Basic Nursing Essentials For Practice 7th Edition By Potter – Test Bank

Chapter 11: Patient Education

Test Bank

MULTIPLE CHOICE

1. A nursing student has been asked to prepare patient education for Spanish-speaking patients regarding diabetes. This information will be available to patients in the diabetes clinic. The goal of this patient education is to:
A. assist Spanish-speaking patients to reach optimal health.
B. teach Spanish-speaking patients some English.
C. provide information so they can make a decision between oral and injectable medications.
D. reduce the legal liability of the clinic.

ANS: A
The goal of patient education is to assist individuals, families, or communities in achieving optimal levels of health.

PTS: 1 DIF: Cognitive Level: Application REF: 187
OBJ: Describe ways to adapt teaching for patients with different learning needs
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

2. A patient with newly diagnosed diabetes is being discharged from the hospital. She will be going to an outpatient diabetic center to learn more about diet, exercise, disease management, and insulin administration. Which of the following statements made by the patient indicates that effective teaching can take place?
A. “I am thankful that my doctor figured out what was wrong with me because I don’t want to get sick again.”
B. “I am so happy to be going home so I don’t have to eat hospital food anymore.”
C. “I will be glad when they find a cure for diabetes.”
D. “I don’t think I will need to take insulin for very long because I already feel better.”

ANS: A
Generally teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. Teaching is most effective when it responds to a learner’s immediate needs. The teacher identifies these needs by asking questions and determining the learner’s interests.

PTS: 1 DIF: Cognitive Level: Analysis REF: 191
OBJ: Differentiate factors that determine readiness to learn from those that determine ability to learn TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

3. The parents of a 3-month-old infant are preparing to take their child home from the hospital after she was hospitalized after she stopped breathing. Before being discharged, they must be educated on infant CPR. The most appropriate learning objective for this situation is which of the following?
A. Parents will be able to successfully prevent SIDS.
B. Parents will demonstrate infant CPR skills.
C. Baby will not require further hospitalization.
D. Parents will prevent child from having another near-SIDS event.

ANS: B
A learning objective describes what the patient or guardian(s) will be able to do after successful instruction.

PTS: 1 DIF: Cognitive Level: Analysis REF: 204
OBJ: Identify the methods for evaluating learning
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

4. A nurse is evaluating if the patient teaching she has completed with a patient was effective. Which of the following would best demonstrate the effectiveness of the teaching?
A. The patient understands how to change abdominal dressing.
B. The patient acknowledges understanding of the principles of abdominal dressing change.
C. The patient correctly demonstrates an abdominal dressing change as taught.
D. The patient states the steps of the abdominal dressing change as taught.

ANS: C
Examples of evaluating the effectiveness of teaching include having patients show how to perform a newly learned skill (e.g., self-catheterization) or asking patients to explain how they will incorporate newly ordered medications into their daily routines.

PTS: 1 DIF: Cognitive Level: Analysis REF: 204
OBJ: Identify the methods for evaluating learning
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

5. A patient recently had a stroke and suffered right-sided weakness as a result. He is being discharged from a rehabilitation hospital after learning to use a walker. Which of the following learning domains was primarily used to teach him to be independent with his walker?
A. Psychomotor
B. Affective
C. Cognitive
D. Motivational

ANS: A
Psychomotor learning occurs when patients acquire skills that require the integration of knowledge and physical skills. Examples of psychomotor learning include learning to walk with a walker or giving an insulin injection.

PTS: 1 DIF: Cognitive Level: Application REF: 190
OBJ: Describe the domains of learning TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

6. Which of the following patients is the most likely to be motivated to learn?
A. 23-year-old smoker being taught about smoking cessation
B. 45-year-old man being taught about importance of prostate cancer screening
C. 63-year-old knee replacement patient being taught post-surgical care
D. 15-year-old being taught about safe sex

ANS: C
Motivation to learn is often dependent on the patient’s situation and needs. For example, patients who need knowledge for survival have a stronger motivation to learn than patients who need knowledge for promoting health.

PTS: 1 DIF: Cognitive Level: Analysis REF: 190
OBJ: Differentiate factors that determine readiness to learn from those that determine ability to learn TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

7. A 47-year-old postsurgical patient is being taught about wound care before being discharged from the hospital. She is in a semiprivate room with another patient who is upset with a family member and is crying. The television is on to try to provide some distraction from the roommate, and her husband has just arrived to pick her up from the hospital. Which of the following should the nurse do to best facilitate her patient education?
A. Explain to the patient that everything she needs to know is on the handout she has been given.
B. Take the patient to a quiet area to do the patient teaching.
C. Ask the roommate to please be considerate of the patient because she is receiving her patient education.
D. Request that a home health nurse follow up with the patient at home to teach her about wound care.

ANS: B
Before learning anything, patients must be able to pay attention to or concentrate on the information they will learn. Physical discomfort, anxiety, and environmental distractions make it more difficult for a patient to concentrate.

PTS: 1 DIF: Cognitive Level: Analysis REF: 195
OBJ: Describe the characteristics of an environment that promotes learning
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

8. A nurse has just recently received certification to teach prepared childbirth. She will be teaching a prepared childbirth class for the first time at a neighborhood church. She has gone to the church to determine which room would be best suited to teach a group of six couples. Which of the following room configurations would be most appropriate for teaching this group?
A. A small carpeted room with no furniture
B. A large auditorium with a stage and theatre-style seating
C. A lunchroom with stationary tables and chairs
D. A Sunday-school classroom with tables and chairs

ANS: D
Teaching a group of patients requires a room that allows everyone to be seated comfortably and within hearing distance of the teacher. The room needs to comfortably hold all members of the group. Arranging the group to allow participants to observe one another (e.g., in a circle) further enhances learning.

PTS: 1 DIF: Cognitive Level: Analysis REF: 195
OBJ: Describe the characteristics of an environment that promotes learning
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

9. Mrs. Cisco is a 34-year-old patient who is a migrant farm worker. She did not graduate from high school and speaks English as a second language. Becky, a student nurse, will be providing Mrs. Cisco’s discharge teaching after a hysterectomy. Becky is concerned about Mrs. Cisco’s ability to understand her discharge instructions. Which of the following should be of most concern in this situation?
A. Functional literacy
B. Cultural competence
C. Health literacy
D. Psychomotor learning

ANS: C
Health literacy includes patients’ reading and math skills, comprehension, the ability to make health-related decisions, and successful functioning as a consumer of health care.

PTS: 1 DIF: Cognitive Level: Analysis REF: 196
OBJ: Describe ways to adapt teaching for patients with different learning needs
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

10. A patient was recently diagnosed with heart failure. Her health care provider has ordered a low-sodium diet. A student nurse is planning her patient education. When organizing the patient teaching what is the most logical thing to teach first?
A. How much daily intake of sodium is recommended
B. How to read food labels
C. How to understand the metric system of measurement
D. How much sodium is in a serving of potato chips

ANS: A
Give careful consideration to the order of information presented. An outline of content helps to organize information into a logical sequence. Material should progress from simple to complex.

PTS: 1 DIF: Cognitive Level: Analysis REF: 199
OBJ: Identify appropriate topics for a patient’s health education needs
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance