NR 222- EXAM 2 PRACTICE QUESTIONS|2023/24 UPDATE|GRADED A+

The nurse is communicating with a 25-year-old diagnosed with acute lymphocytic leukemia. Which action indicates that the patient is in the resolution stage of psychosocial adaptation? The patient blames God for the diagnosis. The patient insists that no one is telling the truth. The patient avoids giving consent for treatment and procedures. The patient asks questions about his or her treatment or prognosis. The patient asks questions about his or her treatment or prognosis. Patients in the resolution stage realize that their illness has created changes and begin to ask questions. The patient who blames others for his or her condition is in the anger stage, not in the resolution stage. A patient in the denial stage does not believe the truth about the disease, may believe that everyone is lying, and avoids giving consent for treatment. A patient diagnosed with diabetes decides to have a meal that is low in cholesterol and fat after participating in a teaching session provided by the nurse. Which teaching approach of the nurse enabled the patient to make this decision? Role-play Analogies Simulation Demonstration Simulation Simulation is a teaching technique in which the nurse teaches the patient about problem-solving and independent thinking. Therefore, the patient decides to solve the problem of diabetes by initiating a diet low in fat and cholesterol. During role-play, the patients are asked to play a role as themselves or someone else. The nurse uses analogies to translate complex information into simpler forms using diagrams or pictures. When the patient observes the psychomotor skills of the nurse and practices them, then the nurse is using the demonstration approach. The nurse has to inform a patient about an emergency appendectomy to be performed for acute abdominal pain and the postoperative recovery. Which teaching approach would be most effective? Telling Participating Entrusting Reinforcement Telling The telling approach should be used for teaching when limited information is to be taught. It is more effective when the patient is having anxiety. Participating involves the nurse and patient working together to achieve learning objectives. Entrusting gives the patient the opportunity to manage self-care, and the patient accepts the responsibility. Reinforcement is using some stimulus to increase the probability of a response. The nurse is demonstrating the technique of self-administration of an insulin injection to a group of diabetic patients. What should the nurse keep in mind when teaching throughout the demonstration method? (choose all that apply) a. Encourage patients to ask questions. b. Set a timer to complete the demonstration. c. Perform the steps in the right sequence. d. Position the patients to provide a clear view of the skill being performed. e. When the demonstration is over, politely ask the patient to leave and to try the activity at home. a, c, d A 69-year-old patient is diagnosed with myocardial infarction. The patient underwent coronary artery bypass graft surgery and has been discharged. Two days after the discharge, the patient comes back to the hospital reporting pus in the sternal incision site. The nurse tells the patient that this indicates infection and some tests should be performed. The patient shouts at the nurse and the surgeon and blames them for the complication. What should be the appropriate nursing action? The nurse should explain that they are not responsible for this condition. The nurse should remain silent and let the patient express his or her anger. The nurse should ignore the patient and attend to other patients. The nurse should tell the patient that the surgery had been unsuccessful. The nurse should remain silent and let the patient express his or her anger. Anger is one of the early stages in the psychosocial adaptation to grief. The patient is not ready to accept the problem and needs the opportunity to express feelings and anger. Telling the patient that he or she is not responsible for this condition should not be the immediate response. The patient should be allowed to express all of his or her feelings first. The nurse should serve every patient with respect and dignity; ignoring the patient is an inappropriate behavior. Pus from the sternal site does not indicate that the surgery has been unsuccessful; it is a complication of the surgery and can be caused by multiple factors. Which institutional methods help decrease patient anxiety by providing a better idea of the procedure? Demonstrations Group instruction Preparatory instruction One-on-one discussion Preparatory instruction Which approach is used to determine the outcome of patient teaching? Entrusting "Teach Back" Reinforcing Participating "Teach Back" A patient diagnosed with coronary heart disease(CAD) has deficient knowledge related to the illness and its implications. Which teaching is a priority for the patient? (choose all that apply). Teaching about exercises Teaching about dietary changes Teaching how to take medication Teaching how to care for self at home Teaching what to do if chest pain occurs Teaching how to take medication Teaching what to do if chest pain occurs The nurse should set priorities for patient education based on the patient's needs. When the patient has deficient knowledge about the illness and its implications, the nurse teaches the patient how to take the medication, because this is an immediate need. Teaching about exercises, dietary changes, and home care can be performed after teaching about the illness and the medication.