Patient Education; Ch 25 EAQ's

A patient who was hospitalized for a smoking-related illness tells the nurse, "I am ready to accept responsibility for learning, and I need your help." Which stage of psychosocial grief is reflected in this statement? 1 Anger 2 Disbelief 3 Resolution 4 Bargaining

3 Resolution

Which domain of learning would the nurse focus on while teaching a patient with heart failure about behavioral and lifestyle modifications? Select all that apply. One, some, or all responses may be correct. 1 Cognitive 2 Affective 3 Psychomotor 4 Attentive 5 Psychosocial

Cognitive Affective The cognitive domain involves acquisition of knowledge, comprehension, and application of the acquired knowledge. The affective domain involves expressing feelings and accepting attitudes, opinions, and values. The nurse should focus on these two domains while teaching the patient about behavioral modifications. The psychomotor domain involves the use of mental and muscular activity. "Attentive" and "Psychosocial" are not domains of learning.

Which learning objective would be evaluated in the discharge notes of a patient with coronary artery disease? Select all that apply. One, some, or all responses may be correct. 1 Able to state the signs of heart attack 2 Understands the importance of exercises to improve heart function 3 Verbalizes feelings of anxiety related to limitation of activity imposed by the condition 4 Expresses knowledge about the lifestyle modifications required to prevent heart failure 5 Able to perform exercises in the correct way that is necessary to improve cardiac function and prevent trauma as well

1, 5 to evaluate a learning objective, it should be measurable. The nurse can evaluate patient learning by asking the patient to state the signs of heart attack and to demonstrate exercises because these performances can be measured. Objectives such as understanding a concept, verbalizing feelings, and increasing knowledge are vague and ambiguous and cannot be measured.

Which teaching method would the nurse use to teach preschoolers how to wash their hands? Select all that apply. One, some, or all responses may be correct. Use role playing and imitation. 2 Encourage questions and offer explanations. 3 Encourage the children to learn together through short stories and pictures. 4 Encourage participation in a teaching plan. 5 Encourage independent learning.

1,2,3 The teaching methods should be appropriate to the developmental stage of the preschoolers. Role play and imitation should be used to make learning fun. Asking questions should be encouraged; simple explanations should be provided. Preschoolers love to learn through short stories and pictures. Learning in a group is more fun than learning alone. Preschoolers will not be able to participate in a teaching plan or do independent learning. These teaching methods are more suitable for a young or middle-aged adult.

The nurse is designing a teaching plan for a patient to prevent urinary tract infections. When planning the teaching, which factor would the nurse keep in mind? Select all that apply. One, some, or all responses may be correct. 1 It should cater to the needs of the patient. 2 Teaching should be problem based. 3 Provide only necessary information. 4 Teaching should be based on mutually exclusive experiences. 5 It should prompt the learner to engage in activities that lead to a desired change.

1,2,3,5 Before preparing the teaching plan, the nurse should understand the patient's needs. The nurse should consider the problem the patient is facing and provide only the necessary information. This will help prevent information overload for the patient. The objective of the teaching is to educate the patient about the prevention of urinary tract infections. Therefore the teaching should prompt the patient to adopt preventive measures against urinary tract infections. The teaching should be based on real-life experiences rather than mutually exclusive ones.

The nurse attends to a group of patients with depression. The nurse conducts a group discussion with the patients to teach them effective learning skills. How will the group discussion help the patients? Select all that apply. One, some, or all responses may be correct. 1 Allow patients to receive support from other patients in the group. 2 Encourage patients to express concerns. 3 Allow patients to discuss personal and sensitive things. 4 Help patients learn from others' experiences. 5 Promote responsiveness, valuing others, and organization.

1,4,5 If patients with depression sit in a group and interact with other patients who have similar symptoms, they receive support from other patients in the group. The group discussion helps them learn from the experiences of others and promotes responsiveness, valuing others, and organization. However, patients may not speak of their concerns or about sensitive topics in a group. In that case, the nurse will need to have a one-on-one conversation.

Which option indicates developmental milestones in infants? Select all that apply. One, some, or all responses may be correct. 1 Between 2 to 3 months, the infant starts smiling responsively. 2 At 4 months, the infant starts sitting without support. 3 At 8 months, the infant can differentiate strangers from familiar faces. 4 At 10 months, the infant can sit down from a standing position. 5 At 9 months, the infant can play simple games like peek-a-boo.

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The nurse is caring for a patient with cancer who was previously in a state of denial but has now accepted the illness. The patient asks the nurse questions about the illness and expresses emotions openly. Which intervention would the nurse perform at this stage? Select all that apply. One, some, or all responses may be correct. 1. Provide support and empathy. 2. Involve the family in teaching information for discharge. 3. Introduce only reality. 4. Encourage the expression of feelings. 5. Set aside formal times for discussion.

2, 4, 5 As the patient has accepted the illness and talks about it openly, it is important to encourage the patient to express feelings and set aside formal times to discuss and share information needed for the future. When a patient strives for independence, creating a discharge plan can be done; family members are included in the teaching. Providing support and empathy is needed when the patient is in a state of denial. Because the patient has accepted the illness, apart from explaining the reality, it is important to share information needed for the future.

Arrange the patient's behaviors in order of increasing complexity according to the psychomotor domain of learning. 1.The patient is in the early stage of learning a particular skill under the guidance of an instructor that involves imitation and practice of a demonstrated act. 2.The patient uses existing psychomotor skills to create new movement patterns and performs them as needed in response to a particular situation or problem. 3.The patient's motor skills are well developed, and movements can be modified when unexpected problems occur. 4.The patient smoothly and accurately performs a motor skill that requires complex movement patterns. 5.The patient gains confidence and proficiency in performing a skill that is more complex or involves several more steps than a guided response. 6.The patient is aware of objects or qualities through the use of sensory stimulation and is ready to make a particular action.

According to the psychomotor domain of learning, the simplest behavior is perception and set, which involves t 1. the patient's awareness of objects or qualities through the use of sensory stimulation and the readiness of the patient to take a particular action. 2. The second behavior is guided response, which involves the early stage of learning a particular skill under the guidance of an instructor that involves imitation and practice of a demonstrated act. 3. The third and a more complex behavior is mechanism, which involves the confidence and proficiency of the patient in performing a skill that is more complex or involves several more steps than a guided response. 4. The fourth behavior is complex overt response, which involves smoothly and accurately performing a motor skill that requires complex movement patterns. 5. The fifth behavior is adaptation, which involves well-developed motor skills movements of the patient, which can be modified when unexpected problems occur. 6. The sixth and most complex behavior is origination, which involves the use of existing psychomotor skills to create new movement patterns and perform them as needed in response to a particular situation or problem.

The school nurse is about to teach a freshman-level high-school health class about nutrition. Which instructional approach ensures that the students meet the learning outcomes? 1 Provide information using a lecture. 2 Use simple words to promote understanding. 3 Develop topics for discussion that require problem solving. 4 Complete an extensive literature search focusing on eating disorders.

Develop topics for discussion that require problem solving.

The nurse is teaching a group of patients the importance of using sunscreen. Which type of content is the nurse providing? 1 Simulation 2 Restoring health 3 Coping with impaired function 4 Health promotion and illness prevention

Health promotion and illness prevention

Which aspect of psychomotor learning involves an awareness of qualities through the use of sensory stimulation? 1 Perception 2 Adaptation 3 Origination 4 Mechanism

Perception

The nurse teaches a patient with diabetes how to use a glucometer and then asks the patient to use the glucometer to measure his or her blood sugar. The nurse is using which teaching method? 1 Practice 2 Demonstration 3 Independent projects 4 Return demonstration

Return Demonstration

Which domain of learning occurs when a patient is both verbally and nonverbally participating in group activities? 1 Affective 2 Cognitive 3 Attentional 4 Psychomotor

affective The patient who participates in affective learning will exhibit good responding behavior. Verbal and nonverbal responses in group activities indicate affective learning development. The patient is not acquiring any knowledge about new factors or new facilities; instead, the patient is showing effective verbal and nonverbal communication. Therefore the patent is not exhibiting cognitive learning. The attentional set is not a domain of learning; it is a mental state that allows a learner to focus on an activity. The patient is not using his or her mental or muscular activity to acquire a skill. Therefore the patient is not exhibiting psychomotor development.

A patient with diabetes has a new prosthetic leg and states, "I am looking forward to resuming my swimming exercises next week." This statement reflects which stage of psychosocial adaptation? 1 Resolution 2 Bargaining 3 Acceptance 4 Denial or disbelief

denial or disbelief