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Chapter 25

NCLEX Review

NCLEX Review

This activity contains 10 questions.

	The nurse has offered a diabetic education program. What is the best indication of client compliance with a diabetic treatment plan?   The client expresses a desire to learn about diabetes treatment. The client can list foods that are not allowed on a diabetic diet. The client willingly learns about diabetes treatment and follows the treatment plan. The client is able to discuss diabetes treatment and passes a test on program content with a score of 90%.

	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?   Helping clients accept the need for daily injections Having clients demonstrate injection procedures on themselves Asking clients to describe the injection procedure Giving a test on the types of insulin and duration of action

	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?   Encourage positive teacher--learner relationships, and select multisensory delivery methods Give a short test, and provide positive feedback Assess clients' developmental and individual learning readiness, and adapt teaching strategies accordingly Encourage clients to establish goals, and promote self-directed learning

	Prior to beginning a teaching session on self-care of a colostomy, the nurse will assess the client's readiness to learn by assessing:   Client's recognition of a need to learn, and belief that learning will lead to self-care ability Client's knowledge and previous experience with colostomies Client's pain and comfort levels, and willingness to learn Client's cognitive and sensory abilities

	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:   Say, "You have done this all wrong! Let me show you again." Remove the dressing, cleanse the wound again, and apply a new dressing Say and do nothing to avoid upsetting the client Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on."

	The nurse is assessing a client's psychomotor ability to learn how to care for a colostomy. Aspects to include in the assessment are:   Muscle strength and motor coordination Memory and reading ability Cultural values and beliefs Emotional state and possible conflicts

	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?   Multicolored posters with bright colors Lecture to the group, using many examples Audiovisuals, examples, group discussions, and activities A game board, with clients matching terms

	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:   The client may be unable to read the instructions The client is noncompliant The client doesn't understand the instructions The client is confused

	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:   Health-Seeking Behavior (exercise and activity) related to desire to improve health status Noncompliance with medical treatment plan related to lack of energy for activity Risk for ineffective coping related to deficient knowledge Deficient Knowledge (medication) related to inexperience with newly ordered therapy

	The nurse is teaching a client about reducing blood cholesterol levels through dietary management. The most appropriate learning outcome for the teaching would be:   The client will understand benefits of a low-fat diet for cholesterol reduction The client will accurately select low-fat foods from a list of common foods The nurse will teach the client about low-fat foods and cholesterol reduction The client will list some common low-fat foods

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