PNC Module 4

Which measure is the nurse unlikely to adopt when providing health education to a group of adolescents at school? Select all that apply. One, some, or all responses may be correct. A. Treating the adolescents as children. B. Carrying out an open discussion in a group. C. Inquiring about the health beliefs of adolescents. D. Asking if there are guns at the adolescent's house. E. Discussing alternatives to driving when under the influence of alcohol or drugs.

A. Treating the adolescents as children. B. Carrying out an open discussion in a group.

Which action does a community-based nurse do as a change agent? Select all that apply. One, some, or all responses may be correct. A. Empowers clients and their families to creatively solve problems. B. Works with clients to solve problems and helps clients identify an alternative care facility. C. Helps clients gain the skills and knowledge needed to provide self-care. D. Empowers clients to become instrumental in creating change within a health care agency. E. Does not make decisions but helps clients reach decisions that are best for them.

A. Empowers clients and their families to creatively solve problems. B. Works with clients to solve problems and helps clients identify an alternative care facility. D. Empowers clients to become instrumental in creating change within a health care agency.

A nurse is teaching an older-adult patient about ways to detect a melanoma. Which of the following are age-appropriate teaching techniques for this patient? (Select all that apply.) 1. Speak in a low tone. 2. Begin and end the session with the most important information regarding melanoma. 3. Provide a pamphlet about melanoma with large font in blues and greens. 4. Use basic one- or two-syllable medical terms. 5. Provide specific information in frequent, small amounts. 6. Speak quickly so that you do not take up much of the patient's time.

1. Speak in a low tone. 2. Begin and end the session with the most important information regarding melanoma. 5. Provide specific information in frequent, small amounts.

A patient's cultural background affects the motivation for learning. Using the ACCESS model, match the nursing approach with the correct model component. 1. Assessment 2. Communication 3. Cultural 4. Establishment 5. Sensitivity 6. Safety A. Help patients feel culturally secure and able to maintain their cultural identity. B. Remain aware of verbal and nonverbal responses. C. Be aware of how patients from diverse backgrounds perceive their care needs. D. Become aware of your patient's culture and your own cultural biases. E. Learn about the patient's health beliefs and practices. F. Show respect by creating a caring rapport.

1E 2B 3D 4F 5C 6A

Which of the following scenarios demonstrate that patient learning has taken place? (Select all that apply.) 1. A patient listens to a nurse's review of the warning signs of a stroke. 2. A patient describes how to set up a pill organizer for newly ordered medicines. 3. A patient attends a spinal cord injury support group. 4. A patient demonstrates how to take his blood pressure at home. 5. A patient reviews written information about resources for cancer survivors.

2. A patient describes how to set up a pill organizer for newly ordered medicines. 4. A patient demonstrates how to take his blood pressure at home.

A patient suddenly experienced a severe headache with numbness and decreased movement in the left arm. An emergency brain scan confirmed a cerebral vessel clot. With a stroke confirmed, the emergency room physician consults with a neurosurgeon to schedule an emergent angiogram to remove the clot. Which teaching approach is most appropriate for explaining to the patient what to expect from the procedure? 1. Selling approach 2. Telling approach 3. Entrusting approach 4. Participating approach

2. Telling approach

A nurse who works in an outpatient chemotherapy infusion center is assigned to the care of a 56-year-old male patient who is receiving chemotherapy for colon cancer. This is the patient's first clinic visit. The nurse reviews the patient's medical record and sees a note about the patient receiving instruction on how chemotherapy treats cancer, but the note does not summarize the patient's response. The doctor makes a quick visit and tells the patient, "We will get your treatment started today and we will be checking your blood each week for any problems." The doctor leaves and the patient asks the nurse, "What are the blood tests for?" To determine this patient's learning needs, what should the nurse assess? (Select all that apply.) 1. Medical record summary of the stage of the cancer 2. The patient's behavior as the nurse interacts with him 3. The patient's level of knowledge about chemotherapy effects 4. The number of treatments the patient will be receiving 5. The patient's health literacy 6. The patient's self-description of severity of his cancer 7. The date of the medical record note describing patient instruction

2. The patient's behavior as the nurse interacts with him 3. The patient's level of knowledge about chemotherapy effects 5. The patient's health literacy 6. The patient's self-description of severity of his cancer

A 26-year-old patient visits a medical clinic and asks a nurse to provide instruction on how to perform a breast self-examination. "My mom had cancer so I want to learn how." Which domains are required to learn this skill? (Select all that apply.) 1. Affective domain 2. Sensory domain 3. Cognitive domain 4. Attentional domain 5. Psychomotor domain

3. Cognitive domain 5. Psychomotor domain

A nurse who works in an outpatient chemotherapy infusion center is assigned to the care of a 56-year-old male patient who is receiving chemotherapy for colon cancer. This is the patient's first clinic visit. The nurse reviews the patient's medical record and sees a note about the patient receiving instruction on how chemotherapy treats cancer; the note does not summarize the patient's response. The nurse's assessment reveals that the patient is motivated to learn more about his chemotherapy and is alert and currently feeling well. The nurse has prepared the first infusion, regulated it, and now takes time to begin instruction. Which teaching approaches are best suited for this situation? 1. Use an entrusting approach in explaining how to monitor for side effects of chemotherapy. 2. Bring the patient together with two other patients in the clinic and conduct a group discussion. 3. Provide verbal one-on-one instruction, with the patient participating in selection of content. 4. Present the patient with a problem situation involving a serious side effect and have the patient decide what to do.

3. Provide verbal one-on-one instruction, with the patient participating in selection of content.

A patient recovering from open heart surgery is taught how to cough and deep breathe using a pillow to support or splint the chest incision. Following the teaching session, which of the following is the best way for the nurse to evaluate whether learning has taken place? 1. Verbalization of steps to use in splinting 2. Selecting from a series of flash cards the images showing the correct technique 3. Return demonstration 4. REALM test

3. Return demonstration

A nurse is preparing to teach a patient who has sleep apnea how to use a continuous positive airway pressure (CPAP) machine at night. Which action is most appropriate for the nurse to perform first? 1. Allow patient to manipulate machine and look at parts. 2. Provide a teach-back session. 3. Set mutual goals for the education session. 4. Discuss the purpose of the machine and how it works.

3. Set mutual goals for the education session.

A 55-year-old man has been in the hospital for over a week following surgical complications. The patient has had limited activity but is now ordered to begin a mobility program. The patient just returned from several diagnostic tests and tells the nurse he is feeling fatigued. The nurse prepares to instruct the patient on the mobility program protocol. Which of the following learning principles will likely be affected by this patient's condition? 1. Motivation to learn 2. Developmental stage 3. Stage of grief 4. Readiness to learn

4. Readiness to learn

In which situation would formal patient education courses or classes be the most appropriate strategy? A. Address needs common to a group. B. Explain self-directed learning. C. Respond to questions of a patient's family. D. Describe nursing interventions.

A. Address needs common to a group.

Which strategy would the nurse use to improve chronic disease management (CDM) that addresses the organizational level as described in the social-ecologic model? A. Advocate for policies at worksites to support CDM. B. Provide educational opportunities to individuals regarding CDM. C. Encourage individuals to participate in CDM peer support groups. D. Support development of organizational networks in the community to enhance CDM.

A. Advocate for policies at worksites to support CDM.

Which intervention would the nurse implement when providing health education to an elderly client? Select all that apply. One, some, or all responses may be correct. A. Assess the client for pain before teaching. B. Take notes while talking to the client. C. Ensure that the client is not preoccupied or anxious. D. Explain one concept at a time based on the client's interest. E. Teach a family caregiver if the client does not respond quickly.

A. Assess the client for pain before teaching. C. Ensure that the client is not preoccupied or anxious. D. Explain one concept at a time based on the client's interest.

Which health care team member acts as a delegator in the absence of the registered nurse (RN)? A. Charge nurse B. Patient care associate C. Licensed practical nurse (LPN) D. Unlicensed assistive personnel (UAP)

A. Charge nurse

Which role is the nurse fulfilling when explaining the reason for the intravenous infusion and kit to the client? A. Educator B. Manager C. Advocate D. Caregiver

A. Educator

Which example illustrates health promotion activities? Select all that apply. One, some, or all responses may be correct. A. Good nutrition B. Regular exercise C. Physical awareness D. Immunization against measles E. Education about stress management

A. Good nutrition B. Regular exercise

Which intervention would the public-health nurse prioritize to support secondary prevention efforts for cardiovascular disease? A. Offer routine blood pressure screenings at various community sites including worksites, schools, and faith institutions. B. Advocate for policy changes to support healthy environments that include opportunities for safe physical activity. C. Provide educational opportunities regarding prevention of cardiovascular disease through a variety of venues. D. Support access to healthy food options in the local community for all residents.

A. Offer routine blood pressure screenings at various community sites including worksites, schools, and faith institutions.

Which nurse collaborates with the client to establish and implement a basic plan of care on admission? A. Primary nurse B. Nurse clinician C. Nurse coordinator D. Clinical nurse specialist

A. Primary nurse

When the nurse is developing educational programs for parents of younger school-age children to promote safety, which information would the nurse include that would be appropriate for this age group? A. Use a helmet when bike riding. B. Place locks on cabinets. C. Refrain from alcohol use. D. Install front-facing car seats.

A. Use a helmet when bike riding.

The nursing student is learning how to educate a client who is having trouble adapting to a new illness. Which statement made by the nursing student indicates the need for further education? A. "I should motivate the client's interest in learning." B. "I should assume that the family is involved." C. "I should identify the client's willingness to learn." D. "I should give information about how to perform skills within the home."

B. "I should assume that the family is involved."

Which activity by the community nurse is an illness prevention strategy? A. Encouraging the client to exercise daily B. Arranging an immunization program for chickenpox C. Teaching the community about stress management D. Teaching the client about maintaining a nutritious diet

B. Arranging an immunization program for chickenpox

Which is the best action for the nurse to take when a client with hypertension tells the nurse, "I took the blood pressure pills for a few weeks, but I didn't feel any different, so I decided I'd only take them when I feel sick." ? A. Educate the client about the complications associated with high blood pressure. B. Ask the client questions to determine the current understanding of high blood pressure. C. Emphasize the importance of taking blood pressure medications now to continue to feel well. D. Show the client the current blood pressure and compare that with normal blood pressure levels.

B. Ask the client questions to determine the current understanding of high blood pressure.

The nurse provides education to a client about colostomy care. To be effective when providing the teaching, the nurse would start with which step? A. Wait until a family member is present. B. Assess barriers to learning colostomy care. C. Provide simple written instructions concerning the care. D. Wait until the client has accepted the change in body image.

B. Assess barriers to learning colostomy care.

Which process involves transferring responsibility to multiple individuals, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care? A. Leadership B. Delegation C. Supervision D. Assignment

B. Delegation

Which educational approach would the nurse include in a teaching session for a group of school-aged children with type 1 diabetes mellitus (T1DM) who are having continuous glucose monitoring devices placed to best support proper use of the device? A. Provide a handout that demonstrates how the device works and proper use. B. Have devices available during the education session for the children to manipulate. C. Limit the amount of information included in the session regarding risks and benefits of device use. D. Conduct pre- and post-tests to determine impact of the educational session on knowledge of device and its use.

B. Have devices available during the education session for the children to manipulate.

Which intervention would the nurse recommend to reduce the incidence of mental health disorders among children in the community? A. Encouraging attendance at religious services B. Speaking to high school students about coping with anxiety C. Teaching children how to reduce the expression of negative feelings D. Encouraging families to enter counseling to prevent risky adolescent behavior

B. Speaking to high school students about coping with anxiety

When the nurse is making a home visit to a family with a toddler, which finding indicates a need for education about home safety? A. Fire extinguishers B. Unlocked cabinets C. House built in 2000 D. Front-facing car seat

B. Unlocked cabinets

Which interrelated concept regarding patient attributes and preferences should the nurse take into consideration when providing patient education? A. Quality B. Health promotion C. Adherence D. Technology

C. Adherence

When would the nurse provide education to the parent of a child brought to the hospital for an accidental overdose in an effort to decrease the child's risk in the future? A. In the emergency department B. Upon transfer to the intensive care unit C. Before discharge from the medical unit D. At the next scheduled health maintenance appointment

C. Before discharge from the medical unit

Which preventive and primary care service provided by a community health center is most expensive? A. Running errands B. Health education C. Disease management D. Routine physical examinations

C. Disease management

Which nursing action will be most helpful in preventing transmission of influenza in crowded communities? A. Teaching correct hand-washing techniques B. Demonstrating how to cover the mouth when coughing C. Educating about the importance of having annual vaccinations D. Giving antiviral medications within 48 hours of symptom development

C. Educating about the importance of having annual vaccinations

Which statement about how to interview an adolescent indicates the need for further education? Select all that apply. One, some, or all responses may be correct. A. "I should begin with less sensitive issues." B. "I should ask open-ended questions if possible." C. "I should use language that is common for adolescents." D. "I should make assumptions regarding his or her feelings." E. "I should interview an adolescent along with his or her parents."

D. "I should make assumptions regarding his or her feelings." E. "I should interview an adolescent along with his or her parents."

The nurse has provided patient education on diabetes. What opportunity should be provided for the patient in order for the nurse to evaluate the goal of awareness of long-term effects of diabetes? A. Inject insulin. B. Prepare a menu. C. Meet exercise goals. D. Ask questions.

D. Ask questions.

The nurse providing primary preventive care at a community health care center focuses on which type of activity? A. Rehabilitating the client B. Treating early stages of disease C. Preventing complications from illness D. Promoting health in healthy individuals

D. Promoting health in healthy individuals

A facility's administration has concerns about the effectiveness of staff nurses related to patient education. What should be the nurse manager's first action in addressing this concern? A. Organize patient teaching resources. B. Assign one nurse to teach patients. C. Post a teaching outline in the lounge. D. Survey nurses about patient teaching.

D. Survey nurses about patient teaching.

A patient tells the nurse about plans to do research about the patient's diagnosis and potential treatment on the Internet. What is the nurse's most appropriate initial response? A. Evaluate the patient's computer competency. B. Discount the reliability of the Internet. C. Provide a list of recommended sources. D. Teach about evaluation of Internet resources.

D. Teach about evaluation of Internet resources.

Why would the nurse question an adolescent about his or her future education plans? A. To help identify an adolescent who feels socially isolated B. To give an adolescent the opportunity to talk about his or her strengths C. To allow an adolescent to discuss items related to physical development D. To give an adolescent a chance to talk through significant sources of stress

D. To give an adolescent a chance to talk through significant sources of stress

Which instruction would the nurse provide to a group of parents with small children to promote safety and prevent injury? Select all that apply. One, some, or all responses may be correct. A. Turn pot handles away from edges. B. Install smoke detectors in the house. C. Lock medication away in a safe place. D. Place child safety latches on cabinets. E. Verify water temperature before baths.

all of the above