Deck 12: Patient Teaching

Question 1

A nurse is caring for a visually impaired client who requires discharge instructions.When speaking with the client, the nurse should do which of the following?

A)Face the client directly.
B)Ensure that the client can see the nurse's lips.
C)Sit in front of a window.
D)Provide the client with larger-print handouts.

Answer 1

Provide the client with larger-print handouts.

Question 2

An LPN/LVN is assisting the RN in caring for a client who is newly diagnosed with chronic obstructive pulmonary disease (COPD).The client cares for a spouse at home who also has COPD.When formulating a nursing diagnosis for this client, the RN selects "Readiness for enhanced knowledge." The RN sits down with the client and presents the information included in his or her teaching plan.Which step in the nursing process would this be considered?

A)Planning
B)Evaluation
C)Assessment
D)Implementation

Answer 2

Implementation

Question 3

A nurse is caring for a client who is newly diagnosed with Graves disease.The nurse selects the nursing diagnosis "Readiness for enhanced knowledge." What should the nurse do next?

A)Create a written teaching plan.
B)Perform an admission assessment.
C)Evaluate the client's response to the interventions.
D)Present the information in the teaching plan to the client.

Answer 3

Create a written teaching plan.

Question 4

A client who underwent a carotid endarterectomy asks a nurse about care for his neck incision.The client informs the nurse that he is an auditory learner.The nurse determines that the client will learn best by:

A)Watching while the nurse performs incision care.
B)Reading a pamphlet about how to perform incision care.
C)Opening the dressing and applying ointment to the incision.
D)Listening to the nurse's verbal instructions about care of the incision.

Question 5

A nurse is caring for a client who can speak and understand some English but is not fluent.The nurse should:

A)Ask one of the client's children to help with interpretation.
B)Use a professional or certified interpreter from the hospital's list of available interpreters.
C)Ask one of the client's adult family members to help with interpretation.
D)Find a nonfamily member in the waiting room who speaks the same language as the client.

Question 6

The nurse is caring for a client who is 75 years old.When teaching the client, the nurse should:

A)Explain things quickly.
B)Use plenty of repetition.
C)Continue without explanation when the client says, "I already read this handout."
D)Keep explanations short to reduce the time spent teaching.

Question 7

A nursing instructor explains that for learning to truly take place, the information must be reinforced.A student demonstrates understanding by saying which of the following?

A)"I must first teach clients about the history of their conditions."
B)"I must make sure several times that the client knows what medications will be prescribed."
C)"I must introduce the most important topic at discharge, so the client will remember it."
D)"I must slowly explain the disease process to the client."

Question 8

The nurse is caring for a client with diabetes who has just been educated on how to monitor and manage blood glucose levels.Which questions asked by the nurse will effectively evaluate the client's understanding?

A)"Do you have any relatives who have diabetes?"
B)"Can you show me how to use your blood glucose machine?"
C)"Can you explain what actions to take if your blood glucose is low?"
D)"What will you do if your blood glucose is too high?"
E)"How do you dispose of used insulin needles?"

Question 9

Which of the following are examples of wellness strategies? Select all that apply.

A)Providing tips on how to quit smoking
B)Emphasizing the appropriate amount of water to drink per day
C)Emphasizing how to reduce the amount of unhealthy foods consumed
D)Providing tips on changing how much alcohol one consumes
E)Emphasizing the importance of regular exercise

Question 10

A client has just been diagnosed with noninsulin-dependent diabetes mellitus (NIDDM).The client asks a nurse about potential complications related to his or her illness.The nurse states that it can lead to which of the following? Select all that apply.

A)Nerve pain
B)Blindness
C)Heart disease
D)Lung disease
E)Poor circulation

Question 11

A nurse is supervising a student nurse.When providing client teaching, the nurse intervenes when the student nurse states which of the following?

A)"You are doing great."
B)"Show me again how well you can do that."
C)"Why didn't you do it the way that I showed you?"
D)"I'm so glad that you remembered that.It is important."

Question 12

A nurse is caring for a client whose primary language is different from the nurse.The client needs preoperative.The nurse best demonstrates a caring demeanor through which of the following actions?

A)Speaking more slowly to the client
B)Facing the client when speaking to him or her
C)Writing communication down for the client
D)Arranging for an interpreter or translator to be present

Question 13

A nurse is caring for a client who is newly diagnosed with type 2 diabetes mellitus.The client requires teaching about antidiabetic medications, including when to take them, what effects are expected, and negative side effects to report if they occur.Which nursing diagnosis does the LPN/LVN expect to be used for this client?

A)Deficient knowledge.
B)Diabetes knowledge deficit.
C)Risk for deficient knowledge.
D)Readiness for enhanced knowledge.

Question 14

The nurse is caring for a 7-year-old client.The nurse is providing education to the client about receiving vaccinations.Which is an appropriate action for the nurse to take when teaching the client?

A)Avoid sharing that it will be uncomfortable.
B)Use a pamphlet to describe the benefits of vaccines.
C)Allow the client to model giving vaccinations on a teddy bear.
D)Explain the vaccination process to the client's guardian rather than the client.

Question 15

A nurse is caring for a client who requires teaching about a heart-healthy diet.The client states that she is a visual learner.When selecting handouts for the client to read, the nurse ensures the handouts:

A)Contain detailed sentences.
B)Use appropriate medical terminology.
C)Clearly define medical terms.
D)Are written at a seventh-grade reading level.

Question 16

The nurse is preparing to teach a client how to take blood glucose levels.The client notes, "I'll understand this better if I do the task with your guidance." Which type of learner is the client?

A)Visual
B)Auditory
C)Kinesthetic
D)Verbal

Question 17

A client has just been diagnosed with terminal lung cancer.When the client becomes visibly upset, the nurse sits quietly with the client.In doing this, the nurse best demonstrates an understanding of which of the following?

A)Establishing a nursing diagnosis
B)Assessing client readiness to learn
C)Implementing client teaching
D)Evaluating client understanding

Question 18

A client who is recovering from a myocardial infarction (MI)asks a nurse about following a heart-healthy diet.The client states that she is primarily a visual learner.Which activity will best help the client learn about a heart-healthy diet?

A)Chopping up fruits and vegetables to eat
B)Listening to an audiotape about a heart-healthy diet
C)Reading a chapter in a book about a heart-healthy diet
D)Attending a lecture in which the speaker talks about a heart-healthy diet

Question 19

For clients who have been newly diagnosed with a disease, which of the following would receive the nursing diagnosis "Deficient knowledge"? Select all that apply.

A)The client has never heard of the disease.
B)The client cared for a family member who had the same disease.
C)The client understands how their disease was diagnosed.
D)The client does not understand the medications used to treat their disease.
E)The client knows treatments for their disease.

Question 20

When conducting an in-service about weight reduction, a nurse recognizes that participants will have accomplished true learning when they are able to demonstrate that they can do which of the following? Select all that apply.

A)Adhere to a healthier diet
B)Memorize isolated facts
C)Exercise three times per week
D)Consume fewer processed foods
E)Recite a list of heart-healthy foods

Question 21

An LPN/LVN assists with educating a client who has just been diagnosed with rheumatoid arthritis.The client asks where he can find information on the Internet.The nurse's best recommendation is to view which of the following sites? Select all that apply.

A)A blog about arthritis
B)Mayo Clinic's website
C)Wikipedia
D)A commercial site
E)Websites ending in ".org" or ".gov"