AH-Chpt 4 Practice Questions

Which is an example of a direct measurement technique used to evaluate the teaching-learning process?

Behavioral observation

Which factor refers to a client's experiential readiness to learn?

Educational history and life experience

Which step of the nursing process determines whether the client understands the health teaching that is provided?

Evaluation

What does the nurse understand is the single most important factor in determining health status and longevity?

Good nutrition

A current trend in health education that significantly influences nursing practice is:

Increased emphasis on patient involvement in their own care.

Which of the following is a nursing diagnosis related to health education?

Ineffective health maintenance

The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age?

Lipid panel

The nurse is preparing to teach a client about a newly prescribed medication. The client lacks insurance. The medication costs approximately $100 per month. The client states, "I can't afford it." The nurse assesses a variable to successful education and health promotion for this client based on the Health Belief Model is

Resources

A client with multiple sclerosis is learning to perform intermittent self-catherizations of the urinary bladder. The nurse obtains the following equipment for teaching. Select all that apply.

-Anatomically correct model -16-French catheters

Which of the following is an example of adherence to treatment? Select all that apply.

-Maintaining a healthy diet -Self-monitoring for signs and symptoms of illness -Taking prescribed medications -Increasing daily activities

A nurse is evaluating education provided to various clients being discharged to home. The nurse assesses that client most likely to be nonadherent with treatment is the one who

Has tuberculosis and is taking multiple antitubercular medications

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate?

Health Belief Model

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education?

Patient instruction related to self-care activities promotes patient independence

The nurse develops outcome criteria for a patient with chronic obstructive pulmonary disease. Which outcome criteria are appropriate for this patient?

The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

The termination stage of the Transtheoretical Model of Change occurs when:

The person has the ability to resist relapse back to unhealthy behavior.

The termination stage of the Transtheoretical Model of Change begins when which action occurs?

The person has the ability to resist relapsing back to unhealthy behavior

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration.

"Can you repeat for me the information I just reviewed about weighing food portions?"

A recommended approach to planning health teaching is applying the trans-theoretical model, which considers the stages of behavioral change. The stage in which the patient engages in calorie counting to reduce weight is called:

Action

The nurse is teaching a client with diabetes how to perform checks of blood glucose level. To optimize learning, it is best for the nurse to

Have the client return demonstrate.

There are many goals for health teaching. Which of the following is the primary goal of family and patient education?

Improve patient outcomes

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client

In a quiet room

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is

Is the client ready to learn?

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change?

Maintenance

A nurse is providing feedback to a client who demonstrates how to use an incentive spirometer. What primary role does feedback have in the adult learning process?

Motivates learning

The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about

Parenting issues

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching?

Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

A nurse developed a program of increased ambulation for a patient with an orthopedic disorder. This goal setting is a component of the nursing process known as:

Planning

Which phase of the nursing process encompasses the establishment of expected outcomes?

Planning

A nurse is teaching a client taking digoxin about checking the pulse rate daily. The client counts her radial pulse as 64 beats/min. The nurse counts at the same time and assesses the rate as 58 beats/min. When evaluating response to treatment, the nurse would chart that the client

Requires another opportunity for practice

A 27-year-old client is a regular smoker, has diabetes, and has been diagnosed with hypertension. The client says it is cumbersome and time consuming to visit the doctor regularly just for a blood pressure check. Which aspect of teaching would the nurse use with this client?

Suggest the client purchase a self-monitoring cuff

A nurse knows that the use of a learning contract increases motivation and increases the likelihood of patient compliance with the treatment regimen. Which client goal best exemplifies a well-designed learning contract?

The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment.

A nurse is planning discharge instructions for a client from another culture. What does the nurse understand about the relationship of values and beliefs and the client's readiness to learn?

The client will be less likely to accept health education unless values and beliefs are respected.

When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen?

The client with pneumonia who requires 1 week of oral antibiotics

A nurse is planning a health education program for a group of high school students regarding the dangers of texting and driving. Which action by the nurse illustrates the understanding of health education as a primary nursing responsibility?

The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school.

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.

-Promoting health -Preventing illness -Health education and maintenance

A 35-year-old client with a developmental age of 10 years is being taught to take medication every morning. The nurse assesses that the client brushes his teeth every morning. For learning to occur, which of the following techniques should the nurse employ? Select all answers that apply.

-Use simple explanations. -Repeat information frequently. -Encourage the client to take the medication after brushing his teeth. -Look directly at the client when speaking.

A hospitalized client reports right lower quadrant abdominal pain at a level of 8 on a 0 to 10 scale. The client is scheduled for an appendectomy. The nurse is teaching the client about use of the incentive spirometer postoperatively verbally and by demonstration. The client is on his side, clutching his abdomen. Learning is not occurring. The nurse has primarily failed to consider the client's

Physical readiness

A nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective?

Repeat and reinforce words frequently.

Which action would be incorporated in a teaching strategy for a hearing-impaired client?

Use of slow, directed, and deliberate speech

The nurse establishes a learning contract with an overweight client. The contract is best if it

includes an incremental goal of 1-2 pound weight loss this week