Deck 14: Health Literacy and Patient Education

Question 1

In addressing patient education, the nurse recognizes that patient education is a process involving what components?

A) Assessment
B) Diagnosis
C) Planning
D) Implementation and evaluation
E) Reliance on evidence-based practice (EBP)

Answer 1

Assessment
Diagnosis
Planning
Implementation and evaluation

Question 2

The nurse has established a teaching plan including goals and identifies this type of education is termed by what term?

A) Formal teaching
B) Informal teaching
C) Psychomotor teaching
D) Affective teaching

Answer 2

Formal teaching

Question 3

The nurse is preparing a teaching plan and is applying evidence-based practice. To promote involvement, the nurse must include which concept?

A) Provide the latest professional literature to the patient.
B) Ensure that the patient understands relevant information.
C) Use only one teaching method to reduce confusion.
D) Not review previously learned information.

Answer 3

Ensure that the patient understands relevant information.

Question 4

The nurse understands the unique ability of the patient to understand and integrate health-related knowledge is known by which term?

A) Health literacy
B) Formal patient education
C) Informal patient education
D) Primary education

Question 5

According to the Healthy People 2020 initiative, health information and the associated access issues have become more complicated. There are many considerations when determining whether an individual has proficient health literacy. The nurse acknowledges that the patient should be able to do what actions?

A) Read and identify credible health information.
B) Recognize abnormalities on an x-ray.
C) Navigate complex insurance programs.
D) Evaluate EKG findings.
E) Advocate for appropriate care.

Question 6

In determining patient goals, the nurse should complete which action?

A) Allow patients to identify what is most important to them.
B) Take the lead and determine what is best for the patient.
C) Focus on health promotion and staying healthy.
D) Explain the importance of avoiding complications.

Question 7

During patient teaching led by the nurse with goals established through cooperation of the nurse and patient, the patient asks questions as needed and the nurse answers. The nurse understands that this is what type of teaching?

A) Formal teaching
B) Informal teaching
C) Both formal and informal teaching
D) Psychomotor teaching

Question 8

When the nurse is preparing to provide preoperative teaching to a deaf patient, what action by the nurse is best?

A) Use printed materials.
B) Provide recorded materials.
C) Use a family member to interpret.
D) Provide an interpreter.

Question 9

To teach effectively, nurses must recognize which concept?

A) Age and socioeconomic status play a large role in understanding.
B) 90% of Americans possess rudimentary literary skills.
C) The ability to comprehend is a very new concept in health care.
D) Most health care teaching is effective and understood.

Question 10

The nurse is preparing to discharge a patient home. In providing instruction about the patient's medications, the nurse should make which statement?

A) "Before taking Metoprolol, you need to take your BP and rate."
B) "MS should be taken only when needed for pain."
C) "Take 1 baby aspirin by mouth every morning."
D) "Take your water pill bid and you should be fine."

Question 11

The nurse identifies which patient would most likely need to have adjustments made to the education plan for discharge because of role function?

A) A 67-year-old married female who lives with her retired husband
B) A 32-year-old single mother of a toddler following hysterectomy
C) A 13-year-old who lives at home with his parents after appendectomy
D) A 50-year-old married mother with two children in college and teenager at home

Question 12

The nurse is preparing to teach a patient for the first time and needs to evaluate the health literacy of the patient. The nurse uses the VARK assessment to gather what information?

A) Assess the learning styles of the patient.
B) Find the one method that the patient uses to learn.
C) Be sure that the patient is a unimodal learner.
D) Reduce the need for creating a collaborative learning plan.

Question 13

The nurse is implementing a patient teaching plan regarding diabetes mellitus. One of the short-term goals of the plan is that the patient will be able to verbalize three symptoms of hypoglycemia. The nurse recognizes that this is what type of teaching?

A) Psychomotor teaching
B) Cognitive teaching
C) Affective teaching
D) VARK teaching

Question 14

When the nurse is preparing to teach a 5-year-old child postoperative care that will be anticipated after a tonsillectomy, the nurse would incorporate what concept?

A) Use pictures and simple words to describe care to the patient.
B) Teach the parents alone to reduce fear in the patient.
C) Exclude the parents to reduce parental anxiety.
D) Use clear simple explanations to convey information.

Question 15

The nurse understands ongoing evaluation of patient education occurs by which team member?

A) Each member of the health care team who provides teaching
B) The nurse who evaluates the patient's physical abilities
C) The patient stating that he understands the instruction
D) Not allowing review from the provider so the focus remains forward

Question 16

The nurse is admitting a patient who has cystic fibrosis. During the admission interview, it is apparent that the patient is well versed in most aspects of his illness. When asked about where he learned so much, the patient responds, "I learned most of it myself. I looked things up on the Internet and read books. You have to know what's wrong with you to be sure that you're being treated right." The nurse knows this is an example of what type of education/learning?

A) Formal education
B) Psychomotor learning
C) Informal education
D) Affective learning

Question 17

The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient, the nurse realizes what information?

A) Most elderly patients are highly literate.
B) Cognitive abilities always decline with age.
C) Sensory alterations often occur with aging.
D) Teaching methods are the same as for the middle aged.

Question 18

The nurse understands that as the health care community explores the concept of health literacy, many organizations recognize what concept?

A) Consumers need to understand has no governmental support.
B) Improvements are dependent on developing operational definitions.
C) Low literacy and low health literacy are interchangeable terms.
D) Interest in effective patient education is unique to the United States.

Question 19

The patient is reportedly well educated and employed as an engineer but is struggling to comprehend terms found in health-related literature given to explain his disease process. The nurse recognizes that this is evidence of what issue?

A) Low literacy
B) Psychomotor dysfunction
C) Affective domain deficiency
D) Low health literacy

Question 20

The nurse is working with a diabetic patient and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient complete what action?

A) Verbally describe his feelings about diabetes.
B) Answer three of five true-or-false questions about diabetes.
C) Identify three positive lifestyle changes to manage blood sugar.
D) Draw up and self-inject insulin correctly.

Question 21

The nurse must provide patient education to a patient who has just been given the diagnosis of stage III cancer. The patient is complaining of chest and bone discomfort. Before providing the needed education, the nurse will complete which tasks?

A) Draw the curtain in the semi-private room.
B) Medicate the patient to ease the pain.
C) Place the patient in a private room if possible.
D) Wait until later in the day.
E) Attend to any other personal needs first.

Question 22

When teaching children, the nurse should include which concepts?

A) Exclude the children from teaching.
B) Encourage parents or caregivers to be present.
C) Use age-specific strategies.
D) Consider the stages of development.
E) Remember that parents are not the targets of the teaching.

Question 23

In preparing to teach the patient, the nurse must consider which concepts?

A) Background
B) Race
C) Pain level
D) Emotional status
E) Readiness to learn

Question 24

The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed with diabetes how to self-administer insulin. The patient has hearing and visual impairments. To be effective as a teacher, the nurse should carry out which tasks?

A) Assess reading level and learning style.
B) Determine readiness to learn.
C) Use family members as interpreters.
D) Provide written instruction in English.
E) Place the patient in group classes.

Question 25

On completion of assessment, a nursing diagnosis relevant to the educational needs of the patient or caregiver can be determined. The nurse recognizes that diagnoses specifically related to patient education include which responses?

A) Deficient knowledge
B) Readiness for enhanced knowledge
C) Noncompliance
D) Pain
E) Alteration in elimination