Chapter 21- Teacher and Counselor

A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching? A) to help the patient develop self-care abilities B) to ensure the patient will return for follow-up care C) to facilitate complete recovery from the disease D) to implement ordered teaching and counseling

A

A nurse is using motivational interviewing to find out why a patient refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this patient? A) So, you feel that you are not ready to start a program this week? B) Why do you feel that you are not ready to start rehabilitation? C) I understand that you are afraid to start rehabilitation; where do you see yourself in a week? D) Remember we discussed what needs to be done to get you back on your feetHow do you feel about getting started?

A

A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners? A) a focus on the immediate application of new material B) a need for support to reduce anxiety about new learning C) older students may feel inferior in terms of new learning D) all students, regardless of age, learn the same

A

Which of the following strategies might a nurse use to increase compliance with teaching? A) Include the patient and family as partners. B) Use short, simple sentences for all ages. C) Provide verbal instruction at all times. D) Maintain clear role as the authority.

A

A nurse is writing learning outcomes for a patient recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply. A) assembles B) demonstrates C) gives examples D) identifies E) chooses F) values

A, B

According to Rosenstock, which of the following are health beliefs critical for patient motivation? Select all that apply. A) Patients view themselves as susceptible to the disease in question. B) Patients view the disease as a serious threat. C) Patients believe there are actions they can take to reduce the probability of contracting the disease. D) Patients believe the threat of taking these actions is greater than the disease itself. E) Patients view themselves as victims of the disease in question. F) Patients feel powerless to modify their perception of disease susceptibility.

A, B, C

A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating? A) affective B) cognitive C) psychomotor D) emotional

B

A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs? A) practicing advocacy B) preventing illness C) restoring health D) facilitating coping

B

Developing a teaching plan is comparable to what other nursing activity? A) documenting in the nurses notes B) formulating a nursing care plan C) performing a complex technical skill D) using a standardized form or format

B

When is the best time to evaluate ones own teaching effectiveness? A) during the teaching session B) immediately after a teaching session C) 1 week after the teaching session D) 1 month after the teaching session

B

A nurse teaching a new mother how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply. A) Tune out the individual patient. B) Edit patient information. C) Act on every teaching moment. D) Always refer a patient to counseling. E) Clarify often. F) Honestly answer patient questions.

B, C, E

The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the Ask Me 3 tool. Which of the following is an Ask Me 3 question? Select all that apply. A) Who will be my healthcare provider? B) What is my main problem? C) What do I need to do? D) Where will I get help? E) Why is it important for me to do this? F) When will I start my program?

B, C, E

A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn? A) lecture B) discussion C) demonstration D) discovery

C

A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient? A) Knowledge Deficit: Infant care B) Impaired Health Maintenance C) Readiness for Enhanced Parenting D) Readiness for Enhanced Coping

C

An elderly patient is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip and hospitalization. What type of counseling would the nurse conduct? A) none B) long-term C) short-term D) motivational

C

What patient characteristic is important to assess when using the health belief model as the framework for teaching? A) developmental level B) source of information C) motivation to learn D) family support

C

Which of the following is an essential component of the definition of learning? A) increases self-esteem B) decreases stress C) can be measured D) cannot be measured

C

A 42-year-old male patient recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurses best response to this patient? A) Praise him for any efforts he makes to improve his health. B) Tell him that he will have another MI and it will be his own fault. C) Tell him that his cigarettes will be taken away if he smokes again. D) Ignore the behavior and recommend a behavior modification program.

D

A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent patient teaching? A) Use materials developed previously for U.S. citizens. B) Use all visual materials when teaching content. C) Use a lecture format to teach content with few questions. D) Develop written materials in the patients native language.

D

A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping

D

A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first? A) Ask other students what should be included in content. B) Ask the patient what he or she wants to know. C) Tell the instructor that this topic hasnt been covered yet. D) Review information available in writing and on the Internet.

D

What is the most critical element of documentation of teaching? A) a summary of the teaching plan B) the implementation of the teaching plan C) the patient need for learning D) evidence that learning has occurred

D

What word or phrase best describes an effective counselor? A) technically skilled B) knowledgeable C) practical D) caring

D