Question 1

It is a busy day on the medical-surgical floor,and the nurse must teach a patient ready for discharge about his medications.How can the nurse most efficiently use her time and provide this education?&#10;A) Write down instructions so the patient can read them at home.&#10;B) Discuss the information while assisting the patient with his bath.&#10;C) Educate the patient about his medications as each one is given.&#10;D) Follow up with the patient after discharge with a phone call.

Accepted Answer

Teaching does not have to be performed in a formal session but is often most effective at a teachable moment when the information is perceived as most relevant,such as at the time the medication is given to the patient.Additionally,the information is more memorable when the patient can see the actual dose and identify it with the information presented.A teaching session about wound care would be appropriate during bathing but not medication teaching.Providing the patient written instructions without discussing the information does not allow the patient an opportunity to ask questions or the nurse to verify that the patient understands the instruction.The patient should not be discharged without education about his prescribed medications,including what it is for,how to take the it,instructions regarding dosing,what side effects can occur,and when to stop taking the medication.

Question 2

A preschool-age child is scheduled for a tonsillectomy.Which strategy might help lessen the child's anxiety before surgery?&#10;A) Show the child a short, animated video (DVD) about the hospital visit and procedure.&#10;B) Give the child a tour of the hospital a week before the surgery is scheduled.&#10;C) Allow the child to use online sources of information to teach him about the procedure.&#10;D) Provide one-to-one instruction about the care he will need after surgery.

Accepted Answer

To reduce anxiety in a preschool-age child requiring surgery,show a short,animated video showing the area of the hospital where the child will be.The video should include a simple explanation of what is going to happen while he is in the hospital and afterward in a manner that is upbeat and friendly.A tour of the hospital with the sights and smells of sicker people might be more frightening to the young child.It is best to avoid exposure to pathogens before surgery,such as what could be acquired when touring the building.One-to-one instruction and online sources of information are teaching strategies for adults and older children.

Question 3

Which intervention by the nurse would be best to motivate a patient newly diagnosed with hypertension to learn about the prescribed treatment plan?&#10;A) Explain that when left untreated, hypertension may lead to stroke.&#10;B) Ask the patient to let you know when he is ready to learn.&#10;C) Encourage the patient to learn about various treatment options.&#10;D) Reassure the patient that adhering to the treatment produces a good outcome.

Accepted Answer

A patient newly diagnosed with hypertension may not be motivated to learn because he most likely has not experienced physical symptoms or other outward complications.Therefore,the nurse should motivate the patient by pointing out serious risks to the quality of life if the blood pressure control is not achieved.Although readiness to learn is an important consideration,treatment might be delayed too long if the patient does not appropriately perceive the immediacy of the health risk.Simply encouraging a patient to learn about blood pressure and treatment options might not be suitable motivation to engage in active learning and to comply with prescribed treatment.Reassuring the patient and promising a good outcome by complying with medical treatment is not appropriate.Adhering to medical therapy reduces the risk for stroke and other complications; however,this can't be guaranteed.

Question 4

An older adult patient who underwent bowel resection is recovering from surgery without complication.He ambulates in the hallway and requires little analgesia for pain.During the healthcare team's morning rounds,the surgeon informs the patient that the lesion removed was cancerous.Which factor will likely be the patient's most significant obstacle for learning?

A) The patient's baseline physical condition
B) A negative environmental influence
C) Anxiety associated with the new diagnosis
D) Reduced ability to understand the diagnosis

Accepted Answer

Anxiety associated with the new diagnosis of cancer will most likely be a barrier to learning in this patient.Fear of the unknown,fear of pain,fear of physical discomfort with treatment options,fear of altered role in home or work life,and many other fears accompany the anxiety that patients often experience when potentially life-threatening diagnoses are communicated.The patient has been ambulating and requiring a minimal amount of pain medication; therefore,his physical condition is probably not the most significant barrier to learning.Simply because the patient is an older adult does not suggest he has reduced capacity to learn.

Question 5

A mother tells the nurse she is worried that her 20-year-old daughter lacks the understanding regarding the need for follow-up care after her discharge.Which of the following behaviors suggests that the patient needs further discharge teaching? Select all that apply.The patient:

A) States she will be on time for her scheduled appointment
B) Asks the nurse many questions about her discharge care
C) States she does not understand much English
D) Watches television while the nurse is speaking to her
E) Plans to get medications from the pharmacy on her way home

Accepted Answer

Poor language fluency and comprehension interfere with learning.The client watching television while the nurse is giving discharge instructions shows a lack of readiness for learning.

Question 6

For which patient is the nursing diagnosis Deficient Recall most appropriate?&#10;A) Adolescent with Down syndrome and newly diagnosed with cardiac problem&#10;B) Young adult admitted with acute renal failure who requires hemodialysis&#10;C) Middle-aged woman with breast cancer receiving the last round of chemotherapy&#10;D) Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer

Accepted Answer

The young adult patient admitted with acute renal failure who needs hemodialysis will probably have Deficient Recall related to his treatment regimen.Patients with chronic illness,such as diabetes or cancer,are most likely to be knowledgeable about the disease and course of treatment; therefore,the nursing diagnosis Deficient Recall is less relevant than it is to a patient who is newly diagnosed.The adolescent patient with Down syndrome would have a nursing diagnosis of Impaired Ability to Learn.

Question 7

Which statement by the patient demonstrates health literacy?&#10;A) &#34;I speak and understand little English but will do what I am told.&#34;&#10;B) &#34;I will take my medications after I ask the nurse a few questions.&#34;&#10;C) &#34;I have not taken my prescribed antibiotics because I can't read the labels.&#34;&#10;D) &#34;I stopped my medications when I started feeling better.&#34;

Accepted Answer

Health literacy is the ability to understand basic health information and services needed to make appropriate healthcare decisions.There are multiple barriers to health literacy that include lack of understanding the language being spoken to the patient,decreased communication between patient and healthcare provider,lack of resources for the patient,and lack of understanding the need for healthcare and engaging in risky behaviors.Taking medication as prescribed after asking the nurse questions to clarify information demonstrates health literacy.Health teaching cannot be effective if either or both the patient and nurse cannot communicate effectively in the same language.If the patient is unable to read the prescription labels or understand the need for the medications to continue feeling well,then this can negatively impact decision making regarding healthcare.

Question 8

How can the nurse best provide teaching for a patient whose primary spoken language is not the same as hers?&#10;A) Provide written materials in the patient's primary language.&#10;B) Make arrangements to teach using an interpreter.&#10;C) Provide a demonstration and request a return demonstration.&#10;D) Use visual teaching aids to convey information.

Accepted Answer

The nurse can best provide teaching for the patient whose primary spoken language is not the same as her own by requesting the aid of an interpreter.An interpreter can help the nurse to communicate clearly and accurately when assessing learning needs; dispersing the information; providing feedback to learners; and determining whether teaching is effective.An interpreter also allows the patient to ask questions when necessary and for the healthcare provider to respond with meaningful information.Written materials in the patient's primary language can help reinforce teaching.Demonstrating and requesting a return demonstration may be difficult if the patient does not understand the spoken language of the nurse.Visual aids may also be helpful for some learners,but they should not be the primary method for teaching,nor do they offer an opportunity for the exchange of information through questions,demonstration,or discussion.

Question 9

Prior to discharge,a patient with diabetes needs to learn how to check a finger-stick blood sugar reading before taking insulin.Which action will best help the patient remember proper technique?&#10;A) Encouraging the patient to check the blood sugar each time the nurse gives insulin&#10;B) Providing feedback after the patient takes his blood sugar reading for the first time&#10;C) Verbally instructing the patient about how to obtain a finger-stick blood sugar reading&#10;D) Offering a brochure that describes the technique for checking a blood sugar reading

Accepted Answer

Having the patient perform a finger stick with the nurse each time insulin is administered is the best way to practice the correct technique and gain confidence prior to discharge.Repetition increases the likelihood that the patient will retain information and incorporate it into the daily management of his diabetes care.Although feedback is important,the patient might need it on more than one occasion.Verbal instructions for performing a new skill are most useful when the patient has an opportunity to perform the technique.A brochure is informative and useful for later reference; however,information about performing a new skill is best offered when the patient can see it demonstrated and has the opportunity to practice it with the feedback from the nurse.

Question 10

The nurse preparing a teaching plan ensures that the information is tailored to the client's life experiences and learning level.These are examples of which right of teaching?&#10;A) Time&#10;B) Context&#10;C) Content&#10;D) Method

Accepted Answer

The right content needs to be aligned with the client's needs,learning level,and life experiences.The right time is when the learner is free of pain,anxiety,and stress,which can affect the ability to learn.The nurse must have insufficient time to do the teaching.The right context includes a calm environment free from distractions,and one that is private with a soothing atmosphere.The right method assesses whether teaching strategies are varied,and fit the client's learning ability and style.

Question 11

A patient with attention deficit disorder is admitted to the hospital with type 1 diabetes.Which nursing diagnosis is commonly yet inappropriately used but should be avoided for this type of patient? Assume there are data to support all the diagnoses.

A) Deficient Recall (disease process)
B) Impaired Ability to Learn related to Fear and Anxiety
C) Difficulty Learning related to Cognitive Developmental Level
D) Lack of Motivation to Learn related to Feelings of Powerlessness

Accepted Answer

The answer of A patient with attention deficit disorder is...

Question 12

Which teaching strategy is typically most effective for presenting information to large groups?&#10;A) Distributing printed materials&#10;B) Lecturing using audiovisual format&#10;C) Online sources of information&#10;D) Role modeling

Accepted Answer

The answer of Which teaching strategy is typically most effective...

Question 13

Which technique is best for teaching a nursing assistant how to perform finger-stick glucose testing?&#10;A) Provide a manufacturer's pamphlet with detailed instruction.&#10;B) Explain the best technique for performing glucose testing.&#10;C) Demonstrate the procedure; then ask for a return demonstration.&#10;D) Suggest that the assistant watch a DVD showing the procedure.

Accepted Answer

The answer of Which technique is best for teaching a...

Question 14

The nurse knows that iron deficiency anemia is caused by low levels of iron in the body that can be improved by a diet high in iron.Based on this information,the best nursing diagnosis is:&#10;A) Imbalanced nutrition: less than body requirements for iron r/t possible Deficient Recall of dietary needs&#10;B) Deficient Recall r/t imbalanced nutrition due to less than body requirements of iron&#10;C) Imbalanced nutrition: less than body requirements r/t inability to access information&#10;D) Inability to access information r/t Deficient Recall about dietary needs for iron

Accepted Answer

The answer of The nurse knows that iron deficiency anemia...

Question 15

The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU.Implementation is planned in 6 weeks.When is the best time for the manager to schedule the teaching sessions?

A) Immediately
B) One week before implementation
C) Two weeks before implementation
D) Four weeks before implementation

Accepted Answer

The answer of The nurse manager is devising a teaching...

Question 16

A patient with a diabetic foot ulcer will need to perform dressing changes after discharge.When should the nurse schedule the teaching session(s)?&#10;A) Within 10 minutes after his next dose of oral pain medication&#10;B) After the patient wakes up from a restful nap&#10;C) Before the surgeon debrides the wound&#10;D) Before the patient undergoes flow studies of his affected leg

Accepted Answer

The answer of A patient with a diabetic foot ulcer...

Question 17

During advanced cardiac life support (ACLS)training,a nurse performs defibrillation using a mannequin.Which teaching strategy is being employed?&#10;A) One-to-one instruction&#10;B) Computer-assisted instruction&#10;C) Role modeling&#10;D) Simulation

Accepted Answer

The answer of During advanced cardiac life support (ACLS)training,a nurse...

Question 18

When the nurse is giving instructions for discharge,he notices that the television is on and he is eating a meal.The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:

A) Review all important discharge teaching while in the room
B) Ask whether the patient has any questions about the discharge
C) Inform the patient that the instructions are on the discharge sheet
D) Arrange another time with the patient to review the discharge teaching

Accepted Answer

The answer of When the nurse is giving instructions for...

Question 19

Which phrase is stated as a teaching goal (as compared with an objective)for a patient who had bowel resection with creation of a colostomy? The patient&#10;A) Empties the colostomy appliance when half filled&#10;B) Performs skin care around the stoma site&#10;C) Will perform ostomy self-care within 3 days after surgery&#10;D) Applies a new ostomy appliance, making sure it adheres properly

Accepted Answer

The answer of Which phrase is stated as a teaching...

Question 20

Assume all of the following written instructions about digoxin provide correct information for patient care.Which one is best worded for patient understanding?&#10;A) Obtain your radial pulse every morning before taking your digoxin dose.&#10;B) Return to your healthcare provider for monthly laboratory studies of your digoxin levels.&#10;C) Call your provider if you notice that objects look yellow or green.&#10;D) Always take the same brand of medication because certain brands may not be interchangeable.

Accepted Answer

The answer of Assume all of the following written instructions...

Question 21

The nurse explains to a patient that dressing changes will improve healing and decrease infection and then demonstrates the correct aseptic technique to the patient.The patient is asked to return a demonstration of this dressing change and to describe the reasons for it to the nurse.This example includes what learning domain(s)? Select all that apply.

A) Affective
B) Active
C) Cognitive
D) Psychomotor
E) Passive

Accepted Answer

The answer of The nurse explains to a patient that...

Question 22

The nurse is giving you the shift report.She states the client's diagnoses,treatments,and course of hospitalization.When describing the client she states,"Whenever I try to teach him something,he becomes difficult and argumentative." What client information about patient teaching should you ask? Select all that apply.

A) Level of literacy
B) Primary language
C) Need for humor
D) Level of anxiety
E) Questions answered

Accepted Answer

The answer of The nurse is giving you the shift...

Deck 19: Teaching Learning