Clinical Guidelines in Family Practice 5th Edition Uphold Graham Test Bank
Chapter 1 Health maintenance
MULTIPLE CHOICE
1.A client is reviewing a videotape without the assistance of the nurse for instruction. The type of
teaching strategy this client is using is considered:
1. demonstratio...
Clinical Guidelines in Family Practice 5th Edition Uphold
Graham Test Bank
Chapter 1 Health maintenance
MULTIPLE CHOICE
1.A client is reviewing a videotape without the assistance of the nurse for
instruction. The type of
teaching strategy this client is using is considered:
1. demonstration.
2. slides.
3. programmed instruction.
4. discussion.
ANS: 3
Programmed instruction is often referred to as canned presentation and is
intended for use
without the nurse. Demonstration, slides, and discussion require a nurse to be
present.
PTS: 1 DIF: Analyze REF: Teaching Strategies: Programmed Instruction
2.The nurse is instructing a client regarding food safety, injury prevention, and
occupational
health. Which of the following Healthy People 2010 objectives is the nurse
instructing the client?
1. Promote healthy behaviors
2. Promote healthy and safe communities
3. Improve systems for personal health and public health
4. Prevent and reduce diseases and disorders
ANS: 2
This objective addresses instruction that focuses on the health and safety of
communities such as
food safety, prevention of injury, and occupational health. Promoting healthy
behaviors would
include weight reduction and smoking cessation. Improve systems for personal
health and public
health would include immunization programs. Prevent and reduce diseases and
disorders would
include instruction on screening programs, physician visits, and routine health
maintenance care.
PTS: 1 DIF: Analyze REF: Health Promotion on a Global Level
3.A client has inadequate resources and impairment of personal support
systems. Which nursing
diagnosis would apply to this patient?
1. Noncompliance
2. Deficient knowledge
3. Ineffective health maintenance
4. Health-seeking behavior
ANS: 3
Defining characteristics for ineffective health maintenance includes impairment
of personal
support systems, observed inability to take responsibility for meeting basic
health practices,
demonstrated lack of knowledge, failure to recognize important symptoms
reflective to altered
health status, lack of health-seeking behaviors, and inadequate resources.
Inadequate resources
,diagnosis of Deficient Knowledge. The nurse will ensure time is allocated for
client instruction
because:
1. the client cannot be discharged without it.
2. it is a legal component of the nursing process.
3. it is a nice thing to do for a client.
4. the physician has written an order for instruction.
ANS: 2
Patient education is a legal component of the nursing process that was
identified in the Patients
Bill of Rights. Patient education is a necessary function of nursing care. The
client could be
discharged without receiving instructions. Education is not done because it is a
nice thing to do
for a client. Client education does not necessitate a physicians order.
PTS:1DIF:ApplyREFatient Education
5.The nurse is engaged in an information teaching session with a client. Which
of the following
would be appropriate to instruct during an informal teaching session?
1
.
Expected effects of a new medication
2
.
Instruction on leg exercises to be used after surgery
3
.
How to use an incentive spirometer
4
.
Diet and medications to manage a new diagnosis of diabetes mellitus
ANS: 1
Instruction can be either informal or formal. Informal instruction occurs
intermittently and
frequently during the course of client care. These instructions are simple, relate
to the disease
process, and answer client questions. Providing the expected effects of a new
medication is a
type of information instruction. Formal instructions are deliberate with specific
goals and an
evaluation process. Instructing on postoperative leg exercises, the use of an
incentive spirometer,
and diet and medications to manage a new health diagnosis are all examples of
formal
instruction.
PTS: 1 DIF: Apply REF: Formal and Informal Patient Education
6.The nurse is planning a presentation to a group of senior citizens as part of a
wellness program.
Which of the following topics would be appropriate for the nurse to instruct this
client
population?
,Some educational topics can be instructed in a group setting. Strategies to
reduce salt intake and
increase activity are two topics that would be appropriate for a group
instruction. The other
choices are appropriate for individual instruction.
PTS: 1 DIF: Apply REF: Individual and Group Patient Education
7.A client is considering several changes in personal habits to improve his
health. Which of the
following critical thinking strategies can the nurse use to help this client?
1
.
Ask the client to identify his goals to improve his health.
2
.
Remind the client that the physician has to approve all changes in his health
improvement plan.
3
.
Suggest the client wait until he is discharged before planning to make personal
habit changes.
4
.
Recommend that immediate changes are made to confuse the bodys responses.
ANS: 1
Critical thinking is a self-directed, deliberate, self-corrected, results-oriented
reasoning process
that strives to problem-solve client care issues by combining logic, intuition, and
creativity. The
goal of critical thinking is to assist clients to use what they already know and
work with the
client to make changes that they identify through self-discovery. Asking the
client to identify
goals to improve health is one strategy that the nurse can use when
implementing critical
thinking with client education. The other choices do not support critical thinking
with client
education.
PTS: 1 DIF: Apply REF: Critical Thinking and Patient Education
8.A client has several identified learning needs. Which of the following should
the nurse assess
prior to planning instruction for this client?
1. Home address
2. Clients learning style
3. Living arrangements
4. Financial resources
ANS: 2
Areas to include in the assessment of a clients learning needs include the clients
ability to learn,
style of learning, information about a health condition, cultural background, and
other
information as required. The clients home address, living arrangements, and
financial resources
are not a part of a clients assessment of learning needs.
, 4. Programmed instruction
ANS: 3
Demonstration is a practical strategy used when teaching a new skill such as
self-injection of
insulin. Discussion is an exchange of information and does not provide an
opportunity for the
client to learn a new skill. Role playing allows the client to apply knowledge in a
simulated
environment. This strategy does not support learning a new skill. Programmed
instruction is
intended for use without the nurse. This strategy does not support learning a
new skill.
PTS:1DIF:ApplyREF:Teaching Strategies
10.A client tells the nurse that she uses audio CDs in her vehicle when driving to
and from work
to keep current with educational requirements for her job. The nurse would
assess this client as
preferring which type of learning style?
1. Auditory
2. Visual
3. Kinesthetic
4. Anesthetic
ANS: 1
The client who learns by hearing prefers an auditory learning style. The client
who learns by
reading uses a visual learning style. The client who learns by doing or touching
is using a
kinesthetic learning style. Anesthetic is not a type of learning style but rather a
medication used
for surgery.
PTS:1DIF:AnalyzeREF:Teaching Strategies
11.The nurse is attempting to instruct a client on ways to eliminate smoking.
The client tells the
nurse that he has no health problems because of smoking and does not
understand why he needs
to quit. Which of the following is interfering with the nurses ability to instruct the
client in health
promotion behaviors?
1. Motivation
2. Perception
3. Self-image
4. Maintenance
ANS: 2
Perception is a clients sense and understanding of his current health status. If
the client does not
perceive a problem with current health maintenance activities, the nurse should
not intervene at
this time. Motivation is the internal drive or external stimulus to perform an
action or thought.
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