Chapter 25: Patient Education Flashcards
A patient needs to learn to use a walker. Which domain is required for learning this skill?
- Affective domain
- Cognitive domain
- Attentional domain
- Psychomotor domain
Answer: 4.
Using a walker requires the integration of mental and muscular activity.
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)
- When there are visitors in the room
- When the patients pain medications are wokring
- Just before lunch, when the patient is most awake and alert
- When the patient is talking about current stressors in his or her life
Answer: 2, 3.
Plan teaching when the patient is most attentive, receptive, alert, and comfortable.
A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse’s best plan in teaching this patient?
- Teach the patients spouse
- Focus on knowledge the patient will need in a few weeks
- Provide only information that the patient needs to go home
- Convince the patient that learning about her health in necessary
Answer: 3.
This patient is in denial; thus it is appropriate to only give her information that is needed immediately.
The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes?
- Provide information using a lecture
- Use simple words to promote understanding
- Develop topics for discussion that require problem solving
- Complete an extensive literature search focusing on eating disorders
Answer: 3.
Adolescents learn best when they are able to use problem solving to help them make choices.
A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient’s ability to perform the examination?
- The patient will verbalize the steps involved in breast self-examination within one week
- The nurse will explain the importance of performing breat self-examination once a month
- The patient will perform breast self-examination correctly on herself before the end of the teaching session
- The nurse will demonstrate breast self-examination on a breast model provided by the American Cancer Society
Answer: 3.
Return demonstration provides an excellent source of feedback and reinforcement to evaluate learning.
A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation?
- Telling approach
- Selling approach
- Entrusting approach
- Participating approach
Answer: 1.
The telling approach is most appropriate when preparing a patient for an emergency procedure.
The nurse is teaching a parenting class to a group of pregnant adolescents. The nurse pretends to be the baby’s father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach did the nurse use?
- Role play
- Discovery
- An analogy
- A demonstration
Answer: 1.
In role play people are asked to play themselves or someone else in a situation to enhance their confidence in handling that situation in the future.
An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse:
- Speaks loudly
- Presents the information once
- Expects the patient to understand the information quickly
- Allows the patient time to express himself or herself and ask questions
Answer: 4.
When teaching older adults, it is important to establish rapport, involve them in their care, and allow them to progress at their own pace.
A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn?
- Describing difficulties a family member has had in taking insulin
- Expressing the importance of learning the skill correctly
- Being able to see and understand the markings on the syringe
- Having the dexterity needed to prepare and inject the medication
Answer: 2.
Patients are ready to learn when they understand the importance of learning and are motivated to learn.
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?
- Simulation
- Demonstration
- Group instruction
- One-on-one discussion
Answer: 2.
Demonstration is used to help patients learn psychomotor skills.
When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use?
- Telling
- Analogy
- Demonstration
- Simulation
Answer: 2.
Analogies use familiar images when teaching to help explain complex information.
A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first?
- How to use an inhaler during an asthma attack
- The need to avoid people who smoke to prevent asthma attacks
- Where to purchase a medical alert bracelet that says she has asthma
- The importance of maintaining a healthy diet and exercising regulary
Answer: 1.
It is important to start with essential life-saving information when teaching people because they usually remember what you tell them first.
A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing?
- Simulation
- Restoring health
- Coping with impaired function
- Health promotion and illness prevention
Answer: 4.
Health promotion and illness prevention are the focus when nurses provide information to help patients improve their health and avoid illness.
A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of:
- A teaching plan
- A learning objective
- Reinforcement of content
- Enhancing the childrens self-efficacy
Answer: 2.
A learning objective describes what the learner will do after the teaching session.
A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages based on his blood sugar results. What type of learning is this?
- Cognitive
- Affective
- Adaptation
- Psychomotor
Answer: 1.
Cognitive learning requires thinking; learning how to adjust insulin requires analysis, synthesis, and evaluation, which are all types of cognitive learning.
