Chapter 5: Patient Education and Drug Therapy

Question 1

affective domain

Answer 1

The most intangible domain of the learning
process. It involves affective behavior, which is conduct that
expresses feelings, needs, beliefs, values, and opinions; the
feeling domain.

Question 2

cognitive domain

Answer 2

The domain involved in the learning and
storage of basic knowledge. It is the thinking portion of the
learning process and incorporates a person’s previous experiences
and perceptions; the learning/thinking domain

Question 3

Assessment of health literacy may be done with much sensitivity and does not
only relate to education but also to

Answer 3

levels of stress/inability to cope with a new
diagnosis/process new and complex information (i.e., patients with higher level of
education but are stressed and unable to process due to a disturbing diagnosis

Question 4

The nurse is responsible for preoperative teaching for a
patient who is mildly anxious about receiving pain medications
postoperatively. The nurse recognizes that this level of
anxiety may

Answer 4

c result in learning by increasing the patient’s motivation

to learn

Question 5

Slowed cognitive functioning

Answer 5

Slow the pace of the presentation, and attend to verbal and nonverbal patient cues to verify understanding

Question 6

Decreased short-term memory

Answer 6

Provide smaller amounts of information at one time. Repeat information frequently. Provide written
instructions for home use.

Question 7

Decreased ability to think abstractly

Answer 7

Use examples to illustrate information. Use a variety of methods, such as audiovisuals, props, videotapes,
large-print materials, materials with vivid color, return demonstrations, and practice sessions.

Question 8

Decreased ability to concentrate

Answer 8

Decrease external stimuli as much as possible.

Question 9

Increased reaction time (slower to respond)

Answer 9

Always allow sufficient time, and be patient. Allow more time for feedback

Question 10

Diminished hearing

Answer 10

Perform a baseline hearing assessment. Use tone- and volume-controlled teaching aids; use bright,
large-print material to reinforce.

Question 11

Decreased ability to distinguish sounds (e.g.,
differentiate
words beginning with S, Z, T, D, F, and G)

Answer 11

Speak distinctly and slowly, and articulate carefully

Question 12

Decreased conduction of sound

Answer 12

Sit on the side of the patient’s best ear.

Question 13

Loss of ability to hear high-frequency sounds

Answer 13

Do not shout; speak in a normal voice but a lower voice pitch

Question 14

Partial to complete loss of hearing

Answer 14

Face the patient so that lip reading is possible. Use visual aids to reinforce verbal instruction. Reinforce teaching
with easy-to-read materials. Decrease extraneous noise. Use community resources for the hearing impaired.

Question 15

Decreased visual acuity

Answer 15

Ensure that the patient’s glasses are clean and in place and that the prescription is current.

Question 16

Decreased ability to read fine detail

Answer 16

Use printed materials with large print that is brightly and clearly colored.

Question 17

Decreased ability to discriminate among blue, violet,
and green; tendency for all colors to fade, with red
fading the least

Answer 17

Use high-contrast materials, such as black on white. Avoid the use of blue, violet, and green in type or
graphics; use red instead.

Question 18

Thickening and yellowing of the lenses of the eyes, with

decreased accommodation

Answer 18

Use nonglare lighting, and avoid contrasts of light (e.g., a darkened room with a single light).

Question 19

Decreased depth perception

Answer 19

Adjust teaching to allow for the use of touch to gauge depth.

Question 20

Decreased peripheral vision

Answer 20

Keep all teaching materials within the patient’s visual field

Question 21

Decreased sense of touch

Answer 21

Increase the time allowed for the teaching of psychomotor skills, the number of repetitions, and the
number of return demonstrations.

Question 22

Decreased sense of vibration

Answer 22

Teach the patient to palpate more prominent pulse sites (e.g., carotid and radial arteries).