The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Assess the clients pain level

Ask the client to demonstrate use of the incentive spirometer

Develop a short-term goal for the client

Provide instructions on how to use the incentive spirometer

Answer and Explanation

The Correct Answer is B

A. Assess the client's pain level: Assessing the client's pain level is part of the assessment step, not the evaluation step.
B. Ask the client to demonstrate use of the incentive spirometer: Asking the client to demonstrate use of the incentive spirometer is a way to evaluate whether the client has understood and can perform the skill.
C. Develop a short-term goal for the client: Developing a short-term goal is part of the planning step, not the evaluation step.
D. Provide instructions on how to use the incentive spirometer: Providing instructions is part of the implementation step, not the evaluation step.

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Correct Answer is C

Explanation

A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.

A. Discuss the benefits of losing weight B. Encourage the client to share their feelings about dietary habits C. Review strategies for losing weight D. Create a diet for the client

Correct Answer is C

Explanation

A. Discuss the benefits of losing weight: This might involve informing the client (knowledge acquisition), but it doesn't necessarily involve a higher-level cognitive process.
B. Encourage the client to share their feelings about dietary habits: Sharing feelings involves the affective domain, which includes emotions and attitudes.
C. Review strategies for losing weight: By reviewing strategies for losing weight, the nurse is helping the client understand and apply information about healthy weight management techniques. This goes beyond memorization and encourages the client to think critically about their weight loss plan.
D. Create a diet for the client: Creating a diet for the client is more of an action plan and could involve multiple domains, but it primarily involves the psychomotor domain when it comes to implementation.

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The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In what patient situations would a focused assessment be best to perform?

Correct Answer is C

Explanation

A nurse is teaching a client who wishes to lose weight. Which of the following teaching methods use the cognitive domain of learning?

Correct Answer is C

Explanation

During an interaction with a client, the nurse notes the patient remains silent. What would be appropriate nurse responses for this interaction? (Select all that apply)

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

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A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?