Deck 4: Patient and Caregiver Teaching

Question 1

The nurse is caring for an adult client who has been diagnosed with type 2 diabetes mellitus after being admitted to the hospital with an infected foot wound. When applying principles of adult learning, which teaching strategy by the nurse is most likelytobeeffective?

A)Discuss the importance of blood glucose control in maintenance of long-term health.
B)Demonstrate the correct method for cleaning and redressing the wound to the client.
C)Assure the client that the nurse is an expert on management of diabetes complications.
D)Wait until after discharge and have a home health nurse teach about foot care and diabetes management.

Answer 1

Demonstrate the correct method for cleaning and redressing the wound to the client.

Question 2

The nurse is planning a teaching session for a client who needs to improve skills in being more assertive. Which of the following is the most effective teaching strategy for this client?

A)Role playing
B)Peer teaching
C)Printed materials
D)Lecture-discussion

Answer 2

Role playing

Question 3

Aclient with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge related to insufficient information (about breast cancer). When the nurse is planning teaching for the client, which is the most important initial learning goal?

A)The client will select the most appropriate breast cancer therapy.
B)The client will state ways of preventing the recurrence of the tumour.
C)The client will demonstrate coping skills needed to manage the disease.
D)The client will choose methods to minimize adverse effects of treatment.

Answer 3

The client will select the most appropriate breast cancer therapy.

Question 4

Which action should the nurse take first when teaching a client's spouse how to manage the blood pressure (BP) for a client with newly diagnosed hypertension?

A)Teach the caregiver how to take the client's BP using a manual blood pressure cuff.
B)Have the dietitian meet with the client and caregiver to discuss low sodium dietary choices.
C)Ask the client and caregiver to select important information from a list of hypertension teaching topics.
D)Provide written information about treatment and complications of hypertension for the client and caregiver.

Question 5

The nurse is caring for a client with diabetes and develops a nursing diagnosis of ineffective health management related to insufficient knowledge of therapeutic regimen (resulting in low motivation). Which of the following client actions is the basis for thisnursing diagnosis?

A)Does not perform capillary blood glucose tests as directed.
B)Occasionally forgets to take the daily prescribed medication.
C)Says that dietary intake does not seem to impact fatigue level.
D)Cannot identify signs or symptoms of high and low blood glucose.

Question 6

When assessing the learning needs for a client who has coronary heart disease, the nurse finds that the client has recently made dietary changes to decrease fat intake and has stopped smoking. Which of the following is the most appropriate initial statementbythe nurse at this time?

A)"Although those are important, it is essential that you make other changes, too."
B)"Are you having any difficulty in maintaining the changes you have already made?"
C)"You have already accomplished some changes that are important in heart health."
D)"Which additional changes in your lifestyle would you like to implement at this time?"

Question 7

When using the Transtheoretical Model of Health Behaviour Change during client teaching, the nurse identifies that the client who states, "I told my wife that I was going to start exercising, and I think I will join a fitness club," is in which of the following stages?

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

Question 8

The client's teaching plan includes this goal: "The client will select a 2-g sodium diet from the hospital menu for the next 3 days." Which evaluation method will be best for the nurse to use when determining whether teaching was effective?

A)Check the sodium content of the client's menu choices over the next 3 days.
B)Ask the client to identify which foods on the hospital menus are high in sodium.
C)Have the client list favourite foods that are high in sodium and foods that could be substituted for these favourites.
D)Compare the client's sodium intake over the next 3 days with the sodium intake before the teaching was implemented.

Question 9

After the nurse implements diet instruction for a client with heart disease, the client can explain the information but fails to make the recommended dietary changes. Which of the following statements reflects the correct evaluation of the intervention?

A)Learning did not occur because the client's behaviour did not change.
B)Choosing not to follow the diet is the behaviour that resulted from learning.
C)The nursing responsibility for helping the client make dietary changes has been fulfilled.
D)The teaching methods were ineffective in helping the client learn the dietary information.

Question 10

Which of the following are determinants of learning that require learning assessments? (Select all that apply.)

A)Learner needs
B)Demonstrated learner behaviour
C)Learner self-concept
D)State of learner readiness
E)Preferred learning style

Question 11

When assessing a client's readiness to learn before planning teaching activities, which question should the nurse ask?

A)"What kind of work and leisure activities do you do?"
B)"What information do you think you need right now?"
C)"Do you have any religious beliefs that are inconsistent with the treatment?"
D)"Can you describe the types of activities that help you learn new information?"

Question 12

The nurse is preparing written handouts to be used as part of the standardized teaching plan for clients who have been recently diagnosed with diabetes and requires an awareness of literacy levels. Which of the following literacy levels is generally reflective of students who graduate from high school?

A)1
B)2
C)3
D)4

Question 13

Aclient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?

A)Instruct about the increased risk for cardiovascular disease.
B)Provide detailed information about dietary control of glucose.
C)Teach glucose self-monitoring and medication administration.
D)Give information about the effects of exercise on glucose control.

Question 14

A young adult client tells the nurse, "I enjoy smoking and have no plans to quit." Which stage of the Transtheoretical Model of Health Behaviour Change does this example portray?

A)Contemplation
B)Precontemplation
C)Preparation
D)Maintenance

Question 15

While admitting a client to the medical unit, the nurse learns that the client has difficulty reading. This information will guide the nurse in determining which of the following strategies would be the most appropriate when planning for client teaching?

A)Assessing the degree of client motivation and readiness to learn.
B)Deciding what information the client will be able to understand.
C)Ensuring that the family be included in the teaching process.
D)Choosing which instructional strategies should be used in teaching.

Question 16

A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?

A)The nurse will demonstrate the proper technique for trimming toenails.
B)The client will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the client on appropriate foot care before discharge.
D)The client will understand the rationale for proper foot care after instruction.

Question 17

The nurse is caring for a client who has been newly diagnosed with diabetes. The client tells the nurse, "I want to know how to give my own insulin." Which initial action will the nurse take when implementing the standardized diabetic teaching plan?

A)Demonstrate how to draw up and administer insulin.
B)Discuss the use of exercise to decrease insulin needs.
C)Teach about differences between the various types of insulin.
D)Provide handouts about therapeutic and adverse effects of insulin.

Question 18

The nurse in the hospital has implemented a teaching plan to assist a client with rheumatoid arthritis in accomplishing daily activities independently. Which of the following actions is the best approach for the nurse to take in order to evaluate the client'slong-term response to the teaching?

A)Make a referral to the home health nursing department for home visits.
B)Assess the client's ability to bathe without any assistance the next day.
C)Have the client demonstrate the learned skills at the end of the teaching session.
D)Arrange a physical therapy visit before the client is discharged from the hospital.

Question 19

An older-adult client is seen at the health clinic and diagnosed with protein malnutrition. Which of the following actions is priority to be included in the teaching plan?

A)Suggest the use of liquid supplements as a way to increase protein intake.
B)Encourage the client to increase the dietary intake of meat, cheese, and milk.
C)Ask the client to record the intake of all foods and beverages for a 3-day period.
D)Focus on the use of combinations of beans and rice to improve daily protein intake.