Exam (elaborations)
Chapter 12. Patient Teaching
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 12. Patient Teaching
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Chapter 12. Patient TeachingMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
1. Watching a video about management of COPD.
2. Placing medications used to treat COPD in a pill organizer.
3. Listening to an audiotape about the pathophysiology of COPD.
4. Reading a pamphlet about pharmacological treatments for COPD.
2. 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
1. Chopping up fruits and vegetables to eat.
2. Listening to an audiotape about a heart-healthy diet.
3. Reading a chapter in a book about a heart-healthy diet.
4. Attending a lecture in which the speaker talks about a heart-healthy diet.
3. 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
1. Watching while the nurse performs incision care.
2. Reading a pamphlet about how to perform incision care.
3. Opening the dressing and applying ointment to the incision.
4. Listening to the nurse’s verbal instructions about care of the incision.
4. 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:
1. “A visual learner learns best by seeing.”
2. “A visual learner learns best by reading.”
3. “A visual learner learns best by touching.”
4. “A visual learner learns best by watching.”
5. 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:
1. “A kinesthetic learner learns best by doing.”
2. “A kinesthetic learner learns best by seeing.”
3. “A kinesthetic learner learns best by reading.”
4. “A kinesthetic learner learns best by watching.”
6. 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:
1. “An auditory learner learns best by doing.”
2. “An auditory learner learns best by seeing.”
3. “An auditory learner learns best by reading.”
4. “An auditory learner learns best by listening.”
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
1. Speaking more slowly to the patient.
, 2. Facing the patient when speaking to him or her.
3. Providing the patient with written communication.
4. Arranging for an interpreter or translator to be present.
8. A nursing instructor educates a student nurse about health-promotion strategies. The instructor recognizes
that additional instruction is needed when the student nurse states:
1. “I will encourage patients to consume fewer fresh fruits.”
2. “I will encourage patients to exercise three times a week.”
3. “I will instruct patients about stress-modification strategies.”
4. “I will encourage patients to consume more fresh vegetables.”
9. 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
1. “Deficient knowledge.”
2. “Diabetes knowledge deficit.”
3. “Risk for deficient knowledge.”
4. “Readiness for enhanced knowledge.”
10. 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
1. “Deficient knowledge.”
2. “Diabetes knowledge deficit.”
3. “Risk for deficient knowledge.”
4. “Readiness for enhanced knowledge.”
11. 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
1. Planning.
2. Evaluation.
3. Assessment.
4. Implementation.
12. 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
1. Create a written teaching plan.
2. Perform an admission assessment.
3. Evaluate the patient’s response to the interventions.
4. Present the information in the teaching plan to the patient.
13. A nurse is supervising a student nurse. When providing patient teaching, the nurse intervenes when the
student nurse states:
1. “You are doing great.”
2. “Show me again how well you can do that.”
3. “Why didn’t you do it the way that I showed you?”
4. “I’m so glad that you remembered that. It is important.”
14. 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
, 1. A blog.
2. WebMD.
3. Wikipedia.
4. A commercial site.
15. When creating handouts for patients, a nurse should keep the handouts at the reading level of a
1. Fourth grader.
2. Fifth grader.
3. Sixth grader.
4. Seventh grader.
16. A nurse is caring for a patient who can speak and understand some English but is not fluent. The nurse should
1. Ask one of the patient’s children to help with interpretation.
2. Use a professional or certified interpreter from the hospital’s list of available interpreters.
3. Ask one of the patient’s adult family members to help with interpretation.
4. Find a nonfamily member in the waiting room who speaks the same language as the
patient.
17. A nursing instructor explains that for learning to truly take place, the information must be reinforced. A
student demonstrates understanding by saying:
1. “I must first teach patients about the history of their conditions.”
2. “I need to make sure the patient knows what medications will be prescribed.”
3. “I must return to the most important topic and teach it again last so the patient
will remember it.”
4. “I must slowly explain the disease process to the patient.”
18. 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
1. Meals.
2. Daily weights.
3. Medication administration.
4. Bathing and personal care.
19. A nurse demonstrates an understanding of how to evaluate what he or she has taught a patient when
1. Having the patient restate what has been taught.
2. Asking the patient to give a return demonstration of a new task.
3. Asking questions to determine understanding.
4. All of the above.
20. 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
1. Teachable moments.
2. Wellness strategies.
3. Nursing diagnosis.
4. Reinforcement.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
1. When conducting an in-service about weight reduction, a nurse recognizes that participants will have
accomplished true learning when they are able to demonstrate that they can do which of the following?
Select all that apply.
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