Deck 9: Patient Teaching for Health Promotion

Question 1

A patient states, "I don't think I'll ever be able to give myself an injection." The best reply by the nurse is:

A) "Everyone feels like that at first. You'll get over it."
B) "Don't be afraid. It's an easy skill for anyone to learn."
C) "What bothers you most about the idea of giving yourself an injection?"
D) "I know just how you feel. I would have trouble giving myself an injection."

Answer 1

"What bothers you most about the idea of giving yourself an injection?"

Question 2

Once a teaching plan is formulated and placed in the nursing care plan for a hospitalized patient:

A) one nurse will be designated to teach the plan on a priority basis.
B) behavioral objectives are used to identify expected outcomes.
C) it is printed and given to the patient as a guide for learning.
D) it outlines all that will be taught before the patient is discharged.

Answer 2

behavioral objectives are used to identify expected outcomes.

Question 3

The nurse evaluates the effectiveness of teaching relative to how to use an eye shield after eye surgery is to:

A) have the patient tell the nurse what he is going to do.
B) have the patient demonstrate that he can secure the eye shield.
C) ask the patient if he has any questions related to the use of the shield.
D) call the patient at home in 3 days and ask if he has been wearing the shield.

Answer 3

have the patient demonstrate that he can secure the eye shield.

Question 4

The nurse will choose the best time to continue postoperative teaching regarding wound care and dressings, which would be:

A) immediately after the patient has been medicated for pain.
B) just before the patient is discharged, so the information is current.
C) when the patient is comfortable and receptive to the teaching.
D) the last thing in the evening, after visitors have left, before bedtime.

Question 5

In teaching an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to:

A) include another person in the instruction because an 82-year-old person will be unable to master the technique.
B) slow the pace and frequently ask questions to assess comprehension.
C) speed through the details because age and experience will shorten learning time.
D) provide written material and diagrams alone.

Question 6

The nurse appropriately begins discharge planning when:

A) the physician writes orders to discharge the patient.
B) the patient feels ready to be discharged home.
C) it is anticipated the patient will be discharged in 8 hours.
D) the patient is admitted to the health care facility.

Question 7

In a skilled nursing home, a newly admitted resident becomes terminally ill following a cerebrovascular accident (CVA). To diminish the family's anxiety, the nurse teaches the family members about activities that are being performed to provide care and comfort to their loved one. This teaching is provided in order to:

A) reduce the likelihood of a lawsuit over the anticipated death.
B) decrease the family's needs in the expression of their grief.
C) increase the family's comfort in their affective domain.
D) enable the family to be better prepared for the approaching death.

Question 8

The best way for a nurse to reinforce learning during a return demonstration by the patient is for the nurse to:

A) give recognition and praise for the parts the patient does well and to assist or teach when the patient becomes confused or forgetful.
B) watch quietly until the return demonstration is finished and then list the errors.
C) instruct the patient to read the written material again when an error is made.
D) stop the patient each time he makes a mistake and have him start again after the nurse reviews the procedure with him.

Question 9

A patient being assessed for pre-operative learning needs says his mother had the same surgery by the same surgeon 3 years ago. The nurse should design the teaching plan to:

A) do a brief review of the preoperative teaching, because the patient is already familiar with the procedure.
B) teach thoroughly as the procedure may have changed.
C) simply give the patient a written list of preoperative instructions.
D) explore with the patient what he knows about the proposed surgery and add or correct where necessary.

Question 10

The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

A) Asking the patient, "Did you graduate from high school?"
B) Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?"
C) Asking the patient, "Are you able to read?"
D) Giving the patient some printed materials and saying, "After you have read this, I'll ask you some questions about what's in them, to see if you've learned it."

Question 11

The nurse is aware that the knowledge deficit of a postpartum patient with her first child that can be safely addressed by the community nurse after discharge is:

A) weaning the child from breast-feeding.
B) care of the patient's surgical incision.
C) feeding the baby by breast or bottle.
D) recognizing signs or symptoms of infection.

Question 12

Because a person may learn best in a particular manner, to improve patient teaching, the nurse should:

A) ask the patient whether he learns best visually, aurally, or kinesthetically.
B) use a hands-on approach, because it works best for most people.
C) test the patient's reading comprehension before using visual handouts.
D) use a combination of the three modes of learning to enhance learning.

Question 13

A nurse is showing a diabetic patient how to draw insulin out of a syringe. The mode of learning that the nurse is using is _____ learning.

A) auditory
B) visual
C) kinesthetic
D) oral

Question 14

The nurse designing a teaching plan for a patient admitted to the hospital for treatment of a heart problem after years of treating the ailment at home with herbal remedies and practices common in his cultural group should:

A) help the patient to see that using herbal remedies has not worked in the past.
B) explain that cultural remedies may conflict with conventional medicine.
C) help the patient to identify optimum outcomes that can be achieved through education and compromise.
D) ask family members to intervene for the cessation of the use of cultural remedies.

Question 15

The nurse takes into consideration that when using printed material for teaching a 65-year-old Middle-Eastern patient who speaks perfect English, the nurse should:

A) use teaching material printed in English.
B) determine if the patient can read English.
C) engage a translator to read the English material to the patient.
D) use English material that is printed in bold type on white paper.

Question 16

The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

A) give the patient written materials to study and learn the procedure.
B) have the patient explain the procedure to the nurse to assess understanding.
C) give the patient a day to allow him to process and absorb the information.
D) have the patient practice the procedure with the nurse helping.

Question 17

Before beginning to teach a patient to give himself insulin, the nurse asks, "Have you ever known anyone who gave himself insulin injections?" This question is primarily designed to:

A) +C304:F323assess the patient's learning needs.
B) stimulate the patient to focus on the teaching goal.
C) reduce the patient's anxiety relative to insulin injection.
D) reduce the amount of information the nurse has to provide.

Question 18

A nurse plans to teach a 4-year-old about what to expect after his broken arm has been casted by:

A) bringing a doll and casting materials to the room, showing the casting materials and actually casting the doll's arm, and explaining the purpose of the cast.
B) telling the child that while he is asleep, the doctor will take off his arm and wrap it up.
C) breaking up the teaching sessions into two separate 5-minute sessions.
D) being treated as an adult because this approach helps the child to feel "grown up."

Question 19

An 80-year-old patient is to be taught the process of colostomy irrigation and reattachment of the colostomy bag. The nurse's initial assessment prior to instruction should address the patient's:

A) understanding of the process of irrigation.
B) familiarity with the irrigation materials.
C) manual dexterity.
D) motivation to learn.

Question 20

The nurse recognizes the American Indian's need for the intervention of a shaman in dealing with illness because the shaman helps the patient in seeking:

A) a sense of peace and harmony with nature.
B) a spiritual route to healing.
C) healing through the domination over evil.
D) support from deceased ancestors.

Question 21

The nurse reminds the patient that health instruction supports the goals of Healthy People 2020, which include: (Select all that apply.)

A) promoting healthy behavior.
B) increasing the life span.
C) providing equipment for self-care.
D) ensuring access to adequate health care.
E) strengthening community relationships.

Question 22

Continuous learning needs for the patient upon discharge should be communicated to the: (Select all that apply.)

A) visiting nurse.
B) family.
C) primary care physician.
D) pharmacy or medical supply facility.
E) home health aide.

Question 23

When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to:

A) close her eyes and envision the process.
B) read the listed steps written on a poster board on the wall.
C) write down the steps as she performs them.
D) verbalize each step until the steps are memorized.

Question 24

The nurse is aware that the major modes of learning are: (Select all that apply.)

A) oral.
B) tactile.
C) auditory.
D) kinesthetic.
E) gustatory.
F) visual.

Question 25

When teaching an elderly patient about changing his dressing, the nurse would most appropriately:

A) be certain the patient is wearing his glasses and/or hearing aid.
B) talk through the process rapidly to keep the patient from becoming tired.
C) wait for the patient to ask any questions about the procedure.
D) point out each mistake during the return demonstration.

Question 26

The nurse will plan to offer the teaching session in a quiet area in order to:

A) ensure that the patient can hear what the nurse says.
B) reduce distractions.
C) provide absolute privacy.
D) make the environment more like a classroom.

Question 27

A nurse who is communicating with a school-age child about receiving anesthesia for surgery later this afternoon would best describe the process by saying:

A) "The doctor who will be wearing a mask will put a needle in your arm and then you go to sleep for a long time."
B) "You will just float off to dreamland and after you come back your tonsils will have been cut out."
C) "After the doctor puts medicine in your arm, you will ride on a pony to where fairies will take out your tonsils. Then you will ride right back here."
D) "You will be given a ride on a special bed to a big room where the doctor will give you some medicine that will make you very sleepy."

Question 28

The LPN/LVN is qualified to give patient teaching on information relative to: (Select all that apply.)

A) disease process.
B) postoperative care.
C) prognosis.
D) rehabilitation.
E) disaster preparedness.

Question 29

The nurse would identify an opportunity for a "teachable moment" in the situation of a patient who:

A) has just been told of the malignancy of his tumor.
B) says, "How will I remember all the things about my new diet?"
C) has just returned from surgery for a deviated septum.
D) is packing belongings in preparation for discharge.