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 B
Explanation
Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.
Correct Answer is A
Explanation
Choice A rationale
Unfreezing is the first stage of Lewin’s Change Theory. It involves overcoming resistance to change and preparing for the upcoming change. In this case, the patient expressing interest in quitting smoking and asking about smoking cessation aids indicates that they are in the unfreezing stage.
Choice B rationale
Moving is the second stage of Lewin’s Change Theory. It involves taking the necessary steps towards change.
Choice C rationale
The term “Action” is not recognized as a stage in Lewin’s Change Theory.
Choice D rationale
Refreezing is the final stage of Lewin’s Change Theory. It involves establishing the change as a new habit, so it becomes the "norm"4.
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