Deck 25: Patient Education

Question 1

A nurse is teaching a patient's family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting?

A) Health promotion
B) Illness prevention
C) Restoration of health
D) Coping with impaired functions

Answer 1

Coping with impaired functions

Question 2

A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place?

A) Kinesthetic
B) Cognitive
C) Affective
D) Psychomotor

Answer 2

Cognitive

Question 3

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing?

A) Health analogies
B) Restoration of health
C) Coping with impaired functions
D) Promotion of health and illness prevention

Answer 3

Promotion of health and illness prevention

Question 4

A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority?

A) Assess laboratory results for high cholesterol and other data.
B) Identify that teaching is the same as the nursing process.
C) Perform nursing care therapies to address hypertension.
D) Focus on a patient's learning needs and objectives.

Question 5

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session?

A) If you still do not understand, ask again.
B) Ask a nurse to be your advocate or supporter.
C) The nurse is the center of the health care team.
D) Inappropriate medical tests are the most common mistakes.

Question 6

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 for the nurse to include in the teaching plan?

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

Question 7

A nurse's goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal?

A) Teaching a family member to provide passive range of motion for a stroke patient
B) Teaching a woman who recently had a hysterectomy about possible adoption
C) Teaching expectant parents about changes in childbearing women
D) Teaching a teenager with a broken leg how to use crutches

Question 8

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?

A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.

Question 9

A nurse is teaching a patient about heart failure. Which environment will the nurse use?

A) A darkened, quiet room
B) A well-lit, ventilated room
C) A private room at 85° F temperature
D) A group room for 10 to 12 patients with heart failure

Question 10

A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning?

A) "Teaching and learning can be separated."
B) "Learning is an interactive process that promotes teaching."
C) "Teaching is most effective when it responds to the learner's needs."
D) "Learning consists of a conscious, deliberate set of actions designed to help the teacher."

Question 11

A nurse is describing a patient's perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute?

A) Self-efficacy
B) Motivation
C) Attentional set
D) Active participation

Question 12

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)?

A) The patient will identify the main ingredients in several foods.
B) The patient will list the side effects of epinephrine.
C) The patient will learn about food labels.
D) The patient will administer epinephrine.

Question 13

A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?

A) Encourage independent learning.
B) Develop a problem-solving scenario.
C) Wrap a bandage around a stuffed animal's ear.
D) Use discussion throughout the teaching session.

Question 14

A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn?

A) Sociocultural background and motivation
B) Stage of grieving and overall physical health
C) Developmental capabilities and physical capabilities
D) Psychosocial adaptation to illness and active participation

Question 15

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn?

A) A patient has the ability to grasp and apply the elastic bandage.
B) A patient has sufficient upper body strength to move from a bed to a wheelchair.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.

Question 16

While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing?

A) Developing learning objectives
B) Providing positive reinforcement
C) Presenting facts and knowledge
D) Implementing interpersonal communication

Question 17

A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning?

A) Lecture
B) Role play
C) Demonstration
D) Question and answer sessions

Question 18

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback?

A) The nurse
B) The patient
C) The nurse teaching about healthy food choices
D) The patient stating that eating yogurt is better than eating cake

Question 19

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process?
1) Set mutual goals for knowledge of hypertension.
2) Teach what the patient wants to know about hypertension.
3) Assess what the patient already knows about hypertension.
4) Evaluate the outcomes of patient education for hypertension.

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

Question 20

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient's learning needs?

A) Assess the patient's total health care needs.
B) Assess the patient's health literacy.
C) Assess all sources of patient data.
D) Assess the goals of patient care.

Question 21

After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood pressure like an experienced nurse." Which type of reinforcement did the nurse use?

A) Social acknowledgment
B) Pleasurable activity
C) Tangible reward
D) Entrusting

Question 22

A nurse is asked by a co-worker why patient education/teaching is important. Which statements will the nurse share with the co-worker? (Select all that apply.)

A) "Patient education is an essential component of safe, patient-centered care."
B) "Patient education is a standard for professional nursing practice."
C) "Patient teaching falls within the scope of nursing practice."
D) "Patient teaching is documented and part of the chart."
E) "Patient education is not effective with children."
F) "Patient teaching can increase health care costs."

Question 23

A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)

A) The patient is hurting.
B) The patient is fatigued.
C) The patient is mildly anxious.
D) The patient is asking questions.
E) The patient is febrile (high fever).
F) The patient is in the acceptance phase.

Question 24

A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan?

A) The patient will state three facts about healthy eating.
B) The patient will identify two foods for a healthy snack.
C) The patient will verbalize the value of eating healthy.
D) The patient will cook a meal with low-fat oil.

Question 25

A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use?

A) Speak in a high tone of voice to describe strokes.
B) Use a pamphlet about strokes with large font in blues and greens.
C) Provide specific information about strokes in short, small amounts.
D) Begin the teaching session facing the teaching white board with stroke information.

Question 26

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?

A) Refer to a mental health specialist.
B) Refer to a wound care specialist.
C) Refer to an ostomy specialist.
D) Refer to a dietitian.

Question 27

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic?

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

Question 28

A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session?

A) Obtain pictures of food.
B) Get an interpreter.
C) Establish a rapport.
D) Refer to a dietitian.

Question 29

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use?

A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a video about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.

Question 30

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use?

A) Use complex analogies to describe COPD.
B) Ask for feedback to assess understanding of COPD at the end of the session.
C) Offer pamphlets about COPD written at the eighth grade level with large type.
D) Include the most important information on COPD at the beginning of the session.

Question 31

A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use?

A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test

Question 32

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?

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