Question 1

The nurse has important information to share with a parent who has brought his child to the emergency department.The nurse discovers that the parent,who appears very anxious,has just learned that his son will require surgery.What is the most effective teaching approach in this situation?

A) One-on-one discussion
B) Preparatory instruction
C) Demonstration instruction
D) Group instruction

A

Accepted Answer

One-on-one discussion is the most effective teaching approach in this situation as it allows the nurse to address the parent's specific concerns and answer any questions he may have. The parent appears anxious, and discussing the surgery and what to expect in a private conversation may help reduce his anxiety and increase his understanding of the situation. Preparatory instruction, demonstration instruction, and group instruction may also be used as supplemental teaching approaches, but one-on-one discussion should be utilized first.

Question 2

In planning to teach an older adult patient,the nurse should incorporate which of the following teaching methods or principles into the plan?&#10;A) Keeping teaching sessions short&#10;B) Teaching in the early morning or late evening&#10;C) Putting as much as possible into each teaching session&#10;D) Focusing on teaching a family member instead

Accepted Answer

Older adults may have difficulty with concentration and memory, so keeping teaching sessions short and focused on one topic at a time is more effective. Additionally, it is best to schedule teaching sessions when the patient is most alert and receptive, which can vary based on individual preferences. Putting too much information into one session can lead to overwhelm and reduced retention. While involving a family member can be helpful, the primary focus should be on teaching the patient themselves.

Question 3

The nurse has established an objective for a patient who has been unable to void.The patient's intake will be at least 1000 mL between 0700 hours and 1530 hours.Which one of the following indicates successful feedback from the patient?

A) The patient voids at least 1000 mL during the shift.
B) The patient verbalizes abdominal comfort without pressure.
C) The patient has adequate intake and output.
D) The patient drinks 240 mL of fluid five or six times during the shift.

D

Accepted Answer

The objective is for the patient to have an intake of at least 1000 mL, and drinking 240 mL five or six times would meet or exceed this goal.

Question 4

The nurse selects a variety of teaching methods to use with patients.Which one of the following methods should the nurse use with a toddler?&#10;A) Role playing&#10;B) Problem solving&#10;C) Independent learning&#10;D) Simple explanations and pictures

Accepted Answer

Toddlers have limited attention spans and cognitive abilities. Simple explanations and pictures are the most effective teaching methods for this age group.

Question 5

The patient has been informed that he can be discharged once he can irrigate his colostomy independently.The patient asks the nurse to observe his irrigation technique.Which of the following learning motives is the patient displaying?

A) Physical motive
B) Social motive
C) Task mastery
D) Evaluation stance

Accepted Answer

The patient is displaying a task mastery learning motive by asking the nurse to observe their irrigation technique. They want to ensure that they have learned the skill correctly and can perform it independently.

Question 6

Which of the following is an example of a teaching topic of restoration of health?&#10;A) Medication side effects&#10;B) Limitations on function&#10;C) Screening for common conditions&#10;D) Behaviour modification to change a risky behaviour

Accepted Answer

Restoration of health refers to the process of helping a patient recover from an illness or injury and regain their previous level of functioning. Limitations on function would be a teaching topic related to this process, as it would involve providing strategies and techniques to help the patient overcome any physical limitations and regain their independence. The other options (medication side effects, screening for common conditions, and behaviour modification) are teaching topics that may be important for overall health, but are not specifically related to restoring health after an illness or injury.

Question 7

The nurse is teaching a group of patients who have recently been diagnosed with heart disease.The nurse arranges the patients in pairs and asks them to plan a low-fat meal.This is an example of which of the following teaching strategies?

A) Analogy
B) Simulation
C) Demonstration
D) Role playing

Accepted Answer

This is an example of simulation, where patients are asked to plan a low-fat meal in pairs, which simulates real-life situations they may encounter.

Question 8

The nurse has completed an assessment of the patient and identified the following nursing diagnoses.Which one indicates a need to postpone teaching that was planned?&#10;A) Knowledge deficit regarding impending surgery&#10;B) Activity intolerance related to pain&#10;C) Ineffective management of treatment regimen&#10;D) Noncompliance with prescribed exercise plan

Accepted Answer

Activity intolerance related to pain indicates that the patient may not be ready for teaching on exercises or activities. Pain management and relief may need to be addressed first before proceeding with teaching.

Question 9

The patient continues to ask questions about a surgical wound and states,&#34;I think I would like help the first time I look at my wound.&#34; This is an example of which of the following?&#10;A) Guided response&#10;B) Adaptation&#10;C) Perception&#10;D) Organizing

Accepted Answer

The patient's statement about wanting help and asking questions indicates a guided response, in which they are seeking assistance and guidance in understanding their surgical wound.

Question 10

A patient is taught the clinical manifestations of inflammation to allow early detection of a complication of a surgical wound.The patient states,"I will look at the wound four times a day and tell my surgeon if it looks red or swollen." Her statement is an example of what?

A) Attitudes
B) Application
C) Analysis
D) Evaluation

Accepted Answer

The patient's statement demonstrates the application of knowledge by planning to monitor the wound for signs of inflammation and report them to the surgeon.

Question 11

The nurse is evaluating the responses of patients to teaching sessions.Which of the following is an example of an evaluation of a patient's attainment of a cognitive skill?&#10;A) &#34;Patient explains that the medication should be taken with meals.&#34;&#10;B) &#34;Patient looks at the surgical incision without prompting.&#34;&#10;C) &#34;Patient uses crutches appropriately to go up and down stairs.&#34;&#10;D) &#34;Patient dresses self after breakfast.&#34;

Accepted Answer

The answer of The nurse is evaluating the responses of...

Question 12

The nurse is evaluating the responses of patients to teaching sessions.Which one of the following is an example of an evaluation of a psychomotor skill?&#10;A) &#34;Patient is able to state side effects of medication.&#34;&#10;B) &#34;Patient responds appropriately to eye contact.&#34;&#10;C) &#34;Patient planned an exercise program.&#34;&#10;D) &#34;Patient uses the cane correctly.&#34;

Accepted Answer

The answer of The nurse is evaluating the responses of...

Question 13

Different topics are presented in the information sessions that are held in the outpatient clinic.In planning for a session on health maintenance and promotion-illness prevention,which of the following topics should the nurse select?

A) Use of assistive devices, such as canes
B) Self-help devices for patients who have had a cerebrovascular accident
C) Stress management techniques for working parents
D) Environmental alterations for patients in wheelchairs

Accepted Answer

The answer of Different topics are presented in the information...

Question 14

Which of the following reflects an appropriate teaching method for the affective domain of learning?&#10;A) Storytelling&#10;B) Role playing&#10;C) Demonstration&#10;D) A question-and-answer session

Accepted Answer

The answer of Which of the following reflects an appropriate...

Question 15

An industrial nurse is planning to give an informative talk on hypertension to employees in honour of Heart Month.He plans to teach individuals how to take their own blood pressure.What information is important for the nurse to obtain from the planning committee before this presentation?

A) Specific ages of all of the people involved
B) Names of employees who are married
C) Number of employees with high blood pressure
D) Type of room available and number of participants

Accepted Answer

The answer of An industrial nurse is planning to give...

Question 16

Which of the following statements from a patient does the nurse evaluate as an indication that the patient is not ready to learn at this time?&#10;A) &#34;I need to understand more about the reason for the colostomy.&#34;&#10;B) &#34;I will find out when the support group meets.&#34;&#10;C) &#34;There's no sense in showing me. I'm too sick right now.&#34;&#10;D) &#34;Tell me if I am doing this correctly.&#34;

Accepted Answer

The answer of Which of the following statements from a...

Question 17

Which of the following is an example of affective learning?&#10;A) Skill acquisition&#10;B) Values clarification&#10;C) Emotional capability&#10;D) Learning control of blood glucose levels

Accepted Answer

The answer of Which of the following is an example...

Question 18

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 of the following teaching principles?

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

Accepted Answer

The answer of The nurse is demonstrating to the patient...

Question 19

The nurse assesses the patient's readiness to learn insulin injection sites.Many factors are assessed before teaching.Which of the following factors should the nurse assess first?&#10;A) Previous knowledge level of the patient&#10;B) Willingness of the patient to learn the injection sites&#10;C) Financial resources available to the patient for the equipment&#10;D) Intelligence and developmental level of the patient

Accepted Answer

The answer of The nurse assesses the patient's readiness to...

Question 20

When teaching a patient with attention deficit-hyperactivity disorder (ADHD),the nurse must be aware of what?&#10;A) Return demonstration of a skill is not appropriate for this patient.&#10;B) The nurse must ensure that the patient's environment is stimulating in order to engage his or her focus.&#10;C) Sessions must be short, as the patient may have a low threshold of frustration.&#10;D) The patient will have no difficulty remaining focused when engaging in health promotion-related teaching topics.

Accepted Answer

The answer of When teaching a patient with attention deficit-hyperactivity...

Deck 20: Patient Education