Patient and Family Teaching

1. Which of the following results occur when nurses teach clients effectively? Select all that apply. mproved client outcomes ecreased adherence with drug regimen creased ability of client to manage drug therapy engthened time for client outcomes mited ability of client to manage drug therapy A nurse is preparing a teaching plan for a client. When developing this plan, which of the following would the nurse do to improve a client's motivation to learn? Select all that apply. ducate the client about his or her disease process. o not include caregivers in the education process as it is a HIPAA violation. reate an accepting and positive atmosphere. nore the client's questions until you are finished teaching. ncourage client participation in goal planning. After teaching a group of students about the domains of learning, the instructor determines that the teaching was successful when the students identify which of the following as a domain? Select all that apply. ognitive domain ffective domain hysical domain ychological domain ychomotor domain A nurse is preparing a teaching plan to address the domains of learning. Which of the following would the nurse address when focusing on the cognitive domain? Select all that apply. hought eelings eliefs ecall ecision making 5. A group of nursing students are reviewing information about the various domains of learning. The students demonstrate understanding of the information when they identify which of the following as reflecting the affective domain? Select all that apply. Page 1 A) Thought ndicating that the that apply. diabetes and his nitive domain? given to the client uctor determines following as Page 2 Evaluating the effectiveness of a plan 0. To develop an effective teaching plan, the nurse must first determine a client's needs, which can include which of the following? Select all that apply. Information the client needs to know about a particular medication Client's ability to read Client's ability to learn the information presented Client's ability to use the information presented Client's ability to accept the information presented 1. A nurse is preparing a teaching plan and is determining the best time for teaching. Which of the following would be an inappropriate time for client teaching? Select all that apply. When there are visitors Immediately prior to discharge The day of admission While the client is sedated While the client is in pain 2. After teaching a client, the nurse is evaluating the client's knowledge of the material presented. Which of the following would be most appropriate to use? Select all that apply. Client recitation of information Client return demonstration Open-ended questions Closed-ended questions Nurse review of information 3. A nursing instructor is teaching a group of students about learning. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of adult learning? Select all that apply. Adults prefer a formal learning environment. Adults draw on past experiences to facilitate learning. Adults learn best by listening. Adults learn best by active learning. Adults are most often visual learners. Page 3 14. A nurse is working with a client on ways to help the client adapt drug administration in the home. Which of the following would be appropriate? Select all that apply. A) Preparing a daily calendar B) Preparing a pill box C) Providing written instructions D) Placing all medication in one bottle E) Developing a clear, easy-to-read dosing schedule 15. A nurse is formulating a teaching plan for a client receiving a new drug. Which of the following information would the nurse expect to include in the teaching plan? Select all that apply. A) Adverse reactions to expect from the drug B) Adverse reactions to report to the physician C) Therapeutic response to expect from the drug D) The route of administration E) The dose of drug to administer 16. To facilitate the teaching and learning process, the nurse demonstrates understanding of the need for developing a therapeutic relationship with a client. The nurse would ensure development of which of the following? Select all that apply. A) Trust B) Education C) Commitment D) Dedication E) Respect 17. Which of the following dosage forms would most likely require relatively little client teaching? Select all that apply. A) Injectables B) Inhalers C) Tablets D) Capsules E) Transdermal patches 18. A nurse is assessing a client's ability to learn. Which of the following would be most important for the nurse to consider? Select all that apply. A) Literacy level B) Language C) Presence of a learning impairment Page 4 D) Visual impairment E) Hearing impairment 19. Client goals are set during the planning stage of the client's teaching plan. When the nurse is developing client-specific goals, which of the following should the nurse keep in mind? Select all that apply. A) Goals should be measurable. B) Goals should be attainable. C) Goals should be set by the client. D) Goals should be set by the physician. E) Goals should be set by the nurse. 20. Which of the following would be considered an appropriate client goal when teaching a client how to use a glucometer? Select all that apply. A) Demonstration of appropriate testing procedure B) Understanding of steps to take in the case of low blood glucose C) Understanding of blood glucose goals D) Understanding of the pathophysiology of diabetes E) Understanding of frequency of blood glucose testing 21. A nurse is caring for a client with high blood pressure. The client has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the client and the family member how to take blood pressure measurements using the sphygmomanometer. The nurse identifies which domain of learning as being addressed? A) Psychomotor domain B) Affective domain C) Cognitive domain D) Intellectual domain 22. A patient with seasonal allergies has been prescribed a nasal spray, which will be administered at home. The patient wants to know about the addictive nature of the nasal spray, the adverse reactions, and the harmful effects involved. Which of the following nursing diagnoses should the nurse address while educating the patient? A) Ineffective Self Health Management B) Anxiety C) Deficient Knowledge D) Effective Self Health Management Page 5 23. A client is to be discharged from a nursing home. The nurse caring for the client has to educate the client regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning? A) Attitude B) Motivation C) Interest D) Grasping power 24. A cancer patient requires supplemental oxygen at home through an oxygen cylinder. The nurse assigned to the patient teaches the patient's brother to administer oxygen from the cylinder at home. Which of the following is most effective for the nurse to use when evaluating the patient's brother's understanding? A) Ask questions such as “Do you understand?” B) Ask the patient's brother to demonstrate the procedure. C) Ask the patient's brother to document the technique. D) Ask the patient's brother questions related to the procedure. 25. A patient in a local health care center is presented information on drug administration by the nurse. Which of the following would the nurse identify as having the least impact on the patient's learning? A) Patient's financial status B) Prior knowledge C) Prior perceptions D) Previous experiences 26. A patient admitted to a hospital has difficulty with information recall, decision making, and conclusion-drawing skills. The patient also lacks proper psychomotor knowledge. Which of the following nursing diagnoses would the nurse most likely identify for this patient? A) Knowledge Deficit B) Ineffective Self Health Management C) Effective Self Health Management D) Anxiety 27. A nurse is caring for a patient with liver cirrhosis. The nurse has to collaborate on an individualized teaching plan to help the client administer the postdischarge medications. Which of the following would the nurse need to integrate into the plan? Select all that apply. A) The nurse's teaching ability Page 6 B) C) D) E) The prescribed drug The patient's learning skills The patient's need to know the drugs The health care provider's preference 28. A patient with diabetes is being prepared for discharge. The nurse presents information to the patient regarding injections to be administered at home. Which intellectual activities are involved when the patient interprets this information using the cognitive domain of learning? Select all that apply. A) Recall B) Opinions C) Thought D) Attitude E) Decision making 29. The nurse prepares a teaching plan to help a patient with viral influenza learn how to administer the prescribed drugs at home. Which factor would the nurse be alert to as posing an obstacle in the patient's learning process? A) Varied or different literacy levels B) Lack of high grasping skills C) Previous experience D) Prior knowledge 30. A nurse is caring for a 70-year-old patient diagnosed with diabetes. The patient is to be discharged soon, and the nurse needs to teach him about the administration of the oral medications. Which of the following would be most appropriate in helping the nurse learn about the patient's affective behavior? Select all that apply. A) Developing a therapeutic relationship with the patient B) Overlooking the concern of the patient's family C) Approaching the patient with respect D) Nurturing a relationship based on trust and respect E) Avoiding the patient's queries on sensitive issues 31. A patient is a kinesthetic learner. Which of the following would the nurse focus on when teaching this patient about drug administration? A) Doing the actual steps of the procedure B) Watching the nurse perform the procedure C) Listening to the nurse's instructions D) Observing how to perform the steps Page 7 32. The nurse is assessing a patient and suspects that the patient may have limited health literacy. Which of the following would support this suspicion? Select all that apply. A) Clear description of how to take the medication B) Difficulty naming the medication C) Problems filling out forms accurately D) English as the primary language E) Inability to explain the purpose of the medication 33. A nurse is engaged in teaching a patient with low health literacy. Which statement would be most appropriate? Select all that apply. A) “Your test results are all negative.” B) “Your doctor wants you to take this analgesic.” C) “This medication will help your tumor get smaller.” D) “You should take this pain killer when you start to hurt.” E) “This cream is for the lesion on your arm.” 34. After teaching a group of nursing students about health communication, the instructor determines that the teaching was successful when the students identify which of the following as being an important factor? Select all that apply. A) Health literacy B) Learning style C) Cultural competency D) Identification of limited English proficiency E) Learning domain 35. A group of nursing students are reviewing information about the patient–nurse relationship and the various factors affecting it. The students demonstrate a need for additional review when they identify which of the following as a factor? A) Health care reform B) Health care practice attitudes C) Increased rates of chronic illness D) Increased cultural diversity Page 8 Answer Key 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. A, C A, C, E A, B, E A, D, E B, C B, C, D B, C, D A, E A, C, D, E A, B, C, D, E A, B, D, E A, B, C B, D, E A, B, C, E A, B, C, D, E A, E C, D A, B, C, D, E A, B A, B, C, E A D B B A A B, D, E A, C, E A A, C, D A B, C, E C, D A, C, D D Page 9