Deck 15: Communication in Health Teaching and Coaching

Question 1

A patient requires health teaching for exercises related to an arthritic shoulder. During an assessment, the patient tells the nurse, "I'm is a kinetic learner". What teaching resource should the nurse recommend to this patient?

A) Reading a book about arthritis
B) Watching an exercise video
C) Performing water aerobics
D) Listening to an exercise audiotape

Answer 1

Performing water aerobics

Question 2

What is defined as a major instructional strategy for making written and oral information easier to understand?

A) Self-management
B) Technology integration
C) Preferred learning styles
D) Plain language

Answer 2

Plain language

Question 3

A patient is newly diagnosed with diabetes mellitus. When planning a teaching session to review insulin administration with this patient, the nurse should implement what intervention?

A) Picking times for teaching when energy levels are low.
B) Scheduling teaching sessions during hospital visiting hours.
C) Reserving a specific block of time for health teaching.
D) Providing the patient with extensive information during 30-minute intervals.

Answer 3

Reserving a specific block of time for health teaching.

Question 4

What is factor that determines the appropriate use of either geragogy, pedagogy, or andragogy when teaching?

A) If a group is being taught
B) The preference of the teacher
C) The age of the learner
D) If a chronic illness is the topic

Question 5

The nurse has formulated a goal that "the patient will be able to accurately draw up the correct dose of insulin". The nurse recognizes that this goal as referring primarily to health teaching in which domain?

A) Affective
B) Psychomotor
C) Attitudinal
D) Cognitive

Question 6

A theoretical foundation for the use of teaching methodologies in which a patient is engaged as active partners in the learning process and helps the patient take responsibility for his or her own learning is known by what phrasing?

A) Skinner's behavioral approach.
B) Premack's principle.
C) Modeling.
D) Learner-centered health teaching.

Question 7

Educational standards requiring health care agencies to provide systematic health education and training for patients were established by organization?

A) American Nurses Association.
B) State Nurse Practice Acts.
C) The Joint Commission.
D) Medicare.

Question 8

A nurse, working with a patient in a drug rehabilitation center, provides positive reinforcement each time the patient demonstrates behavior that moves him closer to accomplishing the goal of remaining drug free. The nurse recognizes this type of reinforcement will motivate the patient to engage in the desired behavior. This type of reinforcement is referred to as what?

A) empowerment.
B) chaining.
C) modeling.
D) shaping.

Question 9

Which statement is true related to the delivery of home health care?

A) The nurse should expect to be considered a member of the family when entering the patient's home.
B) The nurse should arrive at the patient's home unannounced to get an accurate picture of the patient's situation.
C) Part of the teaching assessment includes appraisal of the home environment.
D) The nurse's hand hygiene should occur in the kitchen sink so that the client is aware of the practice.

Question 10

The concept that "the teacher must start where the learner is" was proposed by whom?

A) Skinner
B) Premack
C) Rogers
D) Taylor

Question 11

The nurse is caring for a patient who has a history of alcohol abuse. When formulating a goal that "the patient will be able to identify three physical effects of alcohol abuse," the nurse recognizes this goal as referring primarily to health teaching in which domain?

A) Cognitive
B) Affective
C) Psychomotor
D) Promoting acceptance

Question 12

What besides an individualized teaching approach is required to ensure successful learning outcomes?

A) Learner' self-management
B) Learner's readiness to learn
C) The evidence of skill mastery
D) Learner buy in

Question 13

The nurse is teaching a support group about schizophrenia. The format includes a 20-minute video, a didactic portion, and a discussion period. The nurse recognizes what fact about this situation to help assure teaching success?

A) The size of the audience will prevent the establishment of a mutual rapport.
B) Opening the discussion with humorous story grabs the audience's attention.
C) Minimal preparation is needed for a discussion directed towards a support group.
D) It is best to minimize eye contact with the audience to avoid embarrassment

Question 14

What is an important aspect to consider when preparing a presentation with slides for group teaching experience?

A) Limit the number of items per slide to no more than 6.
B) Use a large font so all participants can see from a distance.
C) Consider slides as the primary content for the presentation.
D) Be prepared with enough material for at least 5 minutes of extra discussion.

Question 15

Accurate documentation of patient health teaching is a critical component of quality care. When documenting in the patient's chart about health teaching for a patient admitted for alcoholism, What statement should the nurse make?

A) "Patient was educated on the physical complications of alcoholism."
B) "Patient received written and verbal instructions on diet and vitamin therapy."
C) "Patient was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance."
D) "Patient was able to identify five triggers for relapse and began to develop a relapse prevention plan."

Question 16

The nurse is caring for a patient who is diagnosed with both schizophrenia and cocaine abuse. The patient remains isolated in his room, refusing to attend unit activities. When implementing a behavioral approach, what is the first step the nurse should take?

A) Define specific consequences.
B) Describe the behavior requiring change.
C) Reframe the problem as a solution statement.
D) Identify the tasks in sequential order.

Question 17

Which of the following is an effective teaching objective?

A) The patient will be able to ambulate short distances around the nursing unit.
B) The patient will be able to learn subcutaneous self-administration of insulin.
C) The patient will be able to understand diabetes and its lifestyle implications.
D) The patient will be able to perform foot care correctly after three teaching sessions.