A nurse is teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?

Lecture.

Role play.

Query and answer.

Teach-back.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Lecture is a passive teaching method where the educator provides information to the learner without requiring immediate participation or verification of understanding. It is useful for delivering large amounts of information to groups but does not allow the nurse to assess the client's actual retention or physical ability to perform a task. In this scenario, the nurse is actively seeking a demonstration of understanding from the client, which exceeds the scope of a lecture.

Choice B rationale

Role play involves the nurse and client acting out a scenario to practice social or communication skills. While it can be used for teaching, it is usually focused on emotional responses or complex interpersonal interactions rather than the verification of a specific technical procedure like eye drop instillation. The nurse in this question is asking for a verbalization of steps rather than acting out a situational scenario between two distinct characters or roles.

Choice C rationale

Query and answer, or question and answer, is a method used to clarify specific points or address gaps in knowledge. While the nurse is asking the client a question, the specific intent of asking the client to explain the entire procedure back is a structured pedagogical technique. Query and answer sessions are typically more fragmented and focused on individual facts rather than a comprehensive assessment of the client's ability to synthesize and repeat instructions.

Choice D rationale

Teach-back is a formal evidence-based communication loop where the nurse asks the client to explain the information or procedure in their own words. This method confirms that the client understands the teaching and allows the nurse to correct any misconceptions immediately. It is the gold standard for verifying health literacy and ensuring safety in self-administration of medications. By having the client explain the steps, the nurse ensures the instructions were clear and understood.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Hyperthyroidism is a metabolic condition characterized by an overactive thyroid gland, leading to symptoms like weight loss, tachycardia, and anxiety. While it can cause tremors or muscle weakness in severe cases, it is not traditionally classified as a primary or high-risk factor for falls compared to sensory deficits. Medical management usually stabilizes these symptoms. Fall risk assessments prioritize factors that directly impair the patient's ability to perceive their environment or maintain physical balance.

Choice B rationale

Hearing impairment can affect a person's awareness of their surroundings and their ability to hear warnings or verbal cues. While it is a sensory deficit, it does not impact physical stability or depth perception as significantly as visual impairment does. Most fall risk assessment tools, like the Morse Fall Scale, focus more heavily on gait, history of falling, and visual cues. Hearing loss is a concern for communication but is not the primary physiological driver of falls.

Choice C rationale

Hyperlipidemia involves elevated levels of lipids in the blood, which increases the long-term risk for cardiovascular disease and stroke. It is a chronic metabolic condition that does not acutely affect a patient’s balance, strength, or coordination. Unless the condition leads to a secondary event like a stroke, it does not contribute to the immediate risk of falling. Therefore, it is rarely included in the criteria used by nurses to determine a patient's fall risk.

Choice D rationale

Visual impairment is a significant risk factor for falls because it directly affects a client’s ability to navigate their environment safely. Reduced acuity, loss of peripheral vision, or poor depth perception makes it difficult to see obstacles, changes in floor levels, or hazards like spills. The inability to process visual information accurately leads to missteps and loss of balance. Ensuring adequate lighting and the use of corrective lenses is a standard intervention for these high-risk clients.

A. The client should try to take in all of the required dietary fiber with the morning meal. B. The client should drink two to three 8 oz glasses of water each day. C. The client should follow a high-fiber diet to establish bowel regularity. D. The client should be taught that the goal of therapy is to have a bowel movement daily.

Correct Answer is C

Explanation

Choice A rationale

Consuming all required fiber during a single meal is not recommended because it can cause significant gastrointestinal distress, including bloating, gas, and abdominal cramping. Fiber intake should be distributed evenly throughout the day across multiple meals to promote consistent peristalsis and easier passage of stool. A sudden bolus of fiber in the morning can overwhelm the digestive system and may not effectively manage chronic constipation as well as a steady, balanced intake of fibrous foods.

Choice B rationale

Drinking only two to three 8 oz glasses of water per day is insufficient for a client with chronic constipation. Adequate hydration is necessary to soften stool and allow fiber to work effectively. Most adults require at least 1,500 mL to 2,000 mL of fluid daily, which equates to roughly eight 8 oz glasses. Insufficient water intake while increasing fiber can actually worsen constipation by creating hard, dry stools that are difficult for the colon to move.

Choice C rationale

A high fiber diet is the primary non pharmacological intervention for establishing bowel regularity. Dietary fiber increases the bulk of the stool and stimulates the lining of the colon, which triggers the muscles to contract and move contents along. For clients with irregular bowel habits, consistent fiber intake helps regulate the timing and consistency of movements. Foods such as whole grains, fruits, and vegetables should be increased gradually to prevent discomfort and ensure long term adherence.

Choice D rationale

While many people believe that a daily bowel movement is necessary, the goal of therapy should be a frequency that is normal for the individual, which can range from three times per day to three times per week. Focusing on a daily movement can lead to the overuse of laxatives or unnecessary anxiety. The clinical goal is to ensure that stools are soft, easy to pass, and occur at a regular frequency without the need for straining or chemical stimulants.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

Correct Answer is D

Explanation

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

Correct Answer is C

Explanation

During a pulse deficit assessment, the nurse compares the apical pulse rate to which peripheral pulse rate?

A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

A nurse is teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

A nurse is caring for a client who reports insomnia. The nurse should monitor the client for which of the following adverse effects of sleep deprivation? (Select all that apply.)

A nurse is assessing an older adult client. Which of the following findings should the nurse expect?

A client is scheduled to have heart surgery and informs the nurse that she does not want any life saving measures done should there be any complications. Which of the following responses by the nurse is appropriate?