Question 1

The nurse has important information to share with a parent who has brought his child to the emergency department.The nurse discovers that the parent,who appears very anxious,has just learned that his son will require surgery.What is the most effective teaching approach in this situation?

Accepted Answer

One-on-one discussion is the most effective teaching approach in this situation as it allows the nurse to address the parent's specific concerns and answer any questions he may have. The parent appears anxious, and discussing the surgery and what to expect in a private conversation may help reduce his anxiety and increase his understanding of the situation. Preparatory instruction, demonstration instruction, and group instruction may also be used as supplemental teaching approaches, but one-on-one discussion should be utilized first.

Question 2

In planning to teach an older adult patient,the nurse should incorporate which of the following teaching methods or principles into the plan?

Accepted Answer

Older adults may have difficulty with concentration and memory, so keeping teaching sessions short and focused on one topic at a time is more effective. Additionally, it is best to schedule teaching sessions when the patient is most alert and receptive, which can vary based on individual preferences. Putting too much information into one session can lead to overwhelm and reduced retention. While involving a family member can be helpful, the primary focus should be on teaching the patient themselves.

Question 3

The nurse has established an objective for a patient who has been unable to void.The patient's intake will be at least 1000 mL between 0700 hours and 1530 hours.Which one of the following indicates successful feedback from the patient?

Accepted Answer

The objective is for the patient to have an intake of at least 1000 mL, and drinking 240 mL five or six times would meet or exceed this goal.

Question 4

The nurse selects a variety of teaching methods to use with patients.Which one of the following methods should the nurse use with a toddler?

Accepted Answer

Toddlers have limited attention spans and cognitive abilities. Simple explanations and pictures are the most effective teaching methods for this age group.

Question 5

The patient has been informed that he can be discharged once he can irrigate his colostomy independently.The patient asks the nurse to observe his irrigation technique.Which of the following learning motives is the patient displaying?

Accepted Answer

The patient is displaying a task mastery learning motive by asking the nurse to observe their irrigation technique. They want to ensure that they have learned the skill correctly and can perform it independently.

Question 6

Which of the following is an example of a teaching topic of restoration of health?

Accepted Answer

Restoration of health refers to the process of helping a patient recover from an illness or injury and regain their previous level of functioning. Limitations on function would be a teaching topic related to this process, as it would involve providing strategies and techniques to help the patient overcome any physical limitations and regain their independence. The other options (medication side effects, screening for common conditions, and behaviour modification) are teaching topics that may be important for overall health, but are not specifically related to restoring health after an illness or injury.

Question 7

The nurse is teaching a group of patients who have recently been diagnosed with heart disease.The nurse arranges the patients in pairs and asks them to plan a low-fat meal.This is an example of which of the following teaching strategies?

Accepted Answer

This is an example of simulation, where patients are asked to plan a low-fat meal in pairs, which simulates real-life situations they may encounter.

Question 8

The nurse has completed an assessment of the patient and identified the following nursing diagnoses.Which one indicates a need to postpone teaching that was planned?

Accepted Answer

Activity intolerance related to pain indicates that the patient may not be ready for teaching on exercises or activities. Pain management and relief may need to be addressed first before proceeding with teaching.

Question 9

The patient continues to ask questions about a surgical wound and states,"I think I would like help the first time I look at my wound." This is an example of which of the following?

Accepted Answer

The patient's statement about wanting help and asking questions indicates a guided response, in which they are seeking assistance and guidance in understanding their surgical wound.

Question 10

A patient is taught the clinical manifestations of inflammation to allow early detection of a complication of a surgical wound.The patient states,"I will look at the wound four times a day and tell my surgeon if it looks red or swollen." Her statement is an example of what?

Accepted Answer

The patient's statement demonstrates the application of knowledge by planning to monitor the wound for signs of inflammation and report them to the surgeon.

Question 11

The nurse is evaluating the responses of patients to teaching sessions.Which of the following is an example of an evaluation of a patient's attainment of a cognitive skill?

Accepted Answer

Option A is an example of cognitive skill attainment because it involves the patient demonstrating an understanding of the medication regimen through explanation. Options B, C, and D are examples of psychomotor or physical skill attainment.

Question 12

The nurse is evaluating the responses of patients to teaching sessions.Which one of the following is an example of an evaluation of a psychomotor skill?

Accepted Answer

The statement "Patient uses the cane correctly" is an example of evaluation of a psychomotor skill as it is assessing the patient's ability to physically perform a task. The other options are not related to psychomotor skills - A is testing recall ability, B is evaluating social behavior and C is assessing planning ability.

Question 13

Different topics are presented in the information sessions that are held in the outpatient clinic.In planning for a session on health maintenance and promotion-illness prevention,which of the following topics should the nurse select?

Accepted Answer

Stress management techniques for working parents fall under health maintenance and promotion-illness prevention, as stress can lead to a variety of health problems. The other options relate more to managing existing conditions or physical limitations.

Question 14

Which of the following reflects an appropriate teaching method for the affective domain of learning?

Accepted Answer

Role playing is an effective method for teaching in the affective domain as it involves emotions, attitudes, and values, allowing learners to experience and reflect on different perspectives and feelings.

Question 15

An industrial nurse is planning to give an informative talk on hypertension to employees in honour of Heart Month.He plans to teach individuals how to take their own blood pressure.What information is important for the nurse to obtain from the planning committee before this presentation?

Accepted Answer

The nurse needs to know the type of room and number of participants to ensure the presentation is appropriately tailored to the space and audience size, allowing for effective teaching and demonstration.

Question 16

Which of the following statements from a patient does the nurse evaluate as an indication that the patient is not ready to learn at this time?

Accepted Answer

The statement "There's no sense in showing me. I'm too sick right now." suggests that the patient may not be motivated or receptive to learning at this time. The other statements indicate a desire to learn or willingness to participate in learning opportunities.

Question 17

Which of the following is an example of affective learning?

Accepted Answer

Affective learning refers to the acquisition of attitudes, values, beliefs, and emotions. Values clarification is an example of affective learning because it involves the process of exploring and identifying personal values and beliefs. Skill acquisition (A) is an example of cognitive learning, emotional capability (C) may involve affective learning but is too broad without further context, and learning control of blood glucose levels (D) is an example of psychomotor learning.

Question 18

The nurse is demonstrating to the patient how to put on antiembolism stockings.In the middle of the lesson,the patient asks,"Why have my feet been swelling?" The nurse stops and responds to the patient,adhering to which of the following teaching principles?

Accepted Answer

The answer of The nurse is demonstrating to the patient...

Question 19

The nurse assesses the patient's readiness to learn insulin injection sites.Many factors are assessed before teaching.Which of the following factors should the nurse assess first?

Accepted Answer

The nurse should assess the willingness of the patient to learn first. If the patient is not willing to learn, it may be difficult to teach them effectively. Once the patient is willing to learn, the nurse can assess previous knowledge level, financial resources, intelligence, and developmental level in order to tailor the education to the patient's needs.

Question 20

When teaching a patient with attention deficit-hyperactivity disorder (ADHD),the nurse must be aware of what?

Accepted Answer

Patients with ADHD have difficulty with attention and may have a low threshold of frustration, therefore sessions must be short and concise to prevent frustration and disengagement. Return demonstration may still be appropriate depending on the patient's ability and level of engagement. The nurse should ensure a quiet and non-distracting environment to promote focus. Health promotion-related topics may still be challenging for patients with ADHD to focus on, but this can vary from patient to patient.

Quiz 20: Patient Education