Question 1

The nurse needs to teach a 16-year-old patient,newly diagnosed with diabetes,about blood glucose monitoring and the importance of regulating her glucose intake.When the nurse is developing the teaching plan,which of Erickson's stages of development should be considered?

A)Trust vs.mistrust
B)Intimacy vs.isolation
C)Industry vs. inferiority
D)Identity vs.role confusion

Identity vs.role confusion

Accepted Answer

According to Erickson,the adolescent,12 to 18 years of age,is in the "identity vs.role confusion" stage of development.
According to Erikson,"trust vs.mistrust" reflects the infancy stage;"intimacy vs.isolation" reflects the young adulthood stage;and "industry vs.inferiority" reflects the school age stage of development.

Question 2

Which of the following statements reflects a measurable goal?&#10;A)The patient will know about insulin injections.&#10;B)The patient will understand the principles of insulin preparation.&#10;C)The patient will demonstrate the proper technique of mixing insulin.&#10;D)The patient will comprehend the proper technique of preparing insulin.

Accepted Answer

The word "demonstrate" is a measurable verb,and measurable terms should be used when developing goals and outcome criteria statements.
The terms "know," "understand," and "comprehend" are not measurable terms.

Question 3

Which of the following nursing diagnoses is appropriate for the patient who has just received a prescription for a new medication?&#10;A)Nonadherence related to a new drug therapy&#10;B)High risk for nonadherence related to new drug therapy&#10;C)Knowledge deficit related to newly prescribed drug therapy&#10;D)Deficient knowledge related to newly prescribed drug therapy

Accepted Answer

The patient who has a limited understanding of newly prescribed drug therapy may have the nursing diagnosis of deficient knowledge.
"Nonadherence" implies that the patient does not follow a recommended regimen,which is not the case with a newly prescribed drug."High risk for nonadherence related to new drug therapy" is not a North American Nursing Diagnosis Association (NANDA)nursing diagnosis,and "Deficient knowledge related to newly prescribed drug therapy" is an outdated nursing diagnosis.

Question 4

A 60-year-old patient is on several new medications and expresses worry that she will forget to take her pills.Which of the following responses from the nurse is most helpful for a patient in this situation?

A)Teaching effective coping strategies
B)Reducing the number of drugs prescribed
C)Assuring her that she won't forget once she is accustomed to the routine
D)Assisting her with obtaining and learning to use a calendar or pill container

Accepted Answer

Calendars,pill containers,or diaries may be helpful to patients who may forget to take prescribed drugs as scheduled.The nurse must ensure that the patient knows how to use these reminder tools.
Teaching the patient effective coping strategies is a helpful suggestion,but will not help with remembering to take medications.Reducing the number of drugs prescribed is not an appropriate action by the nurse.Assuring the patient that she won't forget once she is accustomed to the routine is false reassurance by the nurse and inappropriate when education is needed.

Question 5

The nurse is setting up a teaching-learning session with an 85-year-old patient who will be going home on anticoagulant therapy.Which of the following strategies will reflect consideration of aging changes that may occur?

A)Showing a colourful video about anticoagulation therapy
B)Presenting all the information in one session just before discharge
C)Giving the patient pamphlets about the medications to read at home
D)Developing large-print handouts that reflect the verbal information presented

Accepted Answer

Developing large-print handouts that reflect the verbal information presented will address altered perception in two ways.First,using visual aids reinforces the verbal instructions by addressing the possibility of decreased ability to hear high-frequency sounds.Second,developing the handouts in large print addresses the possibility of decreased visual acuity.
Showing a colourful video about anticoagulation therapy does not allow for discussion of the information;furthermore,the text and print may be small and difficult to read and understand.Presenting all the information in one session just before discharge also does not allow for discussion,and the patient may not be able to hear or see the information sufficiently.Because of the possibility of decreased short-term memory and slowed cognitive function,giving the patient pamphlets about the medications to read at home is not appropriate.

Question 6

When the nurse is teaching a manual skill,such as self-injection of insulin,what is the best way to set up the teaching-learning session?&#10;A)Providing written pamphlets for instruction&#10;B)Showing a video and allow patients to practise as needed on their own&#10;C)Verbally explaining the procedure and provide written handouts for reinforcement&#10;D)After demonstrating the procedure,allowing the patient to do several return demonstrations

Accepted Answer

Return demonstrations allow the nurse to evaluate the patient's newly learned skills.
Providing written pamphlets for instruction,showing a video then allowing patients to practise as needed on their own,and verbally explaining the procedure and providing written handouts for reinforcement do not allow for evaluation of the patient's technique.

Question 7

A patient and the dietitian have just reviewed the patient's new diet,which is low protein and low potassium.This activity reflects learning in which domain?&#10;A)Physical&#10;B)Affective&#10;C)Cognitive&#10;D)Psychomotor

Accepted Answer

The cognitive domain refers to problem-solving abilities and may involve recall and knowledge of facts.
The physical domain is not one of the learning domains.The affective domain refers to values and beliefs.The psychomotor domain may involve behaviours such as learning how to perform a procedure.

Question 8

Which of the following are appropriate considerations when the nurse is assessing the learning needs of a patient? Select all that apply.&#10;A)Cultural background&#10;B)Social support&#10;C)Level of education&#10;D)Readiness to learn&#10;E)Health beliefs

Accepted Answer

All options are appropriate to consider when the nurse is assessing learning needs.

Question 9

During assessment,which of the following questions allows the nurse to clarify and open up discussion with the patient?&#10;A)&#34;Are you allergic to penicillin?&#34;&#10;B)&#34;What medications do you take?&#34;&#10;C)&#34;Have you had a reaction to this drug?&#34;&#10;D)&#34;Are you taking this medication with meals?&#34;

Accepted Answer

"What medications do you take?" is an open-ended question that will encourage more clarification and discussion from the patient.
"Are you allergic to penicillin?" is a closed-ended question,as are "Have you had a reaction to this drug?" and "Are you taking this medication with meals?" Closed-ended questions prompt only a "yes" or "no" Answer: and provide limited information.

Deck 6: Patient Education and Drug Therapy