Patient and Caregiver Teaching Flashcards
A patient with newly diagnosed colon cancer has a nursing diagnosis of deficient knowledge
about colon cancer. The nurse should initially focus on which learning goal for this patient?
The patient will select the most appropriate colon cancer therapy.
After the nurse provides dietary instructions for a patient with diabetes, the patient can explain
the information but fails to make the recommended dietary changes. How would the nurse
evaluate the patient’s situation?
Choosing not to follow the diet is the behavior that resulted from learning.
A patient is diagnosed with heart failure after being admitted to the hospital for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, ismostlikely to be
effective?
Teach the patient at each meal about the amounts of sodium in various foods.
A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is thepriorityaction forthe nurse?
Teach glucose self-monitoring and medication administration.
A patient states, “I told my husband I wouldn’t buy as much prepared food snacks, so I will go
the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the
Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in
which stage of change?
Preparation
While admitting a patient to the medical unit, the nurse determines that the patient is hard of
hearing. How should the nurse use this information to plan teaching and learning strategies?
Written materials should be provided with verbal instructions.
A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve
decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse, is
thebestinitial response?
“You have already accomplished changes that are important for the health of your heart.”
The nurse is planning a teaching session with a patient newly diagnosed with migraine
headaches. To assess a patient’s readiness to learn, which question should the nurse ask?
“What information do you think you need right now?”
The nurse considers a nursing diagnosis of ineffective health maintenance related to low
motivation for a patient with diabetes. Which finding would the nursemostlikely use to support
this nursing diagnosis?
The patient states that dietary changes have not made any difference at all.
A patient with diabetic neuropathy requires teaching about foot care. Which learning goal
should the nurse include in the teaching plan?
The patient will list three ways to protect the feet from injury by discharge.
The nurse educator teaches students how to be more assertive. Which teaching strategy, if
implemented by the nurse educator, would bemosteffective?
Role playing
The nurse and the patient who is diagnosed with hypertension develop this goal: “The patient
will select a 2-gram sodium diet from the hospital menu for the next 3 days.” Which evaluation
method will bebestfor the nurse to use when determining whether teaching was effective?
Check the sodium content of the patient’s menu choices over the next 3 days.
The nurse prepares written handouts to be used as part of the standardized teaching plan for
patients who have been recently diagnosed with diabetes. What statement would be appropriate
to include in the handouts?
Eating the right foods can help in keeping blood glucose at a near-normal level.
The hospital nurse implements a teaching plan to assist an older patient who lives alone to
independently accomplish daily activities. How would the nursebestevaluate the patient’s long-
term response to the teaching?
Make a referral to the home health nursing department for home visits.
A patient who smokes a pack of cigarettes per day tells the nurse, “I enjoy smoking and have
no plans to quit.” Which nursing diagnosis ismostappropriate?
Ineffective health maintenance related to tobacco use
An older Asian patient, who is seen at the health clinic, is diagnosed with protein
malnutrition. Whatpriorityaction should the nurse include in the teaching plan?
Ask the patient to record the intake of all foods and beverages for a 3-day period.
A middle-aged patient who has diabetes tells the nurse, “I want to know how to give my own
insulin so I don’t have to bother my wife all the time.” What is thepriorityaction of the nurse?
Demonstrate how to draw up and administer insulin.
The nurse plans to teach a patient and the caregiver how to manage high blood pressure (BP).
Which action should the nurse takefirst?
Ask the patient and caregiver to select information from a list of high BP teaching topics.
A postoperative patient and caregiver need discharge teaching. Which actions included in the
teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
Give the patient a pamphlet reinforcing teaching already done by the nurse.
A family caregiver tells the home health nurse, “I feel like I can never get away to do
anything for myself.” Which action isbestfor the nurse to take?
Assist the caregiver in finding respite services.
1.The nurse plans to provide instructions about diabetes to a patient who has a low literacy level.
Which teaching strategies should the nurse use (select all that apply)?
Provide illustrations and photographs showing various types of insulin.
Schedule one-to-one teaching sessions to practice insulin administration.
Obtain CDs and DVDs that illustrate how to perform blood glucose testing.
