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NUR3262 CH 4 TEST WITH COMPLETE SOLUTION
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NUR3262 CH 4 TEST WITHCOMPLETE SOLUTION
The nurse has assessed that a patient with newly diagnosed colon cancer
does not have basic
knowledge about colon cancer. The nurse should initially focus on which
learning goal for
this patient? - A. The patient will state ways of preventing the recurrence
of the cancer.
b. The patient will explore and select an appropriate colon cancer therapy.
c. The patient will demonstrate coping skills needed to manage the disease.
d. The patient will choose methods to minimize adverse effects of treatment.
ANS: B
Adults learn best when given information that can be used immediately. The
first action the
patient will need to take after a cancer diagnosis is to explore and choose a
treatment option.
The other goals may be appropriate as treatment progresses.
After the nurse provides diet instructions for a patient with diabetes, the
patient can restate the
,information but does not make the recommended diet changes. How would
the nurse evaluate
this outcome? - A. Learning did not occur because the patient's behavior
did not change.
b. Choosing not to follow the diet is the behavior that resulted from learning.
c. The nurse's responsibility for helping the patient make diet changes has
been
fulfilled.
d. The teaching methods were ineffective in helping the patient learn about
the
necessary diet changes.
ANS: B
Although the patient behavior has not changed, the patient's ability to
restate the information
indicates that learning has occurred, and the patient is choosing at this time
not to change the
diet. The patient may be in the contemplation or preparation stage in the
transtheoretical
model. The nurse should reinforce the need for change and continue to
provide information
and assistance with planning for change.
, A patient is diagnosed with heart failure after being admitted to the hospital
for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, is
most likely to be
effective? - A. Assure the patient that the nurse is an expert on
management of heart failure.
b. Delay teaching until the patient is seen by a home health nurse after
discharge.
c. Discuss the importance of medication control to avoid long-term
complications.
d. Explain to the patient at each meal about the amounts of sodium in
various foods.
ANS: D
Principles of adult education indicate that readiness and motivation to learn
are high when
facing new tasks (e.g., learning about the sodium amounts in various food
items) and when
demonstration and practice of skills are available. Although a home health
referral may be
needed for this patient, teaching should not be postponed until discharge.
Adult learners are
independent. The nurse should act as a facilitator for learning, rather than as
the expert. Adults
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