Deck 3: Patient and Family Education

Question 1

Which of the following statements BEST describes the teaching-learning process?

A) It follows the distinct order of the nursing process, with each step of the process separate and without repetition.
B) It requires formal blocks of learning time that are planned during the shift.
C) It is a continuous activity that occurs during hospitalization and beyond.
D) It ends at the point of discharge.

Answer 1

It is a continuous activity that occurs during hospitalization and beyond.

Question 2

According to Maslow's hierarchy of needs, the need to know and understand information is considered

A) a high-level need.
B) a low-level need.
C) a physiologic need.
D) not important in a critical care setting.

Answer 2

a high-level need.

Question 3

A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome.The patient is ready for transfer to the step-down unit but is apprehensive.The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit.Which educational objective would be best to use in this situation?

A) The patient will state two reasons why he is being transferred by the end of the day.
B) The patient will confront his fears and deal with them within 1 day of transfer.
C) The patient will state the name of his "new" nurse by the end of the day.
D) The patient will be introduced to at least two of his "new" caregivers by the time of transfer.

Answer 3

The patient will be introduced to at least two of his "new" caregivers by the time of transfer.

Question 4

A patient is scheduled for a cardiac catheterization this afternoon.The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure.Which teaching strategy is most appropriate for this situation?

A) Discussion
B) Demonstration and practice
C) Audiovisual media
D) Written

Question 5

A 79-year-old patient received a liver transplant 3 days ago.The patient is extubated and hemodynamically stable.His spouse is coming for a visit, and the nurse has some time to discuss immune suppression drug therapy with both of them.The patient is hearing and sight impaired.The spouse brought the patient's hearing aids 2 days ago and will bring the patient's glasses today.Which of the following teaching strategies would be least effective in the ICU setting?

A) Patient education channel
B) Written materials
C) Lecture
D) Discussion

Question 6

The content and method of presentation in the critical care unit vary because

A) of the different admitting diagnoses.
B) of the uniqueness of each patient's clinical and emotional status.
C) all patients are on ventilators and cannot talk.
D) patients are heavily sedated and may not comprehend teaching.

Question 7

A mechanically ventilated patient with an endotracheal tube in the critical care unit is being actively weaned and is off sedation medication.As he begins to wake up for the first time since his admission, he becomes increasingly agitated, pulling at his gown, kicking his feet, and grimacing.The nurse responds to the situation by

A) medically treating the patient to sedate him again.
B) putting him in restraints because his issues are behavioral.
C) telling him to stop moving around before he extubates himself.
D) quickly providing emotional comfort to reduce the patient's anxiety and telling him simple facts to help him understand the situation.

Question 8

How should a nurse respond when a patient asks if he or she is going to die?

A) Avoid the question by leaving the room.
B) Defer the question to the physician.
C) Answer honestly and sensitively with information that is understandable and in simple terms.
D) Speak with the family first before answering the patient.

Question 9

A nurse has been progressively working with a patient on the exercises he needs to do at home when he is discharged.The nurse wants to ensure he will remember what to do when he is at home.Which teaching strategy is most appropriate for this situation?

A) Discussion
B) Demonstration and practice
C) Audiovisual media
D) Written

Question 10

_____ often occur(s)during the initial ICU visit by the family.

A) Sensory deprivation
B) Discharge teaching
C) Repeated questioning
D) Stress and anxiety

Question 11

During which phase do HIPAA, advance directives, and visitation policies occur for the patient or family members?

A) Transfer to a different level of care
B) End-of-life care
C) Initial contact or first visit
D) Continuous care

Question 12

Group discussions for patients are most effective if the patients

A) have a variety of medical diagnoses.
B) are in the acute phase of their illness.
C) are in the hospital only 3 days or less.
D) are at similar stages of adaptation.

Question 13

Group discussion as a patient teaching strategy for educating both a patient newly diagnosed with diabetes and a patient who has had the disease for years

A) is an efficient use of the nurse's time.
B) will address the same teaching topics with both patients.
C) will be effective because both patients undoubtedly have identical goals.
D) is not an appropriate teaching strategy.

Question 14

Which of the following educational content areas is appropriate during the first hours of hospitalization?

A) Pathophysiology of the admitting diagnosis
B) Dietary modifications
C) Purpose of bedside equipment
D) Medication side effects

Question 15

Which of the following issues should be addressed with patients who have been unconscious?

A) Sensations
B) Pathophysiology
C) Rehabilitation
D) Attitudes

Question 16

Learning domains are identified as:

A) knowledge, ability, and willingness to learn.
B) psychologic, skills, and knowledge.
C) knowledge, skills, and attitude.
D) skills, attitude, and psychologic.

Question 17

The first step of the teaching-learning process involves

A) gathering data to assist in the assessment of learning needs.
B) identifying major learning needs for the patient.
C) identifying learning needs related to medical diagnosis.
D) evaluating the effects of prior teaching.

Question 18

A lack of true understanding can often be misread by the nurse as noncompliance.Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?

A) Do you take your heart medication every morning?
B) Can you tell me what you know about your different heart medications?
C) Do you take all your medications?
D) Do you ever miss taking your medication?

Question 19

The patient is asked to complete an admission form.The patient hands the form to his spouse and asks her to complete the form, stating, "I forgot my glasses." The patient's actions demonstrate:

A) functional health literacy.
B) word recognition test.
C) low health literacy.
D) reading comprehension test.

Question 20

A patient is admitted to the critical care unit with the onset of tuberculosis.He was diagnosed with HIV/AIDS 1 year ago.When talking to the patient about preventing the spread of tuberculosis, the patient tells the nurse that he has not followed precautions regarding tuberculosis for patients with HIV.Which educational objective is BEST stated for this patient?

A) Patient will know at least two ways to prevent the spread of tuberculosis within 1 week.
B) Patient will understand how HIV is spread within 3 days.
C) Patient will realize that improper precautions will spread his disease to others.
D) Patient will verbalize two methods of transmission for tuberculosis within 2 days.

Question 21

According to Malcolm Knowles' andragogy, which of the following are characteristics of the adult learner?

A) Autonomy
B) Experience
C) Instructor-driven assessments
D) Peer-directed motivation
E) Individualism

Question 22

Sources of physiologic stress in the acutely ill include

A) hypotension.
B) hypoxia.
C) fever.
D) neurologic deficits.
E) eupnea.

Question 23

Identify which of the following questions a nurse could use to obtain assessment information.

A) "How can we help you today?"
B) "Can you tell me why you take each medication?"
C) "Are you in pain?"
D) "Are these people your main support system?"
E) "How well do you understand the directions?"

Question 24

Acute illness disrupts the patient's and family's normal routines.Coping mechanisms include

A) denial.
B) adaptation.
C) values.
D) anger.
E) disbelief.