Chapter 2 Med surg

The nurse is educating the client about management of diabetes. Which statement by the student would indicate to the nurse that further teaching is necessary?

Checks of blood glucose level are to be done ac and hs.

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 nurse is teaching an elderly client about heart failure. What action will the nurse do to enhance learning?

frequently repeat the provided information

The nurse is assigned to a group of clients and will be providing education to all of them. The client most in need of teaching is the client who

is to perform daily foot checks as a result of diabetes

A health care provider asked a nurse to teach a patient how to self-administer subcutaneous insulin. After collecting her assessment data and drafting her plan, the nurse selected the teaching strategy that research has indicated has the highest chance of reinforcing knowledge. Which of the following strategies did the nurse select?

Assisting the patient to perform the skill in a simulated setting

The nurse is preparing discharge teaching for a patient diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most effective for this patient?

Determining the patient's readiness to learn new information

A nurse is aware of both the importance of health education and the fact that it is an independent function of nursing practice. Under which of the following circumstances should a nurse consider providing health education?

During each contact that the nurse has with a health care consumer

A nurse is teaching an older adult about a medication that the client will take at home. The nurse assesses which of the following factors as promoting adherence to the medication regimen?

The client's daughter is present and provides care to the client at home

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 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

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

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

Evaluation

Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome?

Increased cost of treatment

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

An example of evidence-based practice would be:

Patients on bed rest are turned every 2 hours to prevent the formation of bedsores.

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

Planning

A nurse is evaluating a client's motivation to make decisions that promote healthy behavior change, using the transtheoretical model of change. Which description best describes the decision making stage of this model?

The client constructs a plan to change behavior

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