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Download Professional Nursing Practice Concepts and Perspectives 7th Edition Blais Test Bank all chapters
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Blais/Hayes, Test Item File for Professional Nursing Practice: Concepts and
Perspectives, 7e
Chapter 8: The Nurse as Learner and Teacher
Question 1
The nurse is teaching a client to self-inject insulin. Whenever the client completes a step
of the process correctly, the nurse smiles and says, “Good, good, you are learning this
well.” Whose learning theory is this nurse using?
1. Gagne
2. Piaget
3. Skinner
4. Lewin
Correct Answer: 3
Rationale: This nurse is using operant conditioning, a theory developed by Skinner. In
this approach, the nurse reinforces desired responses by giving positive feedback.
Gagne’s theory explains information processing. Piaget’s theory discusses the phases of
cognitive development. Lewin’s theory is focused on change.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 143
Question 2
Which theorist’s work is considered foundational to many of today’s cognitive theories?
1. Lewin
2. Bandura
3. Skinner
4. Rogers
Correct Answer: 1
Rationale: Lewin’s field theory involves theories of motivation and perception, which
were considered precursors of the more recent cognitive theories. The other options are
either theorists who are not cognitive theorists or theorists that used Lewin’s work as a
foundation.
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 145
Question 3
The nurse educator believes the best method for teaching professionalism is for faculty to
conduct themselves in a professional manner. Which learning theory supports this belief?
1. Skinner’s operant conditioning theory
2. Bandura’s social-learning theory
3. Lewin’s field theory
4. Piaget’s phases of cognitive development
Correct Answer: 2
Rationale: Bandura’s research focuses on imitation, the process by which individuals
copy or imitate what they have observed; and modeling, the process by which a person
learns by observing the behavior of others. Skinner’s theory is based upon reinforcement.
Lewin’s theory is based on change. Piaget’s theory describes the development of
cognition.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 144
Question 4
Which theorist developed a learning theory based on humanism?
1. Rogers
2. Piaget
3. Skinner
4. Bandura
Correct Answer: 1
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Rationale: Humanistic learning theory focuses on both cognitive and affective areas of
the learner. Prominent members of this school of thought include Abraham Maslow and
Carl Rogers. Piaget is a cognitive theorist. Skinner is a behavioral theorist. Bandura is a
social learning theorist.
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 145
Question 5
While progressing through nursing school, the student develops a system to categorize
information as it is presented. Which theorist developed a learning theory that supports
this categorization of information as essential?
1. Skinner
2. Bandura
3. Rogers
4. Bruner
Correct Answer: 4
Rationale: According to Jerome Bruner, perception, conceptualizing, learning, and
decision making all depend on categorizing information. The other theorists do not
include categorization as essential to their theories.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 146
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Question 6
Which behaviors are including in Bloom’s cognitive domain of learning? (Select all that
apply.)
1. Comprehending information
2. Analyzing information
3. Evaluating information
4. Applying information
5. Acquiring information
Correct Answer: 1, 2, 3, 4
Rationale: Bloom’s cognitive domain includes remembering, comprehending, applying,
analyzing, evaluating, and creating information. Acquiring information is not a category
described by Bloom in the cognitive domain.
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 3. Describe the three domains of learning and how they differ.
Page Number: p. 146
Question 7
A client received an injury that resulted in amputation of the right leg. The client has
been unwilling to participate in physical therapy activities. Today the client says, “Well, I
can’t change this, so I might as well learn to live with it and do these exercises.” What
categorization of affective domain does this statement reflect?
1. Responding
2. Valuing
3. Organizing
4. Receiving
Correct Answer: 3
Rationale: This statement reflects the client’s beginning acceptance of the changes
brought about by the amputation. Bloom categorizes this acceptance as organizing.
Responding is when the client participates by listening and responding and asking
questions. The client’s refusal to participate in care is categorized as valuing. Receiving
is willingness to attend to a particular stimulus such as teaching.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Evaluation; Teaching/Learning
Learning Outcome: 3. Describe the three domains of learning and how they differ.
Page Number: p. 147
Question 8
The nursing student has watched a demonstration of insertion of an indwelling urinary
catheter. The student is now attempting the skill on a laboratory mannequin. What
category of Bloom’s psychomotor domain does this attempt reflect?
1. Imitation
2. Manipulation
3. Precision
4. Articulation
Correct Answer: 1
Rationale: Bloom describes performing a skill following a demonstration as imitation.
Manipulation is when movements become coordinated. Precision is when the skill is
performed following a logical sequence. Articulation is when the action is coordinated
with few errors in a responsible time. The fifth category of the psychomotor domain is
naturalization when competence in skill performance is automatic.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Evaluation; Teaching/Learning
Learning Outcome: 3. Describe the three domains of learning and how they differ.
Page Number: p .147
Question 9
How are the behaviors in each category of Bloom’s domains of learning arranged?
1. Alphabetically
2. Simplest to most complex
3. By length of the word
4. Randomly
Correct Answer: 2
Rationale: Each of the domains has a developed hierarchical classification system; that
is, the behaviors that demonstrate learning in each category are arranged from the
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
simplest to the most complex. The behaviors are not categorized alphabetically, by length
of word, or randomly.
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 3. Describe the three domains of learning and how they differ.
Page Number: p. 146
Question 10
What is the American Nurses Association Standard of Professional Performance as it
applies to contribution to the professional development of peers?
1. Only nurses who want to contribute to peer professional development should do so.
2. All nurses have a responsibility for contributing to the professional development of
peers.
3. Only nurses with master’s degrees have the responsibility for contributing to the
professional development of peers.
4. Only nurses with baccalaureate degrees have the responsibility for contributing to the
professional development of peers.
Correct Answer: 2
Rationale: The American Nurses Association lists two standards of clinical nursing
practice that relate directly to teaching and learning. Standard 8; Education, states: The
nurse attains knowledge and competency that reflects current nursing practice. Standard
10, Collegiality, states: The nurse interacts with and contributes to the professional
development of peers and other health providers as colleagues. There is no mention of
desire to contribute or to level of educational preparation.
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 2. Describe the various teaching roles of the nurse.
Page Number: p. 155
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Question 11
All nurses in their role of teacher/educator are responsible for providing instruction to
which persons? (Select all that apply.)
1. Other nurses
2. Students in community colleges
3. Patients’ families
4. Patients
5. Health care providers other than nurses
Correct Answer: 1, 3, 4, 5
Rationale: The only option listed for which all nurses are not responsible for providing
instruction to are students in community colleges. Professional nursing educators have
formal education preparation requirements that are not common to all nurses.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 2. Describe the various teaching roles of the nurse.
Page Number: p. 154
Question 12
Why are nurses often requested to teach community classes?
1. Nurses usually donate their time to these events.
2. Twelve-hour shifts allow plenty of spare time for such work.
3. Nurses are respected by the public.
4. Physicians don’t like to teach laypeople.
Correct Answer: 3
Rationale: Nurses are respected by the public and are knowledgeable about healthcare
matters. This places nurses in a position to provide information in community settings.
They do not necessarily donate their time and often have little spare time. Whether nurses
teach has nothing to do with physicians’ desire to teach.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 2. Describe the various teaching roles of the nurse.
Page Number: p. 154
Question 13
Which option best reflects how nurses provide education to other nurses?
1. Informally on the unit
2. Formally in the classroom
3. Formally online
4. Both formally and informally
Correct Answer: 4
Rationale: Nurses provide education both informally on the unit, by working with and
acting as role models to other nurses, and formally through organized continuing
education sessions.
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 2. Describe the various teaching roles of the nurse.
Page Number: p. 154
Question 14
A high school class is still mourning the death of a popular classmate who was killed in
an automobile accident. The opportunity to conduct a class on safe driving would be
based upon which facilitator of learning?
1. Repetition
2. Motivation
3. Simple to complex
4. Physical readiness
Correct Answer: 2
Rationale: Motivation relates to whether the learner wants to learn and is usually greatest
when the learner is ready, the learning need is recognized, and the information being
offered is meaningful to the learner. Repetition and simple to complex are ways to teach.
Physical readiness has to do with the student’s ability to focus on things other than his or
her physical status.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 4. Identify guidelines for effective learning and teaching.
Page Number: p. 158
Question 15
What would be the best environment for conducting client teaching?
1. The client is in the clinical educator’s office.
2. The client is reclining in bed with the television on.
3. The client has just been medicated for pain.
4. The client is upright in bed with family members present.
Correct Answer: 1
Rationale: To facilitate learning in a hospital setting, nurses should choose a time when
there are no visitors present and interruptions are unlikely. When possible, get the client
out of bed, because being in bed is associated with rest and sleep and not usually
considered a place for learning. If the client was just medicated for pain, education is not
a priority.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 4. Identify guidelines for effective learning and teaching.
Page Number: p. 158
Question 16
A client had a mastectomy yesterday. Today, the nurse must teach this client exercises to
promote function on the operative side. When should this teaching occur?
1. Before administering pain medication, so the client is still alert.
2. Whenever the client expresses a desire to learn, despite pain status.
3. Approximately 30 minutes after administering pain medication.
4. Immediately after administering pain medication.
Correct Answer: 3
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Rationale: Pain decreases ability to concentrate, so the nurse should provide intervention
for pain before teaching. If the medication is administered and allowed to work for 20 to
30 minutes, the client is more likely to be attentive and receptive to teaching.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 4. Identify guidelines for effective learning and teaching.
Page Number: 145
Question 17
Who should be involved in the development of a nursing teaching plan?
1. Only the nurse-teacher
2. The nurse-teacher and the client’s physician
3. Only the client-learner
4. Both the nurse-teacher and the client-learner
Correct Answer: 4
Rationale: The nursing teaching plan should be developed with and by the nurse-
educator and the client-learner. The client’s physician in not necessarily involved in
teaching done by the nurse.
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 6. Develop a teaching plan.
Page Number: p. 159
Question 18
Which teaching objective is correctly written?
1. At the end of the teaching session the client will list three strategies for control of
hypertension.
2. The client will write a comprehensive review of two articles about hypertension.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
3. During the class the nurse will present material regarding risk factors associated with
the development of hypertension.
4. The client will understand how hypertension develops by the end of the second
teaching session.
Correct Answer: 1
Rationale: The teaching objective should include a measurable verb, should be client
focused, and should have a timeline for evaluation. The option about the client listing
three strategies has all those components. The option about writing a comprehensive
review of two articles is not measurable (what is comprehensive?) and there is no
timeline. The option about what the nurse will present is not client focused. The option
about the client understanding is not measurable as it is impossible to measure the verb
understand.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Evaluation; Teaching/Learning
Learning Outcome: 6. Develop a teaching plan.
Page Number: p. 159
Question 19
What is the major determinant of the content of a teaching session?
1. What the nurse likes to teach
2. The learning objectives
3. What is written about the topic in a nursing textbook
4. The time to teach
Correct Answer: 2
Rationale: The major determinant is the set of learning objectives chosen. The nurse’s
preference in teaching is not a consideration. Although what information is available and
the time to teach are important, they should be considered as the objectives are written.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 6. Develop a teaching plan.
Page Number: p. 161
Question 20
Which option reflects correct ordering of learning experiences?
1. Present new content and then link it back to the client’s previous knowledge.
2. Present variations of the skill and then focus on the basics.
3. Start with a neutral topic, saving client concerns for later in the teaching session.
4. First address any area causing the learner to have anxiety, and then move to other
pertinent material.
Correct Answer: 4
Rationale: The teacher should first address any area of learner anxiety, because anxiety
has been shown to interrupt the learning process. The nurse should start with what the
client knows and then move to new content. The basics of a skill should be presented first
and then variations can be addressed.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 6. Develop a teaching plan.
Page Number: p. 161
Question 21
The nurse is conducting a teaching session with a client for whom English is a second
language. The client smiles and nods in acknowledgment of the nurse’s instruction. What
should the nurse consider about this situation?
1. The client probably has a learning disability regardless of the language problem.
2. The client probably understands the content but doesn’t have the words to express that
fact.
3. The client may be trying to keep the nurse from being embarrassed.
4. The client is making fun of the nurse.
Correct Answer: 3
Rationale: When the nurse is teaching a client for whom English is a second language, it
is important not to assume that the client understands. The nurse should verify
understanding in a different manner than verbally. This smiling and nodding may be
deferential to the nurse and designed to prevent the nurse from being embarrassed. There
is no indication that this client has a learning disability or that the client is making fun of
the nurse.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Evaluation; Teaching/Learning
Learning Outcome: 7. Describe strategies for teaching learners of different cultures.
Page Number: p. 167
Question 22
The nurse is conducting a teaching session with a client for whom English is a second
language. How should the nurse proceed?
1. Use medical terms
2. Use colloquialisms
3. Use abstract words
4. Use short sentences
Correct Answer: 4
Rationale: When working with a client for whom English is a second language, the nurse
should use short sentences, common words rather than medical terms, concrete terms
rather than abstract terms, and should avoid colloquialisms and slang.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 7. Describe strategies for teaching learners of different cultures.
Page Number: p. 167
Question 23
The female nurse is planning to provide education to a male client from a different
culture. What should the nurse consider?
1. All cultures value female nurses.
2. It may be better to have two female nurses in the room during teaching.
3. The nurse should consider asking a male colleague to perform the teaching.
4. Most cultures accept teaching from medical personnel of either gender.
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Correct Answer: 3
Rationale: The nurse should consider the client’s culture while planning the teaching
session. Some cultures do not accept women in power positions over men, including such
roles as nurse and teacher. If there is a cultural issue, the nurse should consider asking a
male colleague to perform the teaching. It would not be helpful to have two females in
the room if the client does not accept a female as teacher.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 7. Describe strategies for teaching learners of different cultures.
Page Number: p. 167
Question 24
Why should the nurse be cautious about using humor when teaching clients from other
cultures?
1. Meaning can change in the translation process.
2. Humor has no place in health education.
3. Humor is not common in other cultures.
4. Humor makes people uncomfortable.
Correct Answer: 1
Rationale: The concern about using humor in educating clients of other cultures is that
the humor often does not translate well. Humor is acceptable to most cultures when it is
understood and culturally appropriate. Humor is also acceptable in health education.
Humor often helps people to relax.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Planning; Teaching/Learning
Learning Outcome: 7. Describe strategies for teaching learners of different cultures.
Page Number: p. 167
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Question 25
The nurse is preparing to care for a newly admitted client. The following information was
provided by the emergency department in the medical record:
Admission Note: Client is a 56 year old who has not been to see a healthcare
provider since emigrating to the U.S. 10 years ago; recalls receiving vaccinations “years
ago” but does not remember for what disease processes; states that he was given “blood
pressure” pills years ago from a doctor in his native country but hasn’t taken them for
quite some time because he “feels ok.” Works as a part-time cook in a neighborhood
ethnic restaurant. Lives with his spouse and is helping to raise a granddaughter.
For what should the nurse assess this client upon arrival to the care area?
1. Diet
2. Health literacy
3. Insurance coverage
4. Living arrangements
Correct Answer: 2
Rationale: The nurse should focus on the client’s literacy. Limited health literacy is
prevalent among minority populations and those who are poor. Clients with limited
health literacy may have difficulty with sharing their medical history, seeking preventive
health care, managing chronic health conditions, and understanding medication
directions. The information provided from the emergency department supports the need
for the nurse to assess this client’s literacy. The client’s diet is not a priority at this time.
Insurance coverage was most likely obtained in the emergency department. Living
arrangements have no impact on the client’s health needs at this time.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Assessment; Teaching/Learning
Learning Outcome: 5. Discuss the relevance of literacy for client learning.
Page Number: p. 153
Question 26
The nurse is preparing a teaching session that focuses on Piaget’s phases of cognitive
development. In which order should the nurse present material about these phases?
1. Different viewpoints
2. Includes others in the environment.
3. Deductive and futuristic thinking and reasoning.
4. Discovery of new goals and ways to attain those goals.
Correct Answer: 4, 2, 1, 3
Rationale: Piaget’s cognitive developmental process is divided into four major phases;
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
sensorimotor, preoperational, concrete operations, and formal operations. The
sensorimotor phase lasts from birth to about 2 years of age. It includes reflexive actions,
perceptions of events centered on the body, objects as an extension of self, mental
acknowledgment of the external environment, and discovery of new goals and ways to
attain those goals. The preoperational phase occurs from about 2 to 7 years of age and
includes an egocentric approach to accommodate the demands of the environment.
Everything is significant and relates to “me.” The child is able to think of one idea at a
time, can use words to express thoughts, and includes others in the environment. The
concrete operations phase (about 7–11 years of age) involves a beginning understanding
of relationships such as size, right and left, different viewpoints, and the ability to solve
concrete problems. The formal operations phase may occur at about 11–15 years of age
and includes the ability to use rational thinking and reasoning that is deductive and
futuristic.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 1. Discuss selected learning theories as they apply to nurse and
client learning.
Page Number: p. 145
Question 27
The nurse is preparing an educational session for new graduates on the cognitive domain.
In which order should the nurse provide this material?
1. Values the learned material.
2. Uses material in concrete situations.
3. Using elements to create a new whole.
4. Recognizes previously learned material.
5. Explains the meaning of learned material.
6. Separates material according to importance.
Correct Answer: 4, 5, 2, 6, 1, 3
Rationale: The order of instruction about the cognitive domain would begin with
remembering or recognizing previously learned material. Comprehending is explaining
the meaning of learned material. Applying is using newly learned material in new
concrete situations. Analyzing is separating important from unimportant material.
Evaluating is judging the value of the learned material. Creating is using elements to
create a new whole.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
Client Need Sub:
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: Information, communication, and education.
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health literacy
considerations to foster patient engagement in their care.
NLN Competencies: Relationship Centered Care; Practice; Learn cooperatively,
facilitate the learning of others.
Nursing/Integrated Concepts: Implementation; Teaching/Learning
Learning Outcome: 3. Describe the three domains of learning and how they differ.
Page Number: p. 147
©2016 by Pearson Education, Inc. Blais/Hayes, Test Item File for Professional Nursing Practice:
Concepts and Perspectives, 7th Edition
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of fifteen miles. We desired to reach Station Eight by four o’clock;
either to sleep there until three o’clock the next morning, or to push
on to the tenth and last station, rest there, and see the sun rise, from
the door-way of that summit rest-house. Our two Colorado
mountaineers had faced the slope like chamois, and were leaping
the rocks walling the first station, before the female contingent had
left the torii. Of the fifteen coolies accompanying us, three were
assigned to each woman, with orders to take her to the top if they
had to carry her pickaback. After an established Fuji fashion, one
coolie went first with a rope fastened around the climber’s waist,
while another pushed her forward. Aided still further by tall bamboo
staffs, we were literally hauled and boosted up the mountain, with
only the personal responsibility of lifting our feet out of the ashes.
For the first three or four miles, the path led through a dense,
green bower, carpeted with vines, and starred with wild flowers and
great patches of wild strawberries. Scaling moss-covered log steps,
we passed through temples with gohei, or prayer papers, hanging
from the gates and doors, and bare Shinto altars within. At one
shrine, the sound of our approaching footsteps was the signal for
blasts from a conch-shell horn and thumps on the hanging drum, and
the priests, in their purple and white gowns and black pasteboard
hats, gave us a cheerful welcome, and many cups of hot barley-tea.
At our request, they stamped our clothing with big red characters,
the sacred seal or crest of that holy station, and sold us the
regulation pilgrim’s staff, branded with the temple mark. The old
priest, to dazzle us with his acquirements, and to show his familiarity
with foreign customs, glibly placed the price of the alpenstock at
“Sen tents.”
The forest ended as suddenly as if one had stepped from a door-
way, and a sloping dump of bare lava and cinders stretched upward
endlessly; the whole cone visible, touched with scudding bits of thin
white clouds. Every dike and seam of lava between the forest edge
and the summit was clearly seen, and the square blocks of rest-
houses, though miles away, stood out on the great ash-heap as if
one could touch them. It was apparent that the walk would be merely
a matter of perseverance. There are no dizzy precipices, no
dangerous rocks, no hand-over-hand struggles, nor narrow ledges,
nor patches of slippery stone—only a steadily ascending cinder path
to tread. Above the forest line, nothing interrupts the wide views in
every direction, and the goal is in plain sight.
After we had passed the third station, the scudding clouds closed
in and hid the summit, and we trudged along, congratulating
ourselves on our escape from the glaring sun while we were out on
the open lava slope. Station Number Four was closed and its roof in
partial ruins, where a rolling stone had crashed in during the winter,
but at the next two huts we rested, in company with a sturdy
mountaineer, his wife and baby, who were going up to open Station
Number Nine for the summer. The baby was strapped on its father’s
back, its little bare toes sticking out from its tight swaddling-gown
and curling up in comical balls as the wind grew colder. Our two
veterans of Pike’s Peak were far ahead, merely white spots on the
dark, chocolate-brown slope, but we all intended to overtake them
and come in with them at the end of the day.
Suddenly the drifting clouds swept down, curling along the dark
lava, like steam, and wrapping us in a gray mist that blotted out
everything. Another gust of wind brought a dash of rain, and hurried
us to the lee wall of a closed hut for shelter. The shower came
harder and faster, and the baggage-coolies with water-proofs and
umbrellas were far in advance, invisible in the mist. We pushed on,
and after climbing a hundred yards in loose ashes, found ourselves
on the sliding track of the descent. We struck away blindly to the
right and mounted straight upward. A seam of hard lava soon gave
us secure foothold, but presently became a net-work of tiny
cascades. My cheerful little coolie, in his saturated cotton suit, tried
to encourage me, and passing the rope around a horn of lava at one
breathing-stop, pointed upward, and assured me that there was clear
sunshine above. Glancing along the sloping lava-track, we saw a
foaming crest of water descending from those sunny uplands, and
had barely time to cross its path before the roaring stream came on
and cut off retreat.
After two hours of hard climbing in the blinding rain and driving
wind, we reached the shelter of Station Number Eight, chilled and
exhausted. This hut, a log-cabin faced with huge lava blocks, its low
roof held down by many bowlders, and its walls five feet in thickness,
consists of one room about twelve by thirty feet in size. Two doors
looked sheer down the precipitous mountain-slope, and a deep
window, like that of a fortress, was set in the end wall. The square
fireplace, sunken in the floor, had its big copper kettle swinging from
a crane, and the usual stone frame for the rice-kettle. When the
doors were barred and braced with planks against the fury of the
storm, the smoke, unable to escape, nearly blinded us. Our dripping
garments and the coolies’ wet cotton clothes were hung to dry on the
rafters over the fireplace, where they slowly dripped. The master of
Number Eight had opened his rest-house only five days before, and
with his young son and two servants found himself called on to
provide for us with our retinue of seventeen servants, for four young
cadets from the naval college in Tokio, storm-bound on their way
down the mountain, and a dozen pilgrims—forty-two people in all.
Warmed, and comforted with a stray sandwich, we were glad
enough to go to bed. Each of us received two futons, one of which
made the mattress and the other the covering, while basket-lids
served for pillows. The floor was cold as well as hard, and the rows
of cotton towels hung on the walls by preceding pilgrims fluttered in
the draughts from the howling blasts that shook the solid little hut.
The shriek and roar and mad rushes of wind were terrifying, and we
were by no means certain that the little stone box would hold
together until morning. One hanging-lamp shed a fantastic light on
the rows of heads under the blue futons, and the stillness of the
Seven Sleepers presently befell the lonely shelter.
CHAPTER XVIII
THE DESCENT OF FUJIYAMA