A nurse is utilizing the cognitive domain of learning to teach a patient about the prevention of inflammation.
Which of the following is an appropriate goal for this patient?

Patient will check his blood sugar every day until his follow-up appointment.

Patient will discuss their feelings about required dietary changes (anti inflammatory diet) by discharge.

Patient will state 3 ways to avoid his known triggers (cat dander and pollen) by the end of the shift.

Patient will demonstrate proper use of inhaler by end of the shift.

Answer and Explanation

The Correct Answer is C

This is because the cognitive domain of learning involves knowledge and understanding of information. By stating 3 ways to avoid his triggers, the patient demonstrates that he has learned and comprehended the information about prevention of inflammation.

Choice A is wrong because it belongs to the psychomotor domain of learning, which reflects learning behavior achieved through neuromuscular motor activities. Checking blood sugar is a physical skill, not a cognitive one.

Choice B is wrong because it belongs to the affective domain of learning, which characterizes the emotional arena reflected by learners’ beliefs, values and interests.

Discussing feelings about dietary changes is an affective outcome, not a cognitive one.

Choice D is wrong because it also belongs to the psychomotor domain of learning, as it involves demonstrating proper use of inhaler, which is another physical skill.

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Correct Answer is A

Explanation

The SBAR is used to organize and standardize communication between members of the health care team about a patient’s condition. It is an acronym for Situation, Background, Assessment, and Recommendation.

Choice B is wrong because the SBAR is not used to help Physical Therapy determine the client’s abilities.

Physical Therapy may use other tools or methods to assess the client’s functional status.

Choice C is wrong because the SBAR is not used to help physicians with diagnoses.

The SBAR is a communication tool, not a diagnostic tool.

Physicians may use other sources of information or tests to make diagnoses.

Choice D is wrong because the SBAR is not used to educate clients about their disease processes.

The SBAR is a tool for interprofessional communication, not for patient education.

Clients may receive education from other sources or materials.

A. Place the client on a cardiac monitor. B. Administer a laxative as ordered. C. Place the client on seizure precautions. D. Restrict high potassium foods.

Correct Answer is A

Explanation

This is because hypokalemia (low potassium level in the blood) can cause abnormal heart rhythms (arrhythmia) that can be life-threatening and require urgent medical attention. A cardiac monitor can help detect and treat any arrhythmia that may occur.

Choice B is wrong because administering a laxative can worsen hypokalemia by causing more potassium loss through the digestive tract. Laxative use is one of the possible causes of hypokalemia.

Choice C is wrong because placing the client on seizure precautions is not a priority intervention for hypokalemia. Seizures are not a common symptom of hypokalemia, although muscle weakness and cramps may occur.

Choice D is wrong because restricting high potassium foods is not a priority intervention for hypokalemia. In fact, increasing potassium intake through foods or supplements may be helpful in less serious cases of hypokalemia. However, this should be done according to the doctor’s recommendation and with careful monitoring of blood potassium levels.

Normal blood potassium levels for an adult range from 3.6 to 5.2 millimoles per liter (mmol/L). A very low potassium level (less than 2.5 mmol/L) can be life threatening.

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A nurse is utilizing the cognitive domain of learning to teach a patient about the prevention of inflammation. Which of the following is an appropriate goal for this patient?

Nursing Test Bank

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A nurse is utilizing the cognitive domain of learning to teach a patient about the prevention of inflammation.
Which of the following is an appropriate goal for this patient?