PCC Grade A+ Exam 3 Questions &
Answers 2024/2025
The nurse has offered a diabetic education program. What is the best indication of client compliance
with a diabetic treatment plan?
a. The client expresses a desire to learn about diabetes treatment.
b. The client can list foods that are not allowed on a diabetic diet.
c. The client willingly learns about diabetes treatment and follows the treatment plan.
d. The client is able to discuss diabetes treatment and passes a test on program content with a score of
90%. - ANSWERSc. The client willingly learns about diabetes treatment and follows the treatment plan.
Rationale: Evaluation of compliance involves evaluating the extent to which the client recognizes and
accepts the need to learn, and then follows through with appropriate behavior. Clients may learn the
educational material and still not be compliant.
The nurse is developing a teaching plan on self-injection of insulin for a group of diabetic clients. The
plan includes information about injections and types of insulin, and demonstrations of injection
technique. What affective component is important for the nurse to plan to include in educating these
clients?
a. Helping clients accept the need for daily injections
b. Having clients demonstrate injection procedures on themselves
c. Asking clients to describe the injection procedure
d. Giving a test on the types of insulin and duration of action - ANSWERSa. Helping clients accept the
need for daily injections
Rationale: The affective domain of learning is the feeling domain, and involves emotions, attitudes,
interests, and appreciations. The cognitive domain is the thinking domain, and involves intellectual
abilities. The psychomotor domain is the skill domain, and involves motor skills. All three domains should
be included in planning client education.
A nurse who is applying behaviorist learning theory offers a block of information on risk factors for heart
disease in a straightforward, non-distracting way. What teaching strategies are appropriate for the nurse
applying this learning theory to use next?
a. Encourage positive teacher-learner relationships, and select multisensory delivery methods
,b. Give a short test, and provide positive feedback
c. Assess clients' developmental and individual learning readiness, and adapt teaching strategies
accordingly
d. Encourage clients to establish goals, and promote self-directed learning - ANSWERSb. Give a short
test, and provide positive feedback
Rationale: Nurses applying behaviorist theory should include: careful identification of material to be
taught; strategies that avoid distracting information; immediate and repeat testing; positive feedback;
and role modeling. Strategies in choice "1" and "3" are consistent with cognitive theory. Strategies in
choice "4" are consistent with humanism.
Prior to beginning a teaching session on self-care of a colostomy, the nurse will assess the client's
readiness to learn by assessing:
a. Client's recognition of a need to learn, and belief that learning will lead to self-care ability
b. Client's knowledge and previous experience with colostomies
c. Client's pain and comfort levels, and willingness to learn
d. Client's cognitive and sensory abilities - ANSWERSc. Client's pain and comfort levels, and willingness to
learn
Rationale: Readiness involves both willingness to learn and ability to learn at a specific time. Pain or
discomfort may make it difficult for a client to learn, and must be addressed prior to teaching. The other
factors should be assessed as well, but are not indicative of readiness.
A client who is doing a return demonstration of how to change a wound dressing to the leg contaminates
the dressing after appropriately cleansing the wound. The best nursing response is to:
a. Say, "You have done this all wrong! Let me show you again."
b. Remove the dressing, cleanse the wound again, and apply a new dressing
c. Say and do nothing to avoid upsetting the client
d. Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on." -
ANSWERSd. Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing
on."
Rationale: Clients need positive feedback on performance to enhance learning. Positive feedback can
include praise, positively worded corrections, and suggestions of alternate methods. Negative feedback
is often viewed as punishment, and may cause the client to avoid the nurse or refuse to participate
further.
,The nurse is assessing a client's psychomotor ability to learn how to care for a colostomy. Aspects to
include in the assessment are:
a. Muscle strength and motor coordination
b. Memory and reading ability
c. Cultural values and beliefs
d. Emotional state and possible conflicts - ANSWERSa. Muscle strength and motor coordination
Rationale: Psychomotor assessment should include muscle strength, motor coordination, energy level,
and sensory acuity. The other factors should also be assessed, but are not part of psychomotor ability.
The nurse is planning an educational program on cancer detection for a community group. What should
be included in the plan to assure that the program will address various learning styles of clients?
a. Multicolored posters with bright colors
b. Lecture to the group, using many examples
c. Audiovisuals, examples, group discussions, and activities
d. A game board, with clients matching terms - ANSWERSc. Audiovisuals, examples, group discussions,
and activities
Rationale: When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and
problem-solving types of learners. Using varying techniques and varying activities is a good way to match
the varying learning styles of group participants.
A client from a homeless shelter who has had minor surgery and has been given an instruction sheet in
preparation for discharge is noted to be noncompliant with instructions when dressing for discharge.
When asked by the nurse if the instructions were clear, the client said, "I'll read them later, when I have
my glasses; besides, I know all that stuff." Based on these behaviors, the nurse may suspect that:
a. The client may be unable to read the instructions
b. The client is noncompliant
c. The client doesn't understand the instructions
d. The client is confused - ANSWERSa. The client may be unable to read the instructions
Rationale: Clients who can't read may be noncompliant, insist that they know information, or have
excuses for not reading the instructions. Behaviors such as these should alert the nurse to the need to
further assess literacy.
, A client presents with the following: recent medical diagnosis of congestive heart failure, four new
medications, and reduced activity levels due to shortness of breath. The most appropriate nursing
diagnosis based upon this information is:
a. Health-Seeking Behavior (exercise and activity) related to desire to improve health status
b. Noncompliance with medical treatment plan related to lack of energy for activity
c. Risk for ineffective coping related to deficient knowledge
d. Deficient Knowledge (medication) related to inexperience with newly ordered therapy - ANSWERSd.
Deficient Knowledge (medication) related to inexperience with newly ordered therapy
Rationale: Deficient Knowledge is used as a diagnostic label when the client is seeking health information
or the nurse has identified a learning need. The area of deficiency should be included in the diagnosis.
The nurse is teaching a client about reducing blood cholesterol levels through dietary management. The
most appropriate learning outcome for the teaching would be:
a. The client will understand benefits of a low-fat diet for cholesterol reduction
b. The client will accurately select low-fat foods from a list of common foods
c. The nurse will teach the client about low-fat foods and cholesterol reduction
d. The client will list some common low-fat foods - ANSWERSb. The client will accurately select low-fat
foods from a list of common foodsRationale: Learning outcomes should state expected client behavior;
should reflect an observable, measurable activity; and may have conditions or modifiers stating
conditions of performance. Words such as know, understand, feel, and believes are not measurable.
A patient needs to learn to use a walker. Which domain is required for learning this skill?
A) Affective domain
B) Cognitive domain
C) Attentional domain
D) Psychomotor domain - ANSWERSD) Psychomotor domain
Using a walker requires the integration of mental and muscular activity.
The nurse is planning to teach a patient about the importance of exercise. When is the best time for
teaching to occur? (Select all that apply.)
A) When there are visitors in the room
B) When the patient's pain medications are working
