Deck 73: Patient Education

Question 1

A nurse provides teaching about coping with long-term impaired functions.Which situation serves as the best example?

A) Teaching a family member to give medications through the patient's permanent gastric tube
B) Teaching a woman who recently had a hysterectomy about her pathology reports
C) Teaching expectant parents about physical and psychological changes in childbearing women
D) Teaching a teenager with a broken leg how to use crutches

Answer 1

A
Not all patients fully recover from illness or injury.Many have to learn to cope with permanent health alterations.New knowledge and skills are often necessary for patients and/or family members to continue activities of daily living.Teaching family members to help the patient with health care management (e.g.,giving medications through gastric tubes,doing passive range-of-motion exercises)is an example of coping with long-term impaired functions.Injured and ill patients need information and skills to help them regain or maintain their levels of health.Some examples of this include teaching a woman who recently had a hysterectomy about her pathology reports and expected length of recovery and teaching a teenager with a broken leg how to use crutches.In childbearing classes,you teach expectant parents about physical and psychological changes in the woman and about fetal development; this is part of health maintenance.

Question 2

A nurse is teaching a patient about the Speak Up Initiatives.Which information should the nurse include?

A) The nurse is the center of the health care team.
B) If you still do not understand, ask again.
C) Ask a nurse to be your advocate or supporter.
D) Inappropriate medical tests are the most common mistakes.

Answer 2

B
If you still do not understand,ask again is part of the S portion of the Speak Up Initiatives.Speak up if you have questions or concerns.You (the patient)are the center of the health care team,not the nurse.Ask a trusted family member or friend to be your advocate (advisor or supporter),not a nurse.Medication errors are the most common health care mistakes,not inappropriate medical tests.

Question 3

A nurse is asked about the goal of patient education.What is the nurse's best response? The goal of educating others is to help people

A) Meet standards of the Nurse Practice Act.
B) Achieve optimal levels of health.
C) Become dependent on the health care team.
D) Provide self-care only in the hospital.

Answer 3

B
The goal of educating others about their health is to help individuals,families,or communities achieve optimal levels of health.Although all state Nurse Practice Acts acknowledge that patient teaching falls within the scope of nursing practice,this is the nurse's standard,not the goal of education.Patient education helps patients make informed decisions about their care and become healthier and more independent,not dependent.Nurses provide patients with information needed for self-care to ensure continuity of care from the hospital to the home.

Question 4

Which factors should the nurse assess to determine a patient's ability to learn?

A) Developmental capabilities and physical capabilities
B) Sociocultural background and motivation
C) Psychosocial adaptation to illness and active participation
D) Stage of grieving and overall physical health

Question 5

Which statement indicates that the nurse has a good understanding of teaching/learning?

A) "Teaching and learning can be separated."
B) "Learning is an interactive process that promotes teaching."
C) "Learning consists of a conscious, deliberate set of actions designed to help the teacher."
D) "Teaching is most effective when it responds to the learner's needs."

Question 6

Which learning objective/outcome has the highest priority for a patient with life-threatening,severe food allergies that require an EpiPen (epinephrine)?

A) The patient will administer epinephrine.
B) The patient will identify the main ingredients in several foods.
C) The patient will list the side effects of epinephrine.
D) The patient will learn about food labels.

Question 7

A nurse is preparing to teach a patient about heart failure.Which environment is best for patient learning?

A) A darkened, quiet room
B) A well-lit, ventilated room
C) A private room at 85° F temperature
D) A group room for 10 to 12 patients with heart failure

Question 8

A nurse is going to teach a patient about hypertension.Which action should the nurse implement first?

A) Set mutual goals for knowledge of hypertension.
B) Teach what the patient wants to know about hypertension.
C) Assess what the patient already knows about hypertension.
D) Evaluate the outcomes of patient education for hypertension.

Question 9

A nurse wants the patient to begin to accept the chronic nature of diabetes.Which teaching technique should the nurse use to enhance learning?

A) Lecture
B) Demonstration
C) Role play
D) Question and answer session

Question 10

A nurse is teaching a group of healthy adults about the benefits of flu immunizations.Which purpose of patient education is the nurse fulfilling?

A) Restoration of health
B) Coping with impaired functions
C) Promotion of health and illness prevention
D) Health analogies

Question 11

A toddler is going to have surgery on the right ear.Which teaching method is most appropriate for this developmental stage?

A) Encourage independent learning.
B) Use discussion throughout the teaching session.
C) Apply a bandage to a doll's ear.
D) Develop a problem-solving scenario.

Question 12

Which nursing action is most appropriate for assessing a patient's learning needs?

A) Assess the patient's total health care needs.
B) Assess the patient's health literacy.
C) Assess all sources of patient data.
D) Assess the goals of patient care.

Question 13

A nurse teaches a patient with heart failure healthy food choices.The patient states that eating yogurt is better than eating cake.In this situation,which element represents feedback?

A) The nurse
B) The patient
C) The nurse teaching about healthy food choices
D) The patient stating that eating yogurt is better than eating cake

Question 14

Which situation indicates to the nurse that the patient is ready to learn?

A) A patient has sufficient upper body strength to move from a bed to a wheelchair.
B) A patient has the ability to grasp and apply the elastic bandage.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.

Question 15

A patient had a stroke and must use a cane for support.A nurse is preparing to teach the patient about the cane.Which learning objective/outcome is most appropriate?

A) The patient will walk to the bathroom and back to bed using a cane.
B) The patient will understand the importance of using a cane.
C) The patient will learn how to use a cane.
D) The patient will know the correct use of a cane.

Question 16

A nurse is teaching the staff about nursing and teaching processes.Which information should the nurse include regarding the teaching process? During the teaching process,what should the nurse do?

A) Assess all sources of data.
B) Identify that it is the same as the nursing process.
C) Perform nursing care therapies.
D) Focus on a patient's learning needs.

Question 17

Which action best indicates that learning has occurred?

A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.

Question 18

When the nurse describes a patient's perceived ability to successfully complete a task,which term should the nurse use?

A) Self-efficacy
B) Motivation
C) Attentional set
D) Active participation

Question 19

While preparing a teaching plan,the nurse described what the learner will be able to accomplish after the teaching session.Which action did the nurse complete?

A) Developed learning objectives
B) Provided positive reinforcement
C) Implemented interpersonal communication
D) Presented facts and knowledge

Question 20

A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute.In which domain did learning take place?

A) Kinesthetic
B) Cognitive
C) Affective
D) Psychomotor

Question 21

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD)while giving COPD medications.Which technique is most appropriate for the nurse to use?

A) Use complex analogies to describe COPD.
B) Include the most important information on COPD at the beginning of the session.
C) Ask for feedback to assess understanding of COPD at the end of the session.
D) Offer pamphlets about COPD written at the eighth grade level with large type

Question 22

A nurse is assessing the ability to learn of a patient who has recently experienced a stroke.Which question/statement will best assess the patient's ability to learn?

A) "What do you want to know about strokes?"
B) "On a scale from 1 to 10, tell me where you rank your desire to learn."
C) "Do you feel strong enough to perform the tasks I will teach you?"
D) "Please read this handout and tell me what it means."

Question 23

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions.What is the nurse's next action?

A) Refer to a mental health specialist.
B) Refer to an ostomy specialist.
C) Refer to a dietitian.
D) Refer to a wound care specialist.

Question 24

A patient with heart failure is learning to reduce salt in the diet.When would be the best time for the nurse to address this topic?

A) At bedtime, when the patient is relaxed
B) At lunchtime while the nurse is preparing the food tray
C) At bath time, when the nurse is cleaning the patient
D) At medication time, when the nurse is administering patient medication

Question 25

Which statements by the nurse indicate a good understanding of patient education/teaching?

A) "Patient education is a standard for professional nursing practice."
B) "Patient teaching falls within the scope of nursing practice."
C) "Patient education is an essential component of safe, patient-centered care."
D) "Patient education is not effective with children."
E) "Patient teaching can increase health care costs."
F) "Patient teaching should be documented in the chart."

Question 26

A nurse has taught a patient about healthy eating habits.Which learning objective/outcome is most appropriate for the affective domain?

A) The patient will state three facts about healthy eating.
B) The patient will identify two foods for a healthy snack.
C) The patient will verbalize the value of eating healthy.
D) The patient will cook a meal with low-fat oil.

Question 27

After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?

A) Material
B) Activity
C) Social
D) Entrusting

Question 28

A nurse is preparing to teach a kinesthetic learner about exercise.Which technique should the nurse use?

A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a podcast about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.

Question 29

Which situation will cause the nurse to postpone a teaching session?

A) The patient is mildly anxious.
B) The patient is fatigued.
C) The patient is asking questions.
D) The patient is hurting.
E) The patient is febrile (high fever).
F) The patient is in the acceptance phase.

Question 30

A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?

A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test

Question 31

A nurse is teaching a culturally diverse patient about nutritional needs.What must the nurse do first before starting the teaching session?

A) Obtain pictures of food.
B) Get an interpreter.
C) Establish a rapport.
D) Refer to a dietitian.

Question 32

A nurse is teaching an older adult patient about strokes.Which teaching technique is most appropriate for the nurse to use?

A) Use a pamphlet about strokes with large font in blues and greens.
B) Speak in a high tone of voice to describe strokes.
C) Begin and end each teaching session with the most important information about strokes.
D) Provide specific information about strokes in frequent, large amounts.