A nurse is teaching a patient how to change their surgical dressing. The patient is able to perform a return demonstration.
Which learning domain has been demonstrated?
Cognitive
Affective
Effective
Psychomotor
The Correct Answer is D
Choice A rationale
The cognitive domain involves knowledge and the development of intellectual skills. This includes the recall or recognition of specific facts and concepts that serve in the development of intellectual abilities and skills.
Choice B rationale
The affective domain includes the manner in which we deal with things emotionally, such as feelings, values, appreciation, enthusiasms, motivations, and attitudes.
Choice C rationale
The term “effective” is not recognized as a learning domain. It may be a typographical error.
Choice D rationale
The psychomotor domain includes physical movement, coordination, and use of the motor- skill areas. Development of these skills requires practice and is measured in terms of speed, precision, distance, procedures, or techniques in execution. Thus, when a patient is able to perform a return demonstration, such as changing their surgical dressing, it is the psychomotor domain that has been demonstrated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Delegation refers to the process of assigning responsibility or authority to another person to carry out specific activities. It is not the process of developing a shared governance structure within nursing.
Choice B rationale
Distribution refers to the process of making a product or service available for the consumer or business user who needs it. It is not the process of developing a shared governance structure within nursing.
Choice C rationale
Decentralization is the process of distributing or dispersing functions, powers, people or things away from a central location or authority. In the context of nursing, it refers to the process of developing a shared governance structure within nursing.
Choice D rationale
Dissemination refers to the act of spreading something, especially information, widely. It is not the process of developing a shared governance structure within nursing.
Correct Answer is B
Explanation
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
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