Fundamentals of Nursing: Week 12

The nurse is caring for a patient who has diabetes mellitus. During the assessment, the patient says, "I feel really drowsy lately." The nurse notes that the patient's blood glucose level is 305 mg/dL. Which information would the nurse teach the patient?

- "If this happens at home, you should call your health care provider immediately."

What patient information would the nurse obtain from a patient with breast cancer before developing a teaching plan? Select all that apply.

- Age - Marital status - Economic resources - Cultural background

A patient with chronic diabetes is started on insulin therapy. The nurse plans to teach the patient how to self-administer insulin and to adjust the insulin dosage according to blood sugar levels. Which domain is required for this learning? Select all that apply.

- Cognitive - Psychomotor

Which challenges might a hospitalized patient with low health literacy face? Select all that apply.

- Fully completing complex health forms - Managing chronic health conditions - Understanding medication instructions

The nurse wants to implement a teaching plan that targets the affective learning domain. Which patient attribute would the nurse consider before starting the teaching session? Select all that apply.

- Values - Motivations

A patient needs to learn how to administer a subcutaneous injection. Which patient action suggests that the patient is ready to learn?

Expressing the importance of learning the skill correctly

A patient is scheduled for surgery on a fractured foot. After the nurse explains the surgery and its potential outcomes, the nurse demonstrates postoperative exercises and asks the patient for a return demonstration. Which outcome does this nursing action determine?

It improves the patients self efficacy

While giving discharge instructions to a patient, the nurse teaches the patient's caregiver how to change a dressing to the wound. Which safety advocacy program is the nurse implementing?

National Patient Safety Goals

Which domain of learning is required for learning how to use a walker?

Psychomotor

A nurse is preparing to teach a patient how to perform breast self-examination. Which objective measure is best when determining the patient's ability to perform the examination?

The patient will perform breast self-examination correctly before the end of the teaching session

The nurse is caring for an older adult patient with cancer. When the nurse asks about the patient's educational background, the patient states, "I was a farm kid and never really went to school." Which mode of teaching would be best for the patient?

Verbal teachings

During a teaching session by the nurse, an older adult patient interrupts and states, "This is overwhelming, and I think I need to rest." Which response by the nurse is therapeutic?

"You should rest now. We can discuss this more later today."

The nurse is preparing to teach a patient with hypertension how to check pulse and blood pressure accurately at home. Arrange these interventions in the order the nurse will complete them.

- Assess the patients level of health literacy - Provide a quiet atmosphere for teaching. - Teach the information and techniques - Provide adequate time for questions. - Ask the patient for a return demonstration. - Documents details of the teaching session.

Which nursing actions are included under informal education? Select all that apply.

- Clarifying a patient's concern about treatment - Clarifying a doubt about the patient's medications

A nurse is teaching a patient with newly diagnosed congestive heart failure about behavioral and lifestyle modifications. Which domains of learning would the nurse focus on while teaching this patient? Select all that apply.

- Cognitive - Affective

The nurse is educating a 4-year-old child about dental hygiene. Which practices would the nurse follow while preparing a teaching plan? Select all that apply.

- Consider the child's cultural background. - Use age-appropriate teaching strategies. - Involve the child's parents in the session.

Which learning principles would a nurse use to effectively educate a patient? Select all that apply.

- Determine the extent to which the patient can perform skills. - Assess the patients physical condition before teaching -If the patient is willing, involve the family member of the patient while teaching

A nurse is caring for a patient with cancer who has recently accepted the illness. The patient asks the nurse questions about the illness and expresses emotions openly. Which interventions would the nurse perform at this stage? Select all that apply.

- If patient approves, involve family in teaching. - Encourage expression of feelings - Set aside formal times for discussion

A patient is unable to read a myocardial infarction pamphlet due to a very low health and functional literacy level. Which actions by the nurse would impart better teaching to this patient? Select all that apply.

- Inform the patient that the myocardial infarction and its symptoms can reoccur. - Use the term "heart attack" instead of "myocardial infarction." - Give regular breaks between teaching sessions.

When preparing a teaching plan on prevention of urinary tract infections, which factors would the nurse keep in mind? Select all that apply.

- It should meet the patient's needs. - Teaching should be problem-based. - Provide necessary information only - It should prompt the learner to engage in activities that lead to a desired change.

When providing education on newly prescribed medications, the nurse understands that the integration of new knowledge is dependent upon the cognitive domain. Arrange the following steps in the order the patient will need to perform them.

- Learn - Recall - Categorizes - Evaluate

The nurse is preparing a teaching plan on healthy nutrition. Which factors would the nurse consider when preparing the plan? Select all that apply.

- Patient's educational status - Culture to which the patient belongs - Willingness of the patient to participate

Which modes of teaching would the nurse use when educating patients who are unable to hear? Select all that apply.

- Photos - Drawings - Simulations

The nurse is caring for a patient who has cancer. The patient says, "My health insurance plan is a limited-benefit plan, and I'm currently facing a financial crisis." Which action by the nurse would benefit the patient? Select all that apply.

- Provide the patient a listing of local community agencies. - Contact the social services department on behalf of the patient. - Schedule a care conference with the discharge planners.

A nurse is teaching a group of college students the importance of donating blood. What nursing action would encourage the active participation of the students? Select all that apply.

- Teaching while touring the blood bank - Asking the students questions during the session - Demonstrating the procedure of blood donation in the actual setting

The nurse is planning a training workshop for the nursing staff about different types of primary education that can be provided to patients. Which topics can be considered primary education? Select all that apply.

- The importance of good handwashing - The importance of balanced nutrition - The importance of proper dental care

A nurse plans to discuss the treatment options with a cancer patient. Which factors would ensure a conducive learning environment? Select all that apply.

- The patient does not have any pain - The patient is not watching TV

A nurse plans to discuss the treatment options with a cancer patient. Which factors would ensure a conducive learning environment? Select all that apply.

- The patient does not have any pain. - The patient is not watching TV.

Which actions would indicate that a patient with diabetes mellitus has proficient health literacy? Select all that apply.

- The patient quits smoking after obtaining information about its dangerous effects. - The patient decides to do yoga after learning about its effects on the human body. - The patient obtains data from the Internet about good lifestyle habits for patients with diabetes.

Which health assessment areas would the nurse consider when determining the most effective ways to educate a patient? Select all that apply.

- The patient's Internet access - The patient's level of education - The patient's familiarity with English - The patient's primary caregiver

A nurse is educating a diabetic patient on how to self-administer insulin. Which methods used by the nurse to educate this patient are appropriate? Select all that apply.

-Demonstration - Return demonstration

The nurse is caring for a patient who underwent cataract surgery. Arrange in order the steps the nurse should follow to implement a teaching plan for the patient.

-Determine the literacy and self care limits of the patient - Determine nursing diagnosis relevant to the patient's learning needs. - Create an effective teaching plan in collaboration with the patient. - Determine interventions and outcome statements - Provide teaching to the patient and the caregiver

The nurse is preparing to give instructions about a medication regimen to a Spanish-speaking patient who does not understand English. Which modes of teaching would the nurse use to give instructions to the patient? Select all that apply.

-Show relevant videos to the patient. - Utilize illustrations with the patient. - Draw a picture for the patient to use.

Which action should the nurse take when teaching an older adult about a new antihypertensive medication?

Allow the patient time to ask patient

The nurse is teaching a medication regimen to the mother of a toddler who has a throat infection. Which method is best to evaluate effective learning?

Ask the mother to repeat the directions given by the nurse

Which resource would the nurse provide to educate a patient with nearsightedness?

Booklet with enlarged fonts

A nurse plans to educate a patient on how to use a monitor to measure blood pressure at home. Which instructional method is best?

Demonstartion

A nurse is teaching a group of young women about the importance of using sunscreen. Which type of teaching is the nurse providing?

Health promotion and illness prevention

A nurse is preparing to teach a young woman diagnosed with asthma how to manage her disease. Which topic would the nurse teach first?

How to use an inhaler during as asthma attack

The nurse is teaching a parenting class to a group of pregnant adolescents. The nurse pretends to be the baby's father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach is the nurse utilizing?

Role play

A nurse is discussing treatment goals with a patient who has osteoarthritis. Suddenly, the patient complains of pain in the knee joint. Which action would the nurse perform?

Stop the discussion and focus on patient comfort

Which nursing action indicates that the nurse is facilitating the patient's psychomotor domain of learning?

Teaching a patient with a new diagnosis of hypertension how to check blood pressure

A nurse is preparing to teach school-aged children about nutrition. To ensure student learning, which instructional approach is best?

Use clear, simple explanations to promote understanding

The nurse is caring for a patient who has undergone surgery. When is the most suitable time for the nurse to give instructions to the patient?

When the patient is pain free.