaitingrareartorreadrtherformsrtorher.
c.rWaitingruntilrherrdaughterrarrivesrtorbeginrtherpaperworkrsorthatrherrdaughterrcanrcomplet
ertherforms.
d.rSettingrtherclipboardrasiderandrstaringrtearfullyroutrtherwindow.
e.rReturningrtherformsronlyrpartiallyrfilledrout,rwithrmissingrorrinaccuraterinformation.r-rb,rc,re
,Askingrsomeonerelsertorreadrtherform,rwaitingrforrhelprwithrtherforms,randrpartiallyrorrinaccu
ratelyrfillingroutrformsrarerbehaviorsrindicativerofrpotentialrhealthrliteracyrissues.rNeedingrgl
assesrdoesrnotrcorrelaterdirectlyrwithrhealthrliteracy.rArtearfulrspouserrequiresradditionalras
sessmentrtorseerwhetherrhealthrliteracyrisrarproblem.rTherwifermayrberoverwhelmedrandrfee
lrunablertorcompletertherforms,rorrshermayrneedrtorcollectrherrthoughtsrinrthermidstrofrarstres
sfulrtime.
Teachingrarpatientrtoruseranrincentiverspirometerrbyrdemonstration,rwithrarreturnrdemonstr
ationrbyrtherpatient,risranrexamplerofrteachingrbasedronrwhichrdomainrofrlearning?
a.rPsychomotor
b.rAffective
c.rPsychosocial
d.rCognitiver-ra.rPsychomotor
Demonstrationralongrwithrarreturnrdemonstrationrbyrtherpatientrisranrexamplerofrpsychomot
orrdomainrlearning.rAffectiverdomainrlearningrintegratesrnewrknowledgerbyrrecognizingranr
emotionalrcomponent.rPsychosocialrisrnotronerofrtherdomainsrofrlearning.rCognitiverdomain
rlearningrisrbasedronrknowledgerandrmaterialrthatrisrremembered,rmemorized,randrrecalled.
Thernurserisrprovidingrhomercarertorar62-year-
oldrwomanrwhorwasrrecentlyrdiagnosedrwithrinsulin-
dependentrdiabetesrmellitus.rWhatrisrthermostrimportantrreasonrforrthernursertordocumentrt
herteachingrsession?
a.rTherpatient'srinsurancercompanyrrequiresrdocumentation.
b.rThernurse'sremployerrrequiresrdocumentationrofrhomercarersessions.
c.rOtherrmembersrofrtherhealthrcarerteamrneedrtorknowrtherpatient'srprogress.
d.rInsulinrisrarpotentiallyrdangerousrmedicationrandrneedsrtorberdocumented.r-
rc.rOtherrmembersrofrtherhealthrcarerteamrneedrtorknowrtherpatient's rprogress.
Althoughrtherremainingroptionsrmayrbertrue,rtherprimaryrreasonrforrspecificrdocumentationr
ofrarpatient'srprogressrinrarteachingrplanrisrtorensurerthatrotherrnursesrorrmembersrofrotherrdi
sciplinesrcanrpickruprtherteachingrplanrandrknowrpreciselyrwhatrtherpatientrhasraccomplishe
drandrwherertorbeginradditionalrsessions.
Writtenrinstructionsrshowingrpicturesrofrtherstepsrnecessaryrtortestrbloodrglucose,ralongrwit
hrdemonstrationrandrarreturnrdemonstrationrofrthersteps,rwouldrmostrbenefitrwhichrlearners
?
a.rAffective
b.rVARK
c.rPsychomotor
d.rCognitiver-rc.rPsychomotor
, Psychomotorrlearningrinvolvesrphysicalrmovementrandrtheruserofrmotorrskillsrsuchrasrdemo
nstrationrandrreturnrdemonstration.rTheraffectiverdomainrinvolvesremotion,randrthercognitiv
erdomainrisrmemorizationrandrrecall.rVARKr(verbal,raural,rread/
write,rkinesthetic)rrefersrtorarmethodrofrassessingrlearningrstyle.
Thernurserisrprovidingrcarertoranr88-year-
oldrmalerpatientrwhorjustrreturnedrfromrtherrecoveryrroomrafterrarrightrhiprreplacement.rTher
nurserplansrtorteachrtherpatientrpreventionrtechniquesrforrdeeprveinrthrombosis.rWhatrisrther
bestrtimertorproviderteaching?
a.rDoritrrightrbeforertherpatient'srnextrintravenousrpainrmedication.
b.rWaitruntilrtomorrowrmorningrbecauserherisrinrtoormuchrpainrtoday.
c.rLeaverwrittenrmaterialsronrhisrover-the-bedrtrayrthatrhercanrreadratrhisrconvenience.
d.rWaitruntilr10rtor15rminutesrafterrhisrnextrintravenousrpainrmedication.r-
rd.rWaitruntilr10rtor15rminutesrafterrhisrnextrintravenousrpainrmedication.
Patientsrinrpainrarerunablertorfocusronrlearning.rWaitingr10rtor15rminutesrafterrtheradministr
ationrofrintravenousrpainrmedicationrallowsritrtorproviderrelief,rbutrtherpatientrisrnotrsedatedro
rrrestingrsoundly.rWaitingruntilrtherfollowingrdayrisrinappropriaterbecauserearlyrinterventionr
andrpreventionrarernecessaryrtoravoidrtherdevelopmentrofrdeeprveinrthrombosis.rLeavingri
mportantrinformationrwhereritrcanrbereasilyrcoveredrup,rsetraside,rorroverlookedrisrnotranreff
ectivermethodrofrpatientreducation.rThernursershouldrrememberrtherconceptsrofrhealthrliter
acyrandrconsiderrtherpotentialreffectsrofrvisualrimpairments,rreadingrability,randrpainrlevelrinr
ensuringrpatientrcomprehension.
LO:r14.10
Arnursingrinstructorrisrexplainingrtherteach-backrmethodrtornursingrstudentsronrarmedical-
surgicalrunit.rTherinstructorrasksrtherstudentsrtoridentifyrbenefitsrofrusingrthisrmethodrofrpati
entreducation.rWhichrshouldrtherstudentsrincluderinrtheirrresponsertortheirrinstructor?
r(Selectrallrthatrapply.)
a.rTherteach-
backrmethodrallowsrthernursertordeterminerunderstandingrofrinformationrtaughtrandrtorretea
chrifrnecessary.
b.rThernursercanrrephraserinformationrtortherpatientrifrtherpatientrisrunablertorrepeatrtherinfor
mationrcorrectly.
c.rThernursercanraskrtherpatientrtorrepeatrinformationruntilritrisrdeterminedrthatrtherpatientrha
srverbalizedrunderstandingrofrtherinformationrtaught.
d.rThernursercanrteachrtherpatientrusingrpictures,rvideos,randrexamples.
e.rTherteach-backrmethodrcanrberusedrinranyrhealthrcarersetting.r-ra,rb,rc,rd,re
Therteach-
backrmethodrallowsrthernursertordeterminerunderstandingrofrinformationrtaughtrandrtorretea
chrifrnecessaryrbyrrephrasingrtherinformation,rusingrpictures,rvideos,randrexamplesrifrtherpa
tientrisrunablertorrepeatrtherinformationrcorrectly.rThernursercanraskrtherpatientrtorrepeatrinfo
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