Ch. 25 Patient Education

Question 1

A patient needs to learn how to use a walker. Which domain is required for leaning this skill?

Answer 1

Psychomotor domain

Question 2

The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (select all that apply)

Answer 2

When the patient states that he or she is pain free.

Just before lunch, when the patient is most awake and alert.

Question 3

a patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurses best plan in teaching this patient?

Answer 3

Provide only the information that the patient needs to go home

Question 4

The ____ is a closed-loop communication technique used to evaluate patient understanding and retention of material.

Answer 4

Teach back

Question 5

When planning for the instruction on cardiac diets to a patient with heart failure, which of the following instructional methods would be most appropriate for someone who identified as a visual/spatial learner?

Answer 5

Colored visual diagrams that categorize foods according to fat and sodium content

Question 6

A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situaion?

Answer 6

Telling approach

Question 7

The nurse is organizing a disease prevention program for a specific cultural group. To effectively meet the needs of this group the nurse will: (Select all that apply)

Answer 7

Involve those affected by the program in the planning process
Asses commonly held health beliefs among the cultural group
Include cultural practices that are relevant to the specific community

Question 8

An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse:

Answer 8

Allows the patient time to express his or herself and ask questions

Question 9

A patient needs to learn how to administer a subcutaneous injections. Which of the following reflects the patient is ready to learn?

Answer 9

Expressing the importance of learning the skill correctly

Question 10

A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use?

Answer 10

Demonstration

Question 11

When a nurse is teaching a patient about how to administer an epinephrine injection incase of a severe allergic reaction, the nurse tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use?

Answer 11

Anaology

Question 12

A nurse need to teach a young women newly diagnosed with asthma how to mange her disease. Which of the following topics does the nurse teach first?

Answer 12

How to use an inhaler during an asthma attack
The need to avoid people who smoke
Where to purchase a medical alert bracelet

Question 13

A nurse is teaching a group of young college age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse teaching?

Answer 13

Health promotion and illness prevention

Question 14

A nurse is teaching a 27 year old gentleman how to adjust his insulin dosage on the bases of his blood sugar results. This type of activity addresses learning in the cognitive domain at the level of ____?

Answer 14

Application

Question 15

A nurse is teaching a patient’s family member about permanent tube feedings at home. Which
purpose of patient education is the nurse meeting?

Answer 15

Coping with impaired functions

Question 16

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type
of patient education is the nurse providing?

Answer 16

Promotion of health and illness prevention

Question 17

A nurse’s goal is to provide teaching for restoration of health. Which situation indicates the nurse
is meeting this goal?

Answer 17

Teaching a teenager with a broken leg how to use crutches

Question 18

A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good
understanding of teaching/learning?

Answer 18

“Teaching is most effective when it responds to the learner’s needs.”

Question 19

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?

Answer 19

a. A nurse presents information about diabetes.
b. A patient demonstrates how to inject insulin.**
c. A family member listens to a lecture on diabetes.
d. A primary care provider hands a diabetes pamphlet to the patient.

Question 20

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse
include in the teaching session?

Answer 20

If you still do not understand, ask again.

Question 21

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating
yogurt is better than eating cake. Which element represents feedback?

Answer 21

The patient stating that eating yogurt is better than eating cake

Question 22

While preparing a teaching plan, the nurse describes what the learner will be able to accomplish
after the teaching session about healthy eating. Which action is the nurse completing?

Answer 22

Developing learning objectives

Question 23

A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with
a nurse. In which domain did learning take place?

Answer 23

Cognitive

Question 24

A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching
technique should the nurse use to enhance learning?

Answer 24

Role play

Question 25

A nurse is describing a patient’s perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute?

Answer 25

Self-efficacy

Question 26

A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient’s ability to learn?

Answer 26

Developmental capabilities and physical capabilities

Question 27

A nurse is teaching a patient about heart failure. Which environment will the nurse use?

Answer 27

A well-lit, ventilated room

Question 28

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn?

Answer 28

A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.

Question 29

A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority?

Answer 29

Focus on a patient’s learning needs and objectives.

Question 30

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension.

Answer 30

3, 1, 2, 4

Question 31

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate for the nurse to include in the teaching plan?

Answer 31

a. The patient will walk to the bathroom and back to bed using a cane.**** b. The patient will understand the importance of using a cane. c. The patient will know the correct use of a cane. d. The patient will learn how to use a cane.

Question 32

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)?

Answer 32

a. The patient will identify the main ingredients in several foods. b. The patient will list the side effects of epinephrine. c. The patient will learn about food labels. d. The patient will administer epinephrine.****

Question 33

After a teaching session on taking blood pressures, the nurse tells the patient, “You took that blood pressure like an experienced nurse.” Which type of reinforcement did the nurse use?

Answer 33

Social acknowledgment

Question 34

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic?

Answer 34

At lunchtime, while the nurse is preparing the food tray

Question 35

A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session?

Answer 35

Establish a rapport.

Question 36

A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use?

Answer 36

Return demonstration

Question 37

A Nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place?

Answer 37

A. The Client is able to discuss the appropriate technique B. The client is able to demonstrate the appropriate technique**** C. The client states an understanding of the process D. The client is able to write the steps on a piece of paper

Question 38

A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

Answer 38

"Can you tell me about how long the surgery will take?"

Question 39

A nurse is preparing an instructional session for a client about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client?

Answer 39

A. Encourage the client to participate actively in learning B. Select instructional materials C. Identify goals the nurse and the client agree are reasonable D. Determine what the client knows about stress incontinence****

Question 40

The nurse is evaluating how well a client learned the information presented in an instructional session about about following a heart healthy diet. Which action should the nurse take to evaluate the clients learning?

Answer 40

Ask the client to explain how to select or prepare meals