Question 1

A patient who is recovering from a myocardial infarction (MI) asks a nurse about following a heart-healthy diet. The patient states that she is primarily a visual learner. The nurse determines that the patient will learn best by

Accepted Answer

Reading a chapter in a book about a heart-healthy diet caters to a visual learner's preference for seeing and reading information.

Question 2

A nurse is caring for a patient who can speak and understand some English but is not fluent. The nurse should

Accepted Answer

Using a professional or certified interpreter ensures accurate communication between the nurse and the patient, and protects the patient's privacy and autonomy. Relying on family members or non-professional interpreters can lead to miscommunication, misunderstanding or breach of confidentiality.

Question 3

A nurse is instructing a student nurse about the best methods to use when teaching a kinesthetic learner. The student nurse demonstrates understanding when stating:

Accepted Answer

Kinesthetic learners learn best through physical activities such as demonstrations, simulations, or hands-on experiences. Therefore, option A is correct. Option B focuses on visual learners who learn through seeing pictures, diagrams, and videos. Option C focuses on auditory learners who learn through listening, and option D focuses on observational learners who learn by watching and observing others.

Question 4

A nurse is caring for a patient who is newly diagnosed with diabetes mellitus type B. The patient requires teaching about antidiabetic medications, including when to take them, what effects are expected, and negative side effects to report if they occur. When formulating a nursing diagnosis for this patient, the nurse selects

Accepted Answer

"Deficient knowledge" would be the most appropriate choice as it focuses on the patient's lack of knowledge regarding antidiabetic medication, which is the primary concern in this situation. "Diabetes knowledge deficit" implies a broader scope of knowledge deficiency, which may not accurately reflect the patient's current situation. "Risk for deficient knowledge" suggests that the patient may be at risk for developing a knowledge deficit, but does not accurately reflect their current level of understanding. "Readiness for enhanced knowledge" suggests that the patient is willing and able to learn, but does not accurately reflect their current knowledge deficit.

Question 5

The most appropriate teachable moment to discuss with the patient that his or her weight gain is being caused by fluid and not food intake would be during

Accepted Answer

Daily weights provide a quantifiable measurement of changes in the patient's weight over time, and are an appropriate opportunity to discuss weight gain caused by fluid retention versus food intake.

Question 6

A nurse demonstrates an understanding of how to evaluate what he or she has taught a patient when

Accepted Answer

The best way to evaluate patient understanding is to use all of the above strategies. Having the patient restate what has been taught, asking questions and giving a return demonstration will all help determine if the patient has understood and retained the information.

Question 7

A nurse is caring for a patient who requires preoperative teaching and who does not speak the same language as the nurse. The nurse best demonstrates a caring demeanor by

Accepted Answer

The best way for the nurse to demonstrate a caring demeanor in this situation is to arrange for an interpreter or translator to be present, ensuring effective communication and patient understanding. This approach shows that the nurse recognizes the importance of cultural competence and patient-centered care, and helps to promote positive patient outcomes. Speaking more slowly or facing the patient may not be effective if the patient does not understand the language, and providing written communication may not be practical or appropriate in all cases.

Question 8

A nurse is caring for a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). The patient has limited knowledge about COPD and states that he is primarily a kinesthetic learner. The nurse determines that the patient will learn best by

Accepted Answer

As a kinesthetic learner, the patient will learn best by doing and interacting with materials. Placing the medications in a pill organizer will allow the patient to physically handle the medications and become familiar with their names and dosages. Watching a video may not provide enough hands-on learning, listening to an audiotape may not provide enough interaction, and reading a pamphlet may not be as effective for a kinesthetic learner.

Question 9

A nurse educates a patient with newly diagnosed diabetes about his illness. The patient asks where he can find information on the Internet. The nurse's best recommendation is

Accepted Answer

WebMD is a reputable website that provides comprehensive information on various health conditions, including diabetes. It has a team of medical professionals who review and verify the accuracy of the information posted on the site. Blogs and commercial sites may not be as reliable, and Wikipedia can have inaccurate or biased information as it is edited by the general public.

Question 10

A nurse is supervising a student nurse. When providing patient teaching, the nurse intervenes when the student nurse states:

Accepted Answer

This statement comes across as blaming and confrontational, which can make the patient defensive and less likely to want to learn or try again. Instead, the nurse should ask open-ended questions and provide positive reinforcement to encourage the patient's efforts.

Question 11

A nurse is caring for a patient who is newly diagnosed with diabetes mellitus type B. The patient cares for a spouse at home who also has diabetes mellitus type B. When formulating a nursing diagnosis for this patient, the nurse selects

Accepted Answer

"Readiness for enhanced knowledge" is the most appropriate nursing diagnosis because it implies that the patient, already caring for a spouse with the same condition, may have some level of understanding or experience with diabetes management but is open to and capable of learning more to improve self-care and management skills.

Question 12

A nursing instructor educates a student nurse about health-promotion strategies. The instructor recognizes that additional instruction is needed when the student nurse states:

Accepted Answer

Encouraging patients to consume fewer fresh fruits is a health risk and contradicts the principles of health promotion. Fresh fruits are essential sources of vitamins, minerals, and fiber, which are essential for the maintenance of optimal health.

Question 13

A nursing instructor is teaching a student nurse about the best methods to use when teaching an auditory learner. The student nurse demonstrates understanding when stating:

Accepted Answer

An auditory learner learns best by listening, as they process information better when it is presented verbally. They may benefit from lectures, discussions, and recordings to reinforce concepts.

Question 14

A nurse is caring for a patient who is newly diagnosed with Graves disease. The nurse selects the nursing diagnosis "Readiness for enhanced knowledge." Next, the nurse should

Accepted Answer

Creating a written teaching plan is the next appropriate step after selecting the nursing diagnosis "Readiness for enhanced knowledge." This will provide structure and guidance for the nurse during the teaching process and ensure that the patient's learning needs are met. Once the plan is created, it can be presented to the patient (choice D), and the nurse can then evaluate the patient's response to the interventions (choice C). Performing an admission assessment (choice B) may have already been done, but it is not the next step in addressing the nursing diagnosis.

Question 15

A patient who underwent a carotid endarterectomy asks a nurse about care for his neck incision. The patient informs the nurse that he is an auditory learner. The nurse determines that the patient will learn best by

Accepted Answer

Since the patient is an auditory learner, the most effective way for them to learn would be through verbal instructions. Therefore, the nurse should provide the patient with clear and concise verbal instructions about incision care. This will help ensure that the patient understands the correct way to care for their incision and will reduce the risk of any complications.

Question 16

A nurse is caring for a patient who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The patient cares for a spouse at home who also has COPD. When formulating a nursing diagnosis for this patient, the nurse selects "Readiness for enhanced knowledge." When the nurse sits down with the patient and presents the information included in his or her teaching plan, the nurse is performing the step in the nursing process called

Accepted Answer

The step in the nursing process where the nurse puts the plan into action is called Implementation. In this scenario, the nurse is sitting down with the patient and presenting information included in the teaching plan, which is part of the implementation phase. Some of the other options such as assessment or evaluation are not suitable as they describe earlier or later stages in the nursing process. "Planning" refers to the step where the nurse develops the care plan, and "evaluation" refers to the final step where the nurse determines the effectiveness of the plan.

Question 17

An instructor teaches that it is important for nurses to emphasize changing unhealthy practices like smoking, eating unhealthy foods, and using alcohol. The instructor identifies that these are all examples of

Accepted Answer

The answer of An instructor teaches that it is important...

Question 18

A nurse is instructing a student nurse about the best methods to use when teaching a visual learner. The nurse determines that additional instruction is needed when the student nurse states:

Accepted Answer

Visual learners learn best through visual means such as seeing, reading, and watching. They benefit from diagrams, charts, and written instructions. Touching or hands-on methods are more characteristic of kinesthetic learners, not visual learners.

Question 19

A nursing instructor explains that for learning to truly take place, the information must be reinforced. A student demonstrates understanding by saying:

Accepted Answer

Reinforcement is the process of revisiting the most important information repeatedly to improve memory retention. Teaching the most important information last will help the patient remember it better. Options A, B, and D do not address the concept of reinforcement as the key to learning.

Question 20

When creating handouts for patients, a nurse should keep the handouts at the reading level of a

Accepted Answer

The answer of When creating handouts for patients, a nurse...

Quiz 12: Patient Teaching