Deck 12: Patient Education

Question 1

Which patient is the most likely to be motivated to learn?

A) A 23-year-old smoker being taught about weight control
B) A 45-year-old man being taught about importance of prostate cancer screening
C) A 63-year-old knee replacement patient being taught postsurgical knee rehabilitation
D) A 15-year-old girl being taught about safe sex

Answer 1

A 63-year-old knee replacement patient being taught postsurgical knee rehabilitation

Question 2

Which finding will best indicate to the nurse that the teaching about a dressing change was successful?

A) The patient understands how to change an abdominal dressing.
B) The patient acknowledges the principles of an abdominal dressing change.
C) The patient correctly demonstrates an abdominal dressing change as taught.
D) The patient states, "Yes, I know how to change the dressing."

Answer 2

The patient correctly demonstrates an abdominal dressing change as taught.

Question 3

A nurse is preparing to teach a patient about ostomy care.The patient appears anxious and is crying.What should the nurse do?

A) Let the patient know it is time to learn about ostomy care.
B) Postpone the teaching session about ostomy care.
C) Show a video about ostomy care.
D) Implement role-play.

Answer 3

Postpone the teaching session about ostomy care.

Question 4

A patient with newly diagnosed diabetes is being discharged from the hospital.The patient will be going to an outpatient diabetic center to learn more about diet,exercise,disease management,and insulin administration.Which statement made by the patient indicates that effective teaching can take place?

A) "I don't want to get sick again so I will do what is needed."
B) "I am so happy to be going home so I don't have to eat hospital food anymore."
C) "I will be glad when they find a cure for diabetes."
D) "I don't think I will need to take insulin for very long because I already feel better."

Question 5

A postsurgical patient is being taught about wound care before being discharged from the hospital and is in a semiprivate room with another patient.The other patient is upset with a family member and is crying.The television is on to try to provide some distraction from the roommate.Which action should the nurse take to best facilitate patient education for wound care?

A) Explain to the patient that everything is in the handout.
B) Take the patient to a quiet area to do the patient teaching.
C) Ask the roommate to please be considerate of the patient because patient education is occurring.
D) Request that a home health nurse follow up with the patient at home to teach about wound care.

Question 6

An 8-year-old boy has been diagnosed with diabetes.A nurse is teaching his mother how to plan meals that are appropriate for him.The nurse asks the mother to put together a 24-hour meal plan for her son and then reviews the plan with her.What type of teaching method did the nurse use?

A) Simulation
B) Role-play
C) Analogy
D) Demonstration

Question 7

A patient was recently diagnosed with heart failure.The health care provider has ordered a low-sodium diet.A nurse is planning patient education for diet instruction.Which information should the nurse present first?

A) How much daily intake of sodium is recommended
B) How to read food labels at the grocery store
C) How to understand the metric system of measurement
D) How to cook different meals with low-sodium foods

Question 8

A pediatric nurse who works evenings on a surgical floor in a children's hospital has been working with a 5-year-old patient who has undergone abdominal surgery.The nurse gives the patient a sticker each time the incentive spirometer is used.What type of reinforcement did the nurse use?

A) Social
B) Material
C) Activity
D) Negative

Question 9

A nurse has been asked to prepare patient education for Spanish-speaking patients regarding diabetes.This information will be available to patients in the diabetes clinic.What is the primary goal for this patient education?

A) To reduce the legal liability of the clinic
B) To teach Spanish-speaking patients some English
C) To assist Spanish-speaking patients to reach optimal health
D) To provide information so they can make a decision between oral and injectable medications

Question 10

A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?

A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.

Question 11

A nurse needs to begin teaching about crutch walking with a 14-year-old patient.Which action should the nurse take first?

A) Motivate the patient to comply with the use of crutches.
B) Prevent diseases and learn good health promotion activities for crutch walking.
C) Allow the entire health care team to give the patient a variety of strategies for crutch walking.
D) Determine the patient's level of knowledge and perception of the learning needed for crutch walking.

Question 12

A nurse will be teaching a prepared childbirth class for the first time at a neighborhood church.The nurse has gone to the church to determine which room would be best suited to teach a group of six couples.Which room configurations would be most appropriate for teaching this group?

A) A small carpeted room with no furniture
B) A large auditorium with a stage and theater-style seating
C) A lunchroom with stationary tables and chairs
D) A Sunday-school classroom with tables and chairs

Question 13

A nurse is discharging a patient who required teaching about how to change a foot dressing.The nurse wants to ensure that the patient understands the signs and symptoms of infection and is preparing written materials the patient can take home and refer to as needed.Because the nurse does not know the patient's reading ability,at which grade level should the nurse prepare the written materials?

A) Fifth
B) Sixth
C) Eighth
D) Ninth

Question 14

A nurse is preparing to take a 5-year-old child's blood pressure.What is the best way for the nurse to reduce the child's anxiety about this procedure?

A) Do nothing because the more fuss that is made about a procedure, the more anxiety it causes the patient.
B) Explain to the patient that the blood pressure is a vital sign that the doctor has ordered.
C) Tell the child that the blood pressure cuff will "hug" the arm.
D) Ask the child's mother to step outside the room because children frequently do better when alone.

Question 15

A patient needs to take daily injections of a blood thinner for 7 days after hospital discharge.The nurse observes the patient's self-administration technique.What type of learning occurred?

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

Question 16

A patient who is a migrant farm worker did not graduate from high school and speaks English as a second language.The nurse will be providing discharge teaching after a hysterectomy.The nurse is concerned about the patient's ability to understand the discharge instructions.Which of the following should be of most concern in this situation?

A) Motivation
B) Developmental stage
C) Health literacy
D) Psychomotor learning

Question 17

A patient recently had a stroke and suffered right-sided weakness.The patient is being discharged from a rehabilitation hospital after learning to use a walker.Which learning domain was primarily used to teach the patient to be independent with the walker?

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

Question 18

The parents of a 3-month-old infant are preparing to take their child home from the hospital.Before being discharged,the parents must be educated on infant CPR.What is the most appropriate learning objective for this situation?

A) The parents will be able to understand CPR skills.
B) The parents will demonstrate infant CPR skills.
C) The infant will not require further hospitalization.
D) The parents will call the hospital for help.

Question 19

Which behavior by a new nurse will cause the nurse manager to intervene?

A) Initiates teaching of a patient
B) Uses discovery learning techniques with a patient
C) Assigns nursing assistive personnel to teach a patient
D) Implements the teach-back method to evaluate patient understanding

Question 20

A nurse who works in a diabetes clinic has been asked to help a 12-year-old male patient learn to give his own insulin injections.The nurse demonstrates the technique on a teaching manikin and then asks the patient to demonstrate the task on the manikin while providing assistance.Which teaching approach did the nurse use?

A) Entrusting
B) Telling
C) Participating
D) Reinforcing

Question 21

The nurse must teach grieving patients about future skills and knowledge.Which patients will most likely be ready to learn? (Select all that apply.)

A) A patient in denial
B) A patient in anger
C) A patient in bargaining
D) A patient in resolution
E) A patient in acceptance

Question 22

A nurse wants learning to take place in the affective domain of learning.Which techniques should the nurse implement that are the best for this type of learning? (Select all that apply.)

A) Lecture
B) Practice
C) Discussion
D) Role play
E) Return demonstration

Question 23

A patient must learn to apply a lower leg orthotic device but has a minor paralysis of the right upper extremity.Before teaching this skill,the nurse must assess the patient's physical capabilities.Which areas will the nurse assess? (Select all that apply.)

A) Size
B) Strength
C) Coordination
D) Sensory acuity
E) Learning environment

Question 24

A nurse tells a patient with a recent back injury that damage to the nerves is comparable to a water hose that has been pinched off and that time is needed to allow normal nerve transmission.Which technique did the nurse use?

A) Analogy
B) Discovery
C) Role-playing
D) Demonstration