Exam 15: Teaching Patients and Their Families

A patient has been newly diagnosed with type 2 diabetes. The teaching begins in the hospital with an interdisciplinary approach and continues with outpatient classes. However, the patient continues to state, "I know I do not need to spend my time doing all this because I will be fine once I get out from under all this stress." The barrier to learning that the nurse recognizes and must deal with is the:

The nurse recognizes that new parents may be ready to learn about their newborn after the birth. What understanding leads the nurse to this conclusion?

Which example demonstrates the principle that all adults learn best from and in relation to their experiences?

A 63-year-old patient is uncertain whether she can self-inject her medication. Which would be most likely to be an effective strategy at this time?

Adult patients are adult learners. Knowing this, the nurse understands the assumptions about adult learners that will help the nurse plan and provide the appropriate education. Which statement provides proof that more instruction about adult learners is needed?

Persons seeking health care have increased autonomy and insist on taking an active role in their medical treatment decisions. What aspect of a nurse's role does this fact affect?

The nurse recognizes that, for learning to be effective, the patient must first have his or her basic and most immediate needs met. Which statement best indicates that the nurse clearly understands this principle?

Which patient characteristic must a nurse consider when planning teaching?

The nurse has just taught an adult patient with a new diagnosis of diabetes mellitus how to check blood glucose. The nurse should document:

Which fact would you select to describe the mandate by The Joint Commission (TJC) regarding educating patients? The training and education must be:

A nurse discusses home arrangements and safety factors related to emptying and changing the patient's new colostomy bag. The patient has strong concerns about visibility of any stored colostomy supplies. Which teaching-learning principle does this example demonstrate?

An 85-year-old patient with chronic health problems is being considered for placement in a long-term care facility after discharge from the hospital. What purpose does the cost-effective nursing strategy of patient teaching help to achieve?

The nurse is assessing a patient who needs teaching about how to care for her wound at home. The nurse knows to be sensitive about asking questions that cause embarrassment. Which question is stated in the best manner?

Which item would most likely be a barrier to learning for a patient who must begin to wear an insulin pump?

Assessment of patient learning is a required element of patient education. Shorter hospital stays make this step challenging, and we tend to evaluate learning immediately after teaching. What conclusion can be drawn from this?

Which item would most likely be a barrier to learning for a patient who must begin to care for a large open wound at home?

A 78-year-old patient has shortness of breath on very slight exertion. The physician has written an order for her to be taught about a 2-gram sodium diet. Based on these data, which factor would be likely to interfere with diet teaching?

The nurse recognizes that, to be an effective teacher, communication must be clear. In an educational session for a patient newly diagnosed with congestive heart failure, which statements by the nurse would demonstrate barriers to teaching? (Select all that apply.)

A home health nurse is teaching a patient about a new medication he will be starting in the morning. The patient lives with his son's family, including two spirited children less than 6 years old. The patient replies, "I just can't learn new information like I used to." The nurse will plan to:

An 18-year-old patient is scheduled for heart surgery tomorrow. To assess this patient's level of knowledge, the nurse would say: