Deck 12: Patient Teaching

Question 1

A patient who is recovering from a myocardial infarction (MI) asks a nurse about following a heart-healthy diet. The patient states that she is primarily a visual learner. The nurse determines that the patient will learn best by

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.

Answer 1

Reading a chapter in a book about a heart-healthy diet.

Question 2

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

A) Ask one of the patient'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 patient's adult family members to help with interpretation.
D) Find a nonfamily member in the waiting room who speaks the same language as the patient.

Answer 2

Use a professional or certified interpreter from the hospital's list of available interpreters.

Question 3

A nurse is instructing a student nurse about the best methods to use when teaching a kinesthetic learner. The student nurse demonstrates understanding when stating:

A) "A kinesthetic learner learns best by doing."
B) "A kinesthetic learner learns best by seeing."
C) "A kinesthetic learner learns best by reading."
D) "A kinesthetic learner learns best by watching."

Answer 3

"A kinesthetic learner learns best by doing."

Question 4

A nurse is caring for a patient who is newly diagnosed with diabetes mellitus type B. The patient requires teaching about antidiabetic medications, including when to take them, what effects are expected, and negative side effects to report if they occur. When formulating a nursing diagnosis for this patient, the nurse selects

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

Question 5

The most appropriate teachable moment to discuss with the patient that his or her weight gain is being caused by fluid and not food intake would be during

A) Meals.
B) Daily weights.
C) Medication administration.
D) Bathing and personal care.

Question 6

A nurse demonstrates an understanding of how to evaluate what he or she has taught a patient when

A) Having the patient restate what has been taught.
B) Asking the patient to give a return demonstration of a new task.
C) Asking questions to determine understanding.
D) All of the above.

Question 7

A nurse is caring for a patient who requires preoperative teaching and who does not speak the same language as the nurse. The nurse best demonstrates a caring demeanor by

A) Speaking more slowly to the patient.
B) Facing the patient when speaking to him or her.
C) Providing the patient with written communication.
D) Arranging for an interpreter or translator to be present.

Question 8

A nurse is caring for a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). The patient has limited knowledge about COPD and states that he is primarily a kinesthetic learner. The nurse determines that the patient will learn best by

A) Watching a video about management of COPD.
B) Placing medications used to treat COPD in a pill organizer.
C) Listening to an audiotape about the pathophysiology of COPD.
D) Reading a pamphlet about pharmacological treatments for COPD.

Question 9

A nurse educates a patient with newly diagnosed diabetes about his illness. The patient asks where he can find information on the Internet. The nurse's best recommendation is

A) A blog.
B) WebMD.
C) Wikipedia.
D) A commercial site.

Question 10

A nurse is supervising a student nurse. When providing patient teaching, the nurse intervenes when the student nurse states:

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 11

A nurse is caring for a patient who is newly diagnosed with diabetes mellitus type B. The patient cares for a spouse at home who also has diabetes mellitus type B. When formulating a nursing diagnosis for this patient, the nurse selects

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

Question 12

A nursing instructor educates a student nurse about health-promotion strategies. The instructor recognizes that additional instruction is needed when the student nurse states:

A) "I will encourage patients to consume fewer fresh fruits."
B) "I will encourage patients to exercise three times a week."
C) "I will instruct patients about stress-modification strategies."
D) "I will encourage patients to consume more fresh vegetables."

Question 13

A nursing instructor is teaching a student nurse about the best methods to use when teaching an auditory learner. The student nurse demonstrates understanding when stating:

A) "An auditory learner learns best by doing."
B) "An auditory learner learns best by seeing."
C) "An auditory learner learns best by reading."
D) "An auditory learner learns best by listening."

Question 14

A nurse is caring for a patient who is newly diagnosed with Graves disease. The nurse selects the nursing diagnosis "Readiness for enhanced knowledge." Next, the nurse should

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

Question 15

A patient who underwent a carotid endarterectomy asks a nurse about care for his neck incision. The patient informs the nurse that he is an auditory learner. The nurse determines that the patient 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 16

A nurse is caring for a patient who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The patient cares for a spouse at home who also has COPD. When formulating a nursing diagnosis for this patient, the nurse selects "Readiness for enhanced knowledge." When the nurse sits down with the patient and presents the information included in his or her teaching plan, the nurse is performing the step in the nursing process called

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

Question 17

An instructor teaches that it is important for nurses to emphasize changing unhealthy practices like smoking, eating unhealthy foods, and using alcohol. The instructor identifies that these are all examples of

A) Teachable moments.
B) Wellness strategies.
C) Nursing diagnosis.
D) Reinforcement.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 18

A nurse is instructing a student nurse about the best methods to use when teaching a visual learner. The nurse determines that additional instruction is needed when the student nurse states:

A) "A visual learner learns best by seeing."
B) "A visual learner learns best by reading."
C) "A visual learner learns best by touching."
D) "A visual learner learns best by watching."

Question 19

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

A) "I must first teach patients about the history of their conditions."
B) "I need to make sure the patient knows what medications will be prescribed."
C) "I must return to the most important topic and teach it again last so the patient will remember it."
D) "I must slowly explain the disease process to the patient."

Question 20

When creating handouts for patients, a nurse should keep the handouts at the reading level of a

A) Fourth grader.
B) Fifth grader.
C) Sixth grader.
D) Seventh grader.

Question 21

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

A) Face the patient directly.
B) Ensure that the patient's glasses are on.
C) Sit in front of a light that causes a glare.
D) Provide the patient with larger-print handouts.
E) Offer the patient handouts with small print.

Question 22

A patient has just been informed that he or she has terminal lung cancer. A nurse best demonstrates a caring demeanor when doing which of the following?

A) Teaching the patient about how to take his or her medications
B) Sitting quietly with the patient
C) Providing a supportive environment
D) Allowing the patient time to think about his or her diagnosis
E) Educating the patient about treatments for cancer

Question 23

A nurse is caring for a patient who requires discharge teaching. When performing patient teaching, the nurse should do which of the following?

A) Sit near the patient.
B) Stand over the patient.
C) Sit far from the patient.
D) Allow time for the patient to absorb information.
E) Present several pieces of information at once.

Question 24

A patient is newly diagnosed with noninsulin-dependent diabetes mellitus (NIDDM). The patient asks a nurse about potential complications related to his or her illness. The nurse states that it can lead to which of the following?

A) Neuropathy
B) Retinopathy
C) Heart disease
D) Renal disease
E) Poor circulation

Question 25

When educating a patient about wellness strategies, a nurse instructs the patient to do which of the following?

A) Maintain a healthy weight.
B) Increase consumption of sweets.
C) Learn stress-reduction strategies.
D) Increase consumption of alcohol.
E) Increase consumption of legumes.

Question 26

A nurse is caring for a patient who requires preoperative teaching. When performing patient teaching, the nurse should do which of the following?

A) Ask the patient for feedback.
B) Ensure that the patient is comfortable.
C) Provide teaching in a lecture format.
D) Refrain from asking the patient questions.
E) Establish a comfortable room temperature.

Question 27

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?

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 28

A nurse is caring for a patient who requires teaching about a heart-healthy diet. The patient states that she is a visual learner. The nurse recognizes that a visual learner learns by seeing, reading, and watching. When selecting handouts for the patient to read, the nurse ensures which of the following about the handouts?

A) They are in simple language.
B) They include short sentences.
C) They clearly define medical terms.
D) They are written in complex language.
E) They are at a fifth-grade reading level.

Question 29

When teaching the elderly, a nurse should do which of the following?

A) Be very patient.
B) Use plenty of repetition.
C) Allow limited time for teaching.
D) Ignore cues that the patient does not understand.
E) Have a caregiver or family member present.

Question 30

When teaching children, a nurse should do which of the following?

A) Always tell the truth.
B) Use teaching pamphlets created for adults.
C) Emphasize the importance of hand washing.
D) Refrain from telling a child that something will hurt.
E) Use a doll or teddy bear as the patient when explaining a procedure.