Question 1

When using the transtheoretical model of health behaviour change during patient teaching,the nurse listens to the patient state,"I told my wife that I was going to start exercising,and I think I will join a fitness club." Which stage of change is this patient in?

A) Action
B) Preparation
C) Termination
D) Maintenance

Preparation

Accepted Answer

The patient has made a plan to start exercising by telling their spouse and looking into joining a fitness club. This indicates that they are in the preparation stage, where they are actively planning and preparing to change their behavior in the near future. The action stage would involve actually starting to exercise, termination would indicate that the behavior has become a permanent part of their lifestyle, and maintenance would involve sustaining the behavior change over time.

Question 2

Which of the following is a technique to enhance patient learning?&#10;A) Keep patient expression of needs at a minimum.&#10;B) Focus on &#34;nice to know&#34; information initially.&#10;C) Emphasize relevancy of information to patient's lifestyle.&#10;D) Maintain a formal physical environment at all times.

Accepted Answer

Emphasizing the relevancy of information to the patient's lifestyle is a technique to enhance patient learning, as it helps the patient understand how the information is applicable and useful to them. Keeping patient expression of needs at a minimum and focusing on "nice to know" information initially may hinder patient learning, and maintaining a formal physical environment at all times may not necessarily enhance patient learning.

Question 3

When completing the educational component of a general nursing assessment to prepare a teaching plan,which question is the best one to ask,initially?&#10;A) What is the patient's level of motivation?&#10;B) What does the patient think is most important to learn first?&#10;C) Is the patient ready to learn?&#10;D) What does the patient already know?

Accepted Answer

Knowing what the patient already knows about the topic will allow the nurse to tailor the teaching plan to the patient's level of understanding and avoid repeating information that the patient already knows. This can also help the nurse identify any gaps in the patient's knowledge that need to be addressed. Once the nurse has an idea of the patient's knowledge level, they can then move on to assessing the patient's readiness and motivation to learn and determining what topics the patient believes are most important to learn first.

Question 4

After the nurse implements diet instruction with a patient with heart disease,the patient can explain the information but fails to make the recommended dietary changes.Which of the following statements best describes the nurse's evaluation observation?

A) The nursing responsibility has been fulfilled.
B) Learning did not occur because the patient's behaviour did not change.
C) Choosing not to follow the diet is the learning behaviour that resulted.
D) The instructional methods were not effective in helping the patient learn.

Accepted Answer

Choosing not to follow the diet indicates that the patient learned the information but decided not to apply it. Learning can occur without a change in behavior, as the patient's ability to explain the information shows understanding.

Question 5

A patient admitted to the hospital with hyperglycemia and diagnosed with diabetes mellitus is scheduled for discharge the second day after admission.In view of the patient's limited hospitalization,what should the nurse's teaching plan emphasize first for the patient's education about diabetes?

A) Prioritize realistic goals that are essential to the patient's immediate learning needs.
B) Reflect a complete plan that can be implemented by home health care nurses.
C) Use all available time to teach the patient as much as possible about the condition.
D) Involve teaching the family instead of the patient about management of diabetes.

Accepted Answer

Since the patient has limited time in the hospital, it is important to prioritize essential information that the patient needs to know immediately in order to manage their condition effectively. This will help prevent complications and promote the patient's health and well-being after discharge. A complete plan may be important, but it may be overwhelming for the patient to learn all of it at once. It is also important to involve the patient in their own learning, rather than relying solely on family members to manage their condition.

Question 6

The nurse is teaching a patient with peripheral vascular disease about foot care.Which is a correctly written specific learning objective for this patient?&#10;A) &#34;The nurse will instruct the patient on appropriate foot care.&#34;&#10;B) &#34;Demonstrate the proper technique for trimming toenails to the patient.&#34;&#10;C) &#34;By discharge,the patient will list three ways to protect the feet from injury.&#34;&#10;D) &#34;The patient will understand the rationale for proper foot care after instruction.&#34;

Accepted Answer

This objective is specific, measurable, and attainable, as the patient can be asked to list the three ways to protect the feet. It also has a clear timeline (by discharge) and focuses on an important aspect of foot care for someone with peripheral vascular disease. A and D are too vague and do not clearly define what the patient needs to learn. B focuses only on one aspect of foot care and does not include a timeline or other details.

Question 7

A patient is diagnosed with breast cancer following a needle biopsy of a breast lump.Considering the teaching process,what is the priority goal?&#10;A) Learning to live with the disease&#10;B) Selecting and using treatment options&#10;C) Preventing the recurrence of the tumour&#10;D) Minimizing the untoward effects of treatment

Accepted Answer

The priority goal is selecting and using treatment options as the patient needs to make informed decisions about how to proceed with their treatment plan. The other options are important goals, but they are not the priority at this stage.

Question 8

A postoperative patient says it hurts too much to breathe deeply and cough every two hours;the patient refuses to carry out the activity.Which is an appropriate intervention based on adult learning principles?

A) Respect the patient's wishes and turn the patient side to side instead but more frequently.
B) Enlist the help of the physician in reinforcing the need to cough and breathe deeply.
C) Explain what happens to the lungs postoperatively and why the exercise is important.
D) Explain that it is the nurse's responsibility to prevent complications and insist that she comply.

Accepted Answer

Adult learning principles suggest that adults are more motivated to learn when they understand the importance of the activity. Therefore, explaining the rationale behind the coughing and deep breathing exercises is the best intervention in this scenario. It allows the patient to understand why the activity is important and may increase their motivation to comply. Respect for the patient's autonomy should also be considered, and forcing them to comply (option D) may lead to a breakdown in the therapeutic relationship. Involving the physician (option B) may be necessary in some cases, but it is not the best initial intervention. Turning the patient side to side (option A) does not address the patient's refusal to cough and breathe deeply, which could lead to complications.

Question 9

Which following teaching strategy is most efficient,versatile,and economical to implement?&#10;A) Role play&#10;B) Print materials&#10;C) Lecture&#10;D) Discussion

Accepted Answer

Lectures are the most efficient, versatile, and economical teaching strategy to implement because they allow for the dissemination of information to a large audience at once, require minimal resources compared to other methods, and can be adapted to various subjects and settings.

Question 10

Which of the following nursing care plan entries would be a correctly worded nursing diagnosis?&#10;A) Ineffective knowledge&#10;B) Deficient knowledge&#10;C) Inappropriate knowledge&#10;D) Stereotypical knowledge

Accepted Answer

"Deficient knowledge" is a correctly worded nursing diagnosis as it identifies a patient's lack of understanding or information related to a specific health condition or treatment. Ineffective, inappropriate, and stereotypical knowledge are not appropriate nursing diagnoses as they do not accurately describe a patient's knowledge deficit.

Question 11

Which of the following teaching strategies is most appropriate to promote use of coping skills by an adult patient?&#10;A) Lecture&#10;B) Role play&#10;C) Group teaching&#10;D) Printed materials

Accepted Answer

The answer of Which of the following teaching strategies is...

Question 12

How can the nurse most effectively evaluate a teaching objective of &#34;the patient will select a 2000-mg sodium diet from the hospital menu daily for three days with 90% accuracy&#34;?&#10;A) Ask the patient to identify what foods on the daily menu are high in sodium.&#10;B) Have the patient describe the foods that were consumed for the past three days,and total their sodium content.&#10;C) Note the food selected on three daily menus and determine whether the daily sodium content is within 1800 to 2200 mg.&#10;D) Use a record of the patient's food intake for three days to determine whether the total sodium content is 6000 mg.

Accepted Answer

The answer of How can the nurse most effectively evaluate...

Question 13

A patient admits to the nurse that she does not read well.In developing a teaching plan for the patient,what does this information guide the nurse in determining?&#10;A) The degree of the patient's motivation to learn&#10;B) What information the patient will be able to understand&#10;C) What instructional strategies should be used in teaching&#10;D) That the family must be included in the teaching process

Accepted Answer

The answer of A patient admits to the nurse that...

Question 14

Which of the following is a recent health literacy tool that health care providers can use to identify patients who are at risk for low health literacy?&#10;A) Rapid Estimate of Adult Literacy in Medicine&#10;B) Newest Vital Sign&#10;C) Test of Functional Health Literacy in Adults&#10;D) Adult Literacy and Skills Survey

Accepted Answer

The answer of Which of the following is a recent...

Question 15

What should the nurse ask the patient,in order to assess readiness to learn before planning teaching activities?&#10;A) What are the patient's living conditions and employment?&#10;B) What type of environment or activities help the patient to learn best?&#10;C) What information has been provided about the patient's health problem?&#10;D) Does the patient have any beliefs that are inconsistent with the proposed treatment?

Accepted Answer

The answer of What should the nurse ask the patient,in...

Deck 4: Patient and Caregiver Teaching