Question 1

What is the most important question for the nurse to ask a patient when preparing to teach about a newly prescribed drug?

Accepted Answer

Asking the patient what he or she wants to know before beginning teaching allows the nurse to establish what the patient already knows and to determine what concerns him or her the most.Giving information relevant to what the patient wants to know can increase the patient's interest,trust in the nurse,and motivation to learn.It also helps the nurse to start with more simple or known concepts and work toward what the patient does not know.

Question 2

The nurse is interviewing a patient.Which action by the nurse indicates active listening?

Accepted Answer

With active listening,the nurse gives his or her full attention to what the patient is saying.It is most effective when the nurse clarifies the patient's statements by restating what the patient said,ensuring that the nurse correctly understood what the patient meant.

Question 3

Which is the best indication of learning?

Accepted Answer

True learning is not memorization or retaining information long enough to perform well on a specific test.The best indication that learning has actually occurred is a persistent change in behavior.

Question 4

An independent older adult who is cognitively intact but visually impaired must avoid confusing two different drugs that must be taken daily.Which strategies does the nurse consider for this patient?

Accepted Answer

Distinguishing the two drugs from one another is the main objective.Keeping one container in the refrigerator can help because it is both a different temperature and in a different place than the other container.Wrapping a rubber band around one container,or placing a tablet inside a gelatin capsule can also help the patient distinguish the two drugs.Having both drugs in liquid form or putting all the drugs in a weekly dispenser does not help distinguish the drugs.Having a neighbor or a family member manage the patient's drug therapy reduces the patient's independence and may not be acceptable to a cognitively intact patient.

Question 5

Which patient action indicates learning in the psychomotor domain?

Accepted Answer

The psychomotor domain is concerned with motor skills or activities.Assembling a drug inhaler demonstrates skill and is applying the knowledge gained from the cognitive domain.

Question 6

While assisting a pregnant Mexican-American woman to dress,the nurse asks about a brass key pinned to the patient's underwear.The patient says that wearing the brass key protects her unborn baby if a solar eclipse occurs.What is the nurse's best response?

Accepted Answer

This response demonstrates cultural sensitivity and respect for the patient's beliefs,but at the same time the nurse can take advantage of a "teachable moment."

Question 7

A patient from another culture does not look at the nurse's face while answering questions about health and medication history.What is the nurse's best action?

Accepted Answer

Some cultures consider looking at the face of a stranger to be impolite.As long as the nurse believes that the patient understands the questions and the patient is answering those questions appropriately,there is no need to stop the interview or intervene in another way.

Question 8

Why is it important for the nurse to assess a patient's religion when planning interventions for pain?

Accepted Answer

Respecting the patient's cultural beliefs,including religion,and incorporating them into patient care can reduce anxiety and increase trust.

Question 9

The nurse is conducting a patient teaching session.Which actions by the nurse indicate nonoffensive body language?

Accepted Answer

Taking one's time to answer questions may be a sign of respect and indicate that the patient is giving the question serious consideration.Sitting at eye level with a patient can convey equality even when the patient does not look into the nurse's eyes or face.Getting too close to the face,however,is considered threatening.Pointing at the patient is considered rude or threatening by many people.Using your own anatomy for demonstration is more acceptable.Many cultures consider the left hand to be dirty and people may be offended if they or their belongings are touched with the left hand or if anything is offered using the left hand.A patient's belongings should not be touched or moved until the patient gives permission to do so.

Question 10

Which statement by the nurse is more likely to motivate a patient to adhere to a drug therapy regimen for hypertension?

Accepted Answer

During motivation,focus on the positive aspects of the new knowledge or skill.Scaring a patient with possible negative outcomes is not true motivation,and neither is belittling the patient.Helping patients see the benefits of sticking to drug therapy is more helpful than scaring them with the costs of not sticking to it.

Question 11

A patient who is a Jehovah's Witness is scheduled for routine surgery and expresses concern about the possibility of receiving blood products,an act condemned by the patient's religion.What is the nurse's best response?

Accepted Answer

The patient's rights and wishes should be respected while providing accurate information for reassurance.The nurse should not attempt to persuade the patient to go against his or her cultural convictions.

Question 12

Which information noted by the nurse during a patient interview is considered part of cultural assessment?

Accepted Answer

Interaction among family members can give important clues to culture and cultural influence.In many cultures,the husband is the authority of the household and the wife does not express opinions or question the validity of the husband's statements.

Question 13

Which principle of adult learning is being used when the nurse provides a patient with an audiotape made during a teaching session?

Accepted Answer

Providing an audiotape reinforces the information presented during a teaching session by providing a reminder of what was learned.The more the senses are stimulated during teaching and learning,the more the learner will remember the information.

Question 14

The nurse is preparing to teach a patient about a newly prescribed drug therapy.What time is best for improving teaching effectiveness?

Accepted Answer

Teaching is most effective when the patient is not distracted or uncomfortable.Lunchtime is a distraction,and so is the mental state of a person who has just been told that he or she has an incurable health problem (even if it can be controlled).Having four people present with the patient during the first teaching session can be more distracting than helpful.

Quiz 3: Teaching Patients About Drug Therapy