Deck 5: Patient and Family Teaching

Question 1

The nurse applies principles of adult education when teaching a new diabetic about the disease by

A) explaining that making lifestyle changes and taking medications correctly will help the patient start to feel better right away.
B) informing the patient that a home health nurse will be scheduled to visit and evaluate how well the patient is managing the disease.
C) telling the patient that learning about diabetes will be an opportunity for a completely new life experience.
D) advising the patient that this information is needed to manage the disease and maintain long-term health.

Answer 1

explaining that making lifestyle changes and taking medications correctly will help the patient start to feel better right away.

Question 2

While admitting a patient to the medical unit, the nurse learns that the patient does not read well. This information will guide the nurse in determining

A) which instructional strategies should be used in teaching.
B) the degree of the patient's motivation to learn.
C) what information the patient will be able to understand.
D) that the family must be included in the teaching process.

Answer 2

which instructional strategies should be used in teaching.

Question 3

A patient has just been diagnosed with breast cancer following a needle biopsy of a breast lump. The nurse plans teaching for the patient to meet the goal of

A) preventing the recurrence of the tumor.
B) learning skills to live with the disease.
C) selecting and using treatment options.
D) minimizing adverse effects of treatment.

Answer 3

selecting and using treatment options.

Question 4

The nurse in the hospital has implemented a teaching plan to assist a patient with rheumatoid arthritis in accomplishing daily activities independently. To evaluate the patient's long-term response to the teaching, the best action by the nurse will be to

A) check the patient's ability to bathe without any assistance the next day.
B) make a referral to the home health nursing department for home visits.
C) arrange a physical therapy visit before the patient is discharged from the hospital.
D) have the patient demonstrate the taught skills again at the end of the teaching session.

Question 5

After the nurse implements diet instruction with a patient with heart disease, the patient can explain the information but fails to make the recommended dietary changes. The nurse's evaluation is that

A) learning did not occur because the patient's behavior did not change.
B) choosing not to follow the diet is the behavior that resulted from learning.
C) the nursing responsibility for helping the patient make dietary changes has been fulfilled.
D) the teaching methods were ineffective in helping the patient learn the dietary information.

Question 6

To assess a patient's readiness to learn before planning teaching activities, the most appropriate question for the nurse to ask is,

A) "What kind of work and leisure activities do you do?"
B) "What information do you think you need right now?"
C) "Do you have any religious beliefs that are inconsistent with the treatment?"
D) "Can you describe the types of activities that help you learn new information?"

Question 7

When the nurse is planning teaching for a patient who needs to improve skills in being more assertive, the most effective teaching strategy will be

A) lecture-discussion.
B) role playing.
C) peer teaching.
D) printed materials.

Question 8

To evaluate how effective teaching has been for the following teaching objective, "The patient will select a 2000-mg sodium diet from the hospital menu daily for 3 days with 90% accuracy," the nurse will

A) ask the patient to identify which foods on the daily menu are highest in sodium.
B) total the sodium content of the foods the patient has eaten for the last 3 days.
C) note the food selected on three daily menus and determine whether the daily sodium content is within 1800 to 2200 mg.
D) compare the patient's sodium intake over the next 3 days with the sodium intake before the teaching was implemented.

Question 9

When assessing the learning needs for a patient who has coronary heart disease, the nurse finds that the patient has recently made dietary changes to decrease fat intake and has stopped smoking. The best initial response by the nurse at this time is,

A) "You have already accomplished some changes that are important in heart health."
B) "Although those are important, it is essential that you make other changes, too."
C) "Which additional changes in your lifestyle would you like to implement at this time?"
D) "Are you having any difficulty in maintaining the changes you have already made?"

Question 10

The nurse identifies a nursing diagnosis of ineffective health maintenance related to low motivation based on the finding that the diabetic patient

A) does not perform capillary blood glucose tests as directed.
B) occasionally forgets to take the daily prescribed medication.
C) says that dietary intake does not seem to impact fatigue level.
D) cannot identify signs or symptoms of high and low blood glucose.

Question 11

A newly diagnosed diabetic patient who will need instruction about diet, exercise, and insulin use tells the nurse, "I think that the most important thing I need to control my blood sugar is how to give my own insulin." During implementation of the teaching plan, the nurse will initially focus on

A) demonstrating how to draw up and administer the prescribed insulin.
B) teaching the patient that changes in diet can help decrease insulin use.
C) describing how exercise can be used to decrease the need for insulin.
D) giving the patient written material with information about how insulin works.

Question 12

A 73-year-old Latino patient is seen at the health clinic and diagnosed with protein malnutrition. When developing a plan to teach the patient about meeting dietary needs, the first action by the nurse should be to

A) encourage the patient to use milk and meat as primary protein intake sources.
B) focus on the use of combinations of beans and rice to improve daily protein intake.
C) ask the patient to record the intake of all foods and beverages for a 3-day period.
D) stress the need to increase protein intake through the use of liquid supplements.

Question 13

A postoperative patient says it hurts too much to deep breathe and cough every 2 hours and refuses to carry out the activity. The best initial action by the nurse is to

A) explain how coughing and deep breathing will decrease the risk of complications.
B) respect the patient's wishes and assist the patient to turn side-to-side more frequently.
C) enlist the help of the health care provider in reinforcing the need to cough and deep breathe.
D) document the patient's refusal to cough and deep breathe in the patient's chart.

Question 14

A patient admitted to the hospital with hyperglycemia and diagnosed with diabetes mellitus is scheduled for discharge the second day after admission. In view of the patient's limited hospitalization, the nurse should plan to

A) include detailed information about diet and medication use in patient teaching.
B) use every interaction to teach the patient about the details of glucose control.
C) focus on teaching the family instead of the patient about diabetic management.
D) teach the patient about how to monitor glucose and self-administer insulin.

Question 15

The nurse is preparing written handouts to be used as part of the standardized teaching plan for patients who have been recently diagnosed with diabetes. Which statement best reflects the appropriate reading level?

A) Polyphagia, polydipsia, and polyuria are common symptoms of diabetes mellitus.
B) Some diabetics control blood glucose with oral medications or nutritional interventions.
C) The use of the right foods can help in keeping blood sugar at a near-normal level.
D) Diabetes mellitus is characterized by chronic hyperglycemia and the associated symptoms.

Question 16

The nurse is teaching a patient with peripheral vascular disease about foot care. A correctly written learning objective is,

A) "The nurse will instruct the patient on appropriate foot care before discharge."
B) "The patient will list three ways to protect the feet from injury by discharge."
C) "The nurse will demonstrate for the patient the proper technique for trimming toenails."
D) "The patient will understand the rationale for proper foot care after instruction."

Question 17

When using the Transtheoretical Model of Health Behavior Change during patient teaching, the nurse identifies that the patient who states, "I told my wife that I was going to start exercising, and I think I will join a fitness club," is in the stage of

A) contemplation.
B) preparation.
C) maintenance.
D) termination.