To meet accreditation standards regarding patient care, a healthcare facility must show evidence of

Patient education documentation

A nurse has taught a pt. about healthy eating habits. Which learning objective is most appropriate for affective domain?

The patient will verbalize the value of eating healthy.

When a nurse is “talking through” a procedure or assisting the patient to learn, the nurse encourages the patient to:

write down the steps as she performs them.

The nurse recognizes that the client’s teaching plan is most directly driven by:

The client’s identified learning needs

When providing patient teaching it is essential for nurse to incorporate what action so that learning can be optimized?

Have teaching strategies that encourage patients to be active participants.

Because a person may learn best in a particular manner, to improve patient teaching, the nurse should:

use a combination of the three modes of learning to enhance learning.

The nurse appropriately begins discharge planning when:

the patient is admitted to the health care facility.

A pt. with a diabetic foot ulcer will need to perform dressing changes after discharge. When should nurse do teaching?

After the patient wakes up from a restful nap.

Which of the following teaching topics is an example of restoration of health?

What to expect after hip replacement surgery

Which statement indicates that the nurse has a good understanding of teaching/learning?

“Teaching is most effective when it responds to the learner’s needs.”

Which action best indicates that learning has occurred?

A patient demonstrates how to inject insulin.

Which nursing action is most appropriate for assessing a patient’s learning needs?

Assess the patient’s health literacy.

Once a teaching plan is formulated and placed in the nursing care plan for a hospitalized patient:

behavioral objectives are used to identify expected outcomes.

A nurse is asked about the goal of patient education. What is the nurse’s best response? The goal of educating others is

to help people achieve optimal levels of health.

The nurse evaluates which of the following statements as an indication that the pt. is not ready to learn at this time?

“There’s no sense in showing me that now. I’m too sick right now.”

For a functionally illiterate client, the nurse particularly focuses on:

Incorporating familiar nonmedical terminology

Pt. with heart failure is learning to reduce salt in diet. When would be the best time for nurse to address this topic?

At lunchtime while the nurse is preparing the food tray.

Nurse is evaluating the responses of pts to teaching sessions. An example of an evaluation of a client’s attainment of a

cognitive skill is pt. explains medication should be taken with meals.

Clients give various responses to teaching sessions. For nurse, an example of an evaluation of a psychomotor skill is

Client demonstrates the proper use of a walking cane

Which of the following actions is the primary nursing responsibility regarding client education?

Providing accurate, current, relevant information

What is the most critical element of documentation of teaching?

evidence that learning has occurred

Which item would most likely be a barrier to learning for a pt. who must begin to care for a large open wound at home?

Tendency for uneasiness about making mistakes

Which phrase is stated as a teaching goal for a patient who had bowel resection with creation of a colostomy? The pt.

will perform ostomy self-care within 3 days after surgery.

In teaching 82-year-old pt to perform a dressing change to be done at home after discharge, nurse would adjust teaching

to slow the pace and frequently ask questions to assess comprehension.

Developing a teaching plan is comparable to what other nursing activity?

formulating a nursing care plan

Which learning objective has highest priority for patient with life-threatening, food allergies that requires EpiPen?

The patient will administer EpiPen.

Toddler is going to have surgery on right ear. Which teaching method is most appropriate for this developmental stage?

Apply a bandage to a doll’s ear.

An 18-year-old pt is scheduled for heart surgery tomorrow. To assess patient’s level of knowledge, the nurse would say:

“Tell me what you know about what is going to happen tomorrow.”

When is the best time to evaluate one’s own teaching effectiveness?

immediately after a teaching session

When teaching an elderly patient about changing his dressing, the nurse would most appropriately:

be certain the patient is wearing his glasses and/or hearing aid.

Nurse will choose the best time to continue postoperative teaching regarding wound care and dressings, which would be:

when the patient is comfortable and receptive to the teaching.

Nurse recognizes that new parents may be ready to learn about their newborn after birth. What understanding leads nurse

to this conclusion? The parents now have the motivation to learn.

A patient states, “I don’t think I’ll ever be able to give myself an injection.” The best reply by the nurse is:

“What bothers you most about the idea of giving yourself an injection?”

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique should the nurse use?

Let the patient touch and use the exercise equipment.

The nurse evaluates the effectiveness of teaching relative to how to use an eye shield after eye surgery is to:

have the patient demonstrate that he can secure the eye shield.

Which situation indicates to the nurse that the patient is ready to learn?

Pt. with a BKA is motivated about how to walk with assistive devices.

The nurse would identify an opportunity for a “teachable moment” in the situation of a patient who:

says, “How will I remember all the things about my new diet?”

A nurse is teaching staff about nursing & teaching processes. Which info is important regarding the teaching process?

Focus on a patient’s learning needs.

A nurse is going to teach a patient about hypertension. Which action should the nurse implement first?

Assess what the patient already knows about hypertension.

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NPN 100 Chapter 8

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Questions 51

Answers

1
To meet accreditation standards regarding patient care, a healthcare facility must show evidence of
Documentation of indigent care
Patient education documentation
Employee satisfaction surveys
Financial accounts and statements
2
A nurse has taught a pt. about healthy eating habits. Which learning objective is most appropriate for affective domain?
The patient will identify two foods for a healthy snack.
The patient will verbalize the value of eating healthy.
The patient will state three facts about healthy eating.
The patient will cook a meal with low-fat oil.
3
When a nurse is “talking through” a procedure or assisting the patient to learn, the nurse encourages the patient to:
close her eyes and envision the process.
write down the steps as she performs them.
verbalize each step until the steps are memorized.
read the listed steps written on a poster board on the wall.
4
The nurse recognizes that the client’s teaching plan is most directly driven by:
The client’s identified learning needs
The complexity of the client’s health needs
The presence of cultural or physical barriers
The client’s readiness and motivation to learn
5
Which teaching method is best applied to a cognitive learning need?
Demonstration of a procedure
Computer-assisted instruction
Discussion of feelings
Modeling of behavior
6
When providing patient teaching it is essential for nurse to incorporate what action so that learning can be optimized?
Have the patients read material after patient teaching
Be sure that patients are formally engaged
Administer tests to evaluate learning
Have teaching strategies that encourage patients to be active participants.
7
Because a person may learn best in a particular manner, to improve patient teaching, the nurse should:
ask patient whether he learns best visually, aurally, or kinesthetically.
use a combination of the three modes of learning to enhance learning.
use a hands-on approach, because it works best for most people.
test the patient’s reading comprehension before using visual handouts
8
The nurse appropriately begins discharge planning when:
it is anticipated the patient will be discharged in 8 hours.
the patient is admitted to the health care facility.
the patient feels ready to be discharged home.
the physician writes orders to discharge the patient.
9
A pt. with a diabetic foot ulcer will need to perform dressing changes after discharge. When should nurse do teaching?
After the patient wakes up from a restful nap.
Before the patient undergoes flow studies of his affected leg.
Within 10 minutes after his next dose of oral pain medication.
Before the surgeon débrides the wound
10
A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute. In which domain did learning take place
Kinesthetic
Cognitive
Psychomotor
Affective
11
Which of the following teaching topics is an example of restoration of health?
What to expect after hip replacement surgery
Stress management’s impact on depression
Living with rheumatoid arthritis
Glucose monitoring at home
12
Which statement indicates that the nurse has a good understanding of teaching/learning?
“Learning is an interactive process that promotes teaching.”
“Teaching and learning can be separated.”
“Teaching is most effective when it responds to the learner’s needs.”
“Learning is deliberate set of actions designed to help the teacher."
13
Which action best indicates that learning has occurred?
A nurse presents information about diabetes.
A family member listens to a lecture on diabetes.
A patient demonstrates how to inject insulin.
A primary care provider hands a diabetes pamphlet to the patient.
14
The nurse will plan to offer the teaching session in a quiet area in order to:
reduce distractions.
provide absolute privacy.
ensure that the patient can hear what the nurse says.
make the environment more like a classroom.
15
Which nursing action is most appropriate for assessing a patient’s learning needs?
Assess all sources of patient data.
Assess the patient’s total health care needs.
Assess the goals of patient care.
Assess the patient’s health literacy.
16
Once a teaching plan is formulated and placed in the nursing care plan for a hospitalized patient:
it is printed and given to the patient as a guide for learning.
behavioral objectives are used to identify expected outcomes.
one nurse will be designated to teach the plan on a priority basis.
it outlines all that will be taught before the patient is discharged.
17
A nurse is asked about the goal of patient education. What is the nurse’s best response? The goal of educating others is
to help people provide self-care only in the hospital.
to help people meet the standards of the Nurse Practice Act.
to help people become dependent on the healthcare team.
to help people achieve optimal levels of health.
18
A nurse is preparing to teach a patient about heart failure. Which environment is best for patient learning?
A darkened, quiet room
A well-lit, ventilated room
A private room at 85° F temperature
A group room for 10 to 12 patients with heart failure
19
A nurse is teaching a culturally diverse patient about nutritional needs. What must the nurse do first before starting?
Refer to a dietitian.
Establish a rapport.
Get an interpreter.
Obtain pictures of food.
20
The nurse evaluates which of the following statements as an indication that the pt. is not ready to learn at this time?
“There’s no sense in showing me that now. I’m too sick right now.”
“I will find out more about that when the support group meets.”
“I need to understand more about the reason for the colostomy.”
“Please be sure to tell me if I am completing all the steps correctly.”
21
For a functionally illiterate client, the nurse particularly focuses on:
Providing longer learning sessions with the client
Avoiding lengthy return demonstrations
Using intricate analogies and examples
Incorporating familiar nonmedical terminology
22
Pt. with heart failure is learning to reduce salt in diet. When would be the best time for nurse to address this topic?
At lunchtime while the nurse is preparing the food tray.
At medication time, when the nurse is administering patient medication.
At bath time, when the nurse is cleaning the patient.
At bedtime, when the patient is relaxed.
23
Nurse is evaluating the responses of pts to teaching sessions. An example of an evaluation of a client’s attainment of a
cognitive skill is pt. explains medication should be taken with meals.
cognitive skill is pt. uses crutches appropriately to move up & down stairs
cognitive skill is pt. is independently capable of dressing self after meal
cognitive skill is pt. looks at surgical incision without needing prompting
24
A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?
Computer instruction
Verbalization of steps
Cloze test
Return demonstration
25
A nurse assisting a new mother in the act of breast feeding is represented by which form of learning?
Psychomotor
Cognitive
Simplistic
Affective
26
Clients give various responses to teaching sessions. For nurse, an example of an evaluation of a psychomotor skill is
Client responds appropriately to eye contact
Client independently plans an exercise program
Client demonstrates the proper use of a walking cane
Client states side effects of a medication
27
Which of the following teaching topics is an example of health maintenance and promotion and illness prevention?
What to expect after hip replacement surgery
Stress management’s impact on depression
Glucose monitoring at home
Living with rheumatoid arthritis
28
Which of the following actions is the primary nursing responsibility regarding client education?
Assessing the individual client’s readiness and motivation to learn
Identifying areas where clients are in need of educational information
Answering the client’s questions regarding health-related issues
Providing accurate, current, relevant information
29
What is the most critical element of documentation of teaching?
a summary of the teaching plan
the patient need for learning
the implementation of the teaching plan
evidence that learning has occurred
30
Which item would most likely be a barrier to learning for a pt. who must begin to care for a large open wound at home?
Ability to prioritize tasks
Understanding that he can promote his own healing
Curiosity about the new experience and equipment
Tendency for uneasiness about making mistakes
31
Which phrase is stated as a teaching goal for a patient who had bowel resection with creation of a colostomy? The pt.
applies a new ostomy appliance, making sure it adheres properly.
performs skin care around the stoma site.
will perform ostomy self-care within 3 days after surgery.
empties the colostomy appliance when half filled.
32
In teaching 82-year-old pt to perform a dressing change to be done at home after discharge, nurse would adjust teaching
to include extra person in instruction; this pt. will be unable to do it.
to slow the pace and frequently ask questions to assess comprehension.
to speed through details; age & experience will shorten learning time.
to provide written material and diagrams alone.
33
A mother of toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn?
demonstration
discovery
lecture
discussion
34
Developing a teaching plan is comparable to what other nursing activity?
performing a complex technical skill
documenting in the nurses notes
formulating a nursing care plan
using a standardized form or format
35
Which learning objective has highest priority for patient with life-threatening, food allergies that requires EpiPen?
The patient will identify the main ingredients in several foods.
The patient will learn about food labels.
The patient will administer EpiPen.
The patient will list the side effects of epinephrine.
36
Toddler is going to have surgery on right ear. Which teaching method is most appropriate for this developmental stage?
Use discussion throughout the teaching session.
Develop a problem-solving scenario.
Apply a bandage to a doll’s ear.
Encourage independent learning.
37
In planning to teach an older adult client, the nurse should incorporate which teaching method or principle into plan?
Teach in the early morning or late evening.
Focus on teaching a family member or caregiver instead.
Put as much as possible into each teaching session.
Keep teaching sessions short.
38
An 18-year-old pt is scheduled for heart surgery tomorrow. To assess patient’s level of knowledge, the nurse would say:
“Do you understand what the doctor is going to do to you?”
“Tell me the name of the surgery you are going to have.”
“Would you be willing to take a test for me?”
“Tell me what you know about what is going to happen tomorrow.”
39
When is the best time to evaluate one’s own teaching effectiveness?
1 month after the teaching session
during the teaching session
1 week after the teaching session
immediately after a teaching session
40
When teaching an elderly patient about changing his dressing, the nurse would most appropriately:
talk through the process rapidly to keep the patient from becoming tired.
be certain the patient is wearing his glasses and/or hearing aid.
point out each mistake during the return demonstration.
wait for the patient to ask any questions about the procedure.
41
Nurse will choose the best time to continue postoperative teaching regarding wound care and dressings, which would be:
the last thing in the evening, after visitors have left, before bedtime.
when the patient is comfortable and receptive to the teaching.
just before the patient is discharged, so the information is current.
immediately after the patient has been medicated for pain.
42
Nurse recognizes that new parents may be ready to learn about their newborn after birth. What understanding leads nurse
to this conclusion? The parents have no choice at this time.
to this conclusion? The parents now have the motivation to learn.
to this conclusion? Nurses on the floor do a better job teaching baby care.
to this conclusion? Baby will not be discharged until parents have training
43
A patient states, “I don’t think I’ll ever be able to give myself an injection.” The best reply by the nurse is:
“What bothers you most about the idea of giving yourself an injection?”
“Everyone feels like that at first. You’ll get over it.”
“Don’t be afraid. It’s an easy skill for anyone to learn.”
“I know how you feel. I would have trouble giving myself an injection."
44
Which of the following is an essential component of the definition of learning?
increases self-esteem
cannot be measured
can be measured
decreases stress
45
A nurse is preparing to teach a kinesthetic learner about exercise. Which technique should the nurse use?
Provide the patient with a case study about the exercise equipment.
Provide the patient with pictures of the exercise equipment.
Let the patient listen to a podcast about the exercise equipment.
Let the patient touch and use the exercise equipment.
46
The nurse evaluates the effectiveness of teaching relative to how to use an eye shield after eye surgery is to:
ask the patient if he has any questions related to the use of the shield.
have the patient tell the nurse what he is going to do.
call patient at home in 3 days and ask if he has been wearing the shield.
have the patient demonstrate that he can secure the eye shield.
47
Which patient characteristic must a nurse consider when planning teaching?
Pain medication
Discharge instructions
Good lighting
Literacy level
48
Which situation indicates to the nurse that the patient is ready to learn?
A patient has the ability to grasp and apply the elastic bandage.
Pt. has normal eyesight to identify the markings on a syringe.
Pt. has sufficient upper body strength to move from a bed to a wheelchair.
Pt. with a BKA is motivated about how to walk with assistive devices.
49
The nurse would identify an opportunity for a “teachable moment” in the situation of a patient who:
has just returned from surgery for a deviated septum.
is packing belongings in preparation for discharge.
has just been told of the malignancy of his tumor.
says, “How will I remember all the things about my new diet?”
50
A nurse is teaching staff about nursing & teaching processes. Which info is important regarding the teaching process?
Identify that it is the same as the nursing process.
Focus on a patient’s learning needs.
Perform nursing care therapies.
Assess all sources of data.
51
A nurse is going to teach a patient about hypertension. Which action should the nurse implement first?
Set mutual goals for knowledge of hypertension.
Assess what the patient already knows about hypertension.
Teach what the patient wants to know about hypertension.
Evaluate the outcomes of patient education for hypertension.

NPN 100 Chapter 8 Flashcards | StudBud