Client Education

Match the appropriate level of health care prevention with the preventive activity. Each level can be used more than once. 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 2 Blood pressure screening at a senior center 1 Drivers education 3 Monitored exercise therapy at a cardiac rehabilitation center 2 Community cholesterol screening 3 Teaching self-catheterization to a client with a spinal cord injury 1 Newborn immunizations

2. A 19-year-old female client has come to the college health clinic for a Pap test. It is her first visit. Which of the following interventions should the nurse perform first to determine the clients need for health promotion and disease prevention? A. Measure the clients vital signs. B. Encourage the client to be screened for HIV. C. Determine the clients risk factors. D. Instruct the client to use condoms for birth control. Using the nursing process, the first action the nurse should take is to assess the client. Assessment of risk factors must occur before health promotion or disease prevention interventions are developed. The nurse should conduct an interview with the client before performing any physical exam. This allows the nurse time to establish rapport with the client prior to any invasive procedures. Stressing the need for HIV screening and instructing the client in the use of birth control may be necessary if the assessment reveals any related risk factors.

3. A 21-year-old male client presents to the health clinic for a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse anticipate will be performed for this client? A. Testicular cancer B. Blood glucose C. Fecal occult blood D. Prostate-specific antigen The nurse can expect that the client will be screened for testicular cancer. The nurse can also anticipate that the clients blood pressure will be checked, along with his BMI and blood cholesterol. Blood glucose testing begins at 45, and testing for fecal occult blood and prostate-specific antigen usually begins at age 50.

1. When a nurse is teaching a client how to draw up and mix insulin injections, which of the following best demonstrates that psychomotor learning has taken place? A. The client is able to discuss the appropriate technique. B. The client is able to demonstrate the appropriate technique. C. The client states that he understands. D. The client is able to write the steps on a piece of paper. Demonstrating the appropriate technique indicates that psychomotor learning has taking place. Discussing the appropriate technique, stating understanding, and writing down steps will demonstrate learning, but only actual demonstration by the client will allow the nurse to evaluate psychomotor learning.

2. A nurse in a providers office is collecting data from the mother of a 1-year-old child. The client states that her child is old enough for toilet training. Following an educational session by the nurse, the client now states that her earlier ideas have changed. She is now willing to postpone toilet traininguntil the child is older. Learning has occurred in which of the following domains of learning? A. Cognitive B. Affective C. Psychomotor D. Kinesthetic Affective learning has taken place, as evidenced by the clients changed ideas regarding toilet training. Cognitive learning would be demonstrated if the client could state the behaviors that her child will demonstrate when ready to toilet train. Psychomotor learning would be demonstrated if the client performed the proper techniques for introducing her child to toilet training. Kinesthetic learning is a learning style, not a domain of learning.

3. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn? A. I dont want my spouse to see my incision. B. Will you be able to give me pain medicine after the surgery? C. Can you tell me about how long the surgery will take? D. My roommate listens to everything I say. Asking a concrete question about the surgery indicates that the client is ready to discuss the surgery. The clients new diagnosis of cancer may cause anxiety, fear, or depression, all of which can interfere with the learning process. The clients concern about her spouse seeing the incision may indicate anxiety or depression. The clients request for pain medicine may indicate fear and anxiety. The lack of privacy due to the presence of a roommate may be a barrier to learning.