Question 1

Which situation indicates to the nurse that the patient is ready to learn?&#10;A)A patient has sufficient upper body strength to move from a bed to a wheelchair.&#10;B)A patient has the ability to grasp and apply the elastic bandage.&#10;C)A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.&#10;D)A patient has adequate eyesight to identify the markings on a syringe and coordination to handle a syringe.

Accepted Answer

Motivation or readiness to learn sometimes results from social task mastery,or physical motives may be involved.Often patient motives are physical.Some patients are motivated to return to a level of self-sufficiency;for example,a patient with a below-the-knee amputation is motivated to learn how to walk with assistive devices.Readiness to learn should not be confused with ability to learn.All the other answers are examples of ability to learn because the capabilities mentioned often depend on the patient's level of physical development and overall physical health.To learn psychomotor skills,a patient needs to possess a certain level of strength,coordination,and sensory acuity.For example,it is useless to teach a patient to transfer from a bed to a wheelchair if he or she has insufficient upper body strength.An older patient with poor eyesight or an inability to grasp objects tightly cannot learn to apply an elastic bandage or handle a syringe.

Question 2

A nurse is asked about the goal of patient education.What is the nurse's best response?&#10;A)&#34;The goal of educating others is to help people meet standards of the Nurse Practice Act.&#34;&#10;B)&#34;The goal of educating others is to help people achieve optimal levels of health.&#34;&#10;C)&#34;The goal of educating others is to help people become dependent on the health care team.&#34;&#10;D)&#34;The goal of educating others is to help people provide self-care only while they are in the hospital.&#34;

Accepted Answer

The goal of educating people about their health is to help individuals,families,and communities achieve optimal levels of health.Although all provincial and territorial 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,not only in the hospital.

Question 3

A nurse is going to teach a patient about hypertension.Which action should the nurse implement first?&#10;A)Set mutual goals for knowledge of hypertension.&#10;B)Teach what the patient wants to know about hypertension.&#10;C)Assess what the patient already knows about hypertension.&#10;D)Evaluate the outcomes of patient education for hypertension.

Accepted Answer

Assessment is the first step of any teaching session,followed by diagnosing,planning,implementation,and evaluation.An effective assessment provides the basis for individualized patient teaching.Assessing what the patient currently knows improves the outcomes of patient education.

Question 4

A nurse wants the patient to begin to accept the chronic nature of diabetes.Which teaching technique should the nurse use to enhance learning?&#10;A)Lecture.&#10;B)Demonstration.&#10;C)Role play.&#10;D)Question and answer session.

Accepted Answer

Affective learning deals with expression of feelings and acceptance of attitudes,opinions,or values.Role play and discussion (one-on-one and in groups)are effective teaching methods for the affective domain.Lectures and question-and-answer sessions are effective teaching methods for the cognitive domain.Demonstration is an effective teaching method for the psychomotor domain.

Question 5

Which action best indicates that learning has occurred?&#10;A)A nurse presents information about diabetes.&#10;B)A patient demonstrates how to inject insulin.&#10;C)A family member listens to a lecture on diabetes.&#10;D)A primary care provider hands a diabetes pamphlet to the patient.

Accepted Answer

Learning is the purposeful acquisition of new knowledge,attitudes,behaviours,and skills.Complex patterns are involved in learning new skills,changing existing attitudes,transferring learning to new situations,and solving problems.A new mother exhibits learning when she demonstrates how to bathe her newborn.A nurse presenting information and a primary care provider handing a pamphlet to a patient are examples of teaching.A family member listening to a lecture does not demonstrate that learning occurred;a change in knowledge,attitudes,behaviours,or skills must be evident.

Question 6

Which factors should the nurse assess to determine a patient's ability to learn?&#10;A)Developmental capabilities and physical capabilities.&#10;B)Sociocultural background and motivation.&#10;C)Psychosocial adaptation to illness and active participation.&#10;D)Stage of grieving and overall physical health.

Accepted Answer

Developmental and physical capabilities reflect a person's ability to learn.Sociocultural background,motivation,psychosocial adaptation to illness,and active participation are factors in readiness to learn.Readiness to learn is also related to the stage of grieving.Overall physical health does reflect ability to learn;however,because it is paired here with stage of grieving (which is a readiness to learn factor),this is a wrong answer.

Question 7

The nurse is demonstrating to the patient how to put on antiembolism stockings.In the middle of the lesson,the patient asks,"Why have my feet been swelling?" The nurse stops and responds to the patient,adhering to which teaching principle?

A)Timing.
B)Setting priorities.
C)Building on existing knowledge.
D)Organizing teaching materials.

Accepted Answer

The nurse who stops a demonstration of applying antiembolism stockings to answer a patient's question is following the teaching principle of timing.If the patient has a question,it is important to answer the question right away,so that the focus can return to the task being taught.Setting priorities is important for conserving the time and energy of the patient and nurse.A patient learns best on the basis of preexisting cognitive abilities and knowledge.Organizing teaching material means that the nurse considers the order in which to present the information.

Question 8

A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute.In which domain did learning take place?&#10;A)Kinesthetic.&#10;B)Cognitive.&#10;C)Affective.&#10;D)Psychomotor.

Accepted Answer

Cognitive learning includes all intellectual behaviours and requires thinking.In the hierarchy of cognitive behaviours,the simplest behaviour is acquiring knowledge.The student nurse acquired knowledge,which is cognitive.Kinesthetic is a type of learner who learns best with a hands-on approach.Affective learning deals with expression of feelings and acceptance of attitudes,opinions,or values.Psychomotor learning involves acquiring skills that require integration of mental and muscular activities,such as the ability to walk or to use an eating utensil.

Question 9

A nurse is teaching a group of healthy adults about the benefits of flu immunizations.Which purpose of patient education is the nurse fulfilling?&#10;A)Restoration of health.&#10;B)Coping with impaired functions.&#10;C)Promotion of health and illness prevention.&#10;D)Health analogies.

Accepted Answer

A nurse is a visible,competent resource for patients who want to improve their physical and psychological well-being.In the school,home,clinic,or workplace,nurses promote health and prevent illness by providing information and skills that enable patients to assume healthier behaviours.Injured and ill patients need information and skills to help them regain or maintain their level of health;this is referred to as restoration of health.Not all patients fully recover from illness or injury.Many have to learn to cope with permanent health alterations;this is known as coping with impaired functions.Analogies supplement verbal instruction with familiar images that make complex information more real and understandable.For example,when explaining arterial blood pressure,the nurse can use the analogy of the flow of water through a hose.

Question 10

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?&#10;A)The patient will walk to the bathroom and back to bed using a cane.&#10;B)The patient will understand the importance of using a cane.&#10;C)The patient will learn how to use a cane.&#10;D)The patient will know the correct use of a cane.

Accepted Answer

Outcomes refer to the patient's ability to do something on completion of teaching,such as will empty colostomy bag,or will administer an injection.Understanding,learning,and knowing are not behaviours that can be observed or evaluated.

Question 11

While preparing a teaching plan,the nurse describes what the learner will be able to accomplish after the teaching session.Which action is the nurse completing?&#10;A)Developing learning objectives.&#10;B)Providing positive reinforcement.&#10;C)Implementing interpersonal communication.&#10;D)Presenting facts and knowledge.

Accepted Answer

The answer of While preparing a teaching plan,the nurse describes...

Question 12

Which learning objective/outcome has the highest priority for a patient with life-threatening,severe food allergies that necessitate use of an EpiPen (epinephrine)?&#10;A)The patient will demonstrate the correct way to administer epinephrine.&#10;B)The patient will identify the main ingredients in several foods.&#10;C)The patient will list the side effects of epinephrine.&#10;D)The patient will learn about food labels.

Accepted Answer

The answer of Which learning objective/outcome has the highest priority...

Question 13

A nurse provides teaching about coping with long-term impaired functions.Which situation serves as the best example?&#10;A)Teaching a family member to give medications through the patient's permanent gastric tube.&#10;B)Teaching a woman who recently had a hysterectomy about her pathology reports.&#10;C)Teaching expectant parents about physical and psychological changes in childbearing women.&#10;D)Teaching a teenager with a broken leg how to use crutches.

Accepted Answer

The answer of A nurse provides teaching about coping with...

Question 14

Which statement indicates that the nurse has a good understanding of teaching/learning?&#10;A)&#34;Teaching and learning can be separated.&#34;&#10;B)&#34;Learning is an interactive process that promotes teaching.&#34;&#10;C)&#34;Learning consists of a conscious,deliberate set of actions designed to help the teacher.&#34;&#10;D)&#34;Teaching is most effective when it responds to the learner's needs.&#34;

Accepted Answer

The answer of Which statement indicates that the nurse has...

Question 15

A nurse is preparing to teach a patient about heart failure.Which environment is best for patient learning?&#10;A)A darkened,quiet room.&#10;B)A well-lit,ventilated room.&#10;C)A private room at 30&#176;C (85&#176;F)temperature.&#10;D)A group room for 10 to 12 patients with heart failure.

Accepted Answer

The answer of A nurse is preparing to teach a...

Question 16

When the nurse describes a patient's perceived ability to successfully complete a task,which term should the nurse use?&#10;A)Self-efficacy.&#10;B)Motivation.&#10;C)Attentional set.&#10;D)Active participation.

Accepted Answer

The answer of When the nurse describes a patient's perceived...

Question 17

A nurse is teaching the staff about nursing and teaching processes.During the teaching process,what should the nurse do?&#10;A)Assess all sources of data.&#10;B)Realize that it is the same as the nursing process.&#10;C)Perform nursing care therapies.&#10;D)Focus on a patient's learning needs.

Accepted Answer

The answer of A nurse is teaching the staff about...

Question 18

A nurse teaches a patient with heart failure about healthy food choices.The patient states that eating yogurt is better than eating cake.In this situation,which element represents feedback?&#10;A)The nurse.&#10;B)The patient.&#10;C)The nurse teaching about healthy food choices.&#10;D)The patient stating that eating yogurt is better than eating cake.

Accepted Answer

The answer of A nurse teaches a patient with heart...

Question 19

A toddler is going to have surgery on the right ear.Which teaching method is most appropriate for this developmental stage?&#10;A)Encourage independent learning.&#10;B)Use discussion throughout the teaching session.&#10;C)Apply a bandage to a doll's ear.&#10;D)Develop a problem-solving scenario.

Accepted Answer

The answer of A toddler is going to have surgery...

Question 20

Which nursing action is most appropriate for assessing a patient's learning needs?&#10;A)Assess the patient's total health care needs.&#10;B)Assess the patient's health literacy.&#10;C)Assess all sources of patient data.&#10;D)Assess the goals of patient care.

Accepted Answer

The answer of Which nursing action is most appropriate for...

Question 21

A nurse has taught a patient about healthy eating habits.Which learning objective/outcome is most appropriate for the affective domain?&#10;A)The patient will state three facts about healthy eating.&#10;B)The patient will identify two foods for a healthy snack.&#10;C)The patient will verbalize the value of eating healthy.&#10;D)The patient will cook a meal with low-fat oil.

Accepted Answer

The answer of A nurse has taught a patient about...

Question 22

Which situation will cause the nurse to postpone a teaching session? (Select all that apply. )&#10;A)The patient is mildly anxious.&#10;B)The patient is fatigued.&#10;C)The patient is asking questions.&#10;D)The patient is hurting.&#10;E)The patient is febrile (high fever).&#10;F)The patient is in the acceptance phase.

Accepted Answer

The answer of Which situation will cause the nurse to...

Question 23

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?&#10;A)At bedtime,when the patient is relaxed.&#10;B)At lunchtime while the nurse is preparing the food tray.&#10;C)At bath time,when the nurse is cleaning the patient.&#10;D)At medication time,when the nurse is administering patient medication.

Accepted Answer

The answer of A patient with heart failure is learning...

Question 24

After a teaching session on taking blood pressures,the nurse tells the patient,&#34;You took that blood pressure like an experienced nurse.&#34; What type of reinforcement did the nurse use?&#10;A)Material.&#10;B)Activity.&#10;C)Social.&#10;D)Entrusting.

Accepted Answer

The answer of After a teaching session on taking blood...

Question 25

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?&#10;A)Refer to a mental health specialist.&#10;B)Refer to an ostomy specialist.&#10;C)Refer to a dietitian.&#10;D)Refer to a wound care specialist.

Accepted Answer

The answer of A patient has been taught how to...

Question 26

A nurse is preparing to teach a kinesthetic learner about exercise.Which technique should the nurse use?&#10;A)Let the patient touch and use the exercise equipment.&#10;B)Provide the patient with pictures of the exercise equipment.&#10;C)Let the patient listen to a podcast about the exercise equipment.&#10;D)Provide the patient with a case study about the exercise equipment.

Accepted Answer

The answer of A nurse is preparing to teach a...

Question 27

A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?&#10;A)Return demonstration.&#10;B)Computer instruction.&#10;C)Verbalization of steps.&#10;D)Cloze test.

Accepted Answer

The answer of A patient has been taught how to...

Question 28

Which statements by the nurse indicate a good understanding of patient education/teaching? (Select all that apply. )&#10;A)&#34;Patient education is a standard for professional nursing practice.&#34;&#10;B)&#34;Patient teaching falls within the scope of nursing practice.&#34;&#10;C)&#34;Patient education is an essential component of safe,patient-centred care.&#34;&#10;D)&#34;Patient education is not effective with children.&#34;&#10;E)&#34;Patient teaching can increase health care costs.&#34;&#10;F)&#34;Patient teaching should be documented in the chart.&#34;

Accepted Answer

The answer of Which statements by the nurse indicate a...

Question 29

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?&#10;A)&#34;What do you want to know about strokes?&#34;&#10;B)&#34;On a scale from 1 to 10,tell me where you rank your desire to learn.&#34;&#10;C)&#34;Do you feel strong enough to perform the tasks I will teach you?&#34;&#10;D)&#34;Please read this handout and tell me what it means.&#34;

Accepted Answer

The answer of A nurse is assessing the ability to...

Deck 20: Patient Education