Patient Teaching

Which of the following shows the nurse engaged in teaching health promotion strategies? Select all that apply.

-Counseling a class of high school students on healthy eating habits -Describing the appropriate amount of water to drink per day to a patient -Helping a college student create an exercise plan

The registered nurse (RN) is preparing to assign teaching reinforcement to the licensed practical nurse/licensed vocational nurse (LPN/LVN). The patient to be assigned is from the Middle East. Which actions should be performed prior to the task assignment? Select all that apply.

-The RN should assess the patient's language preference and get an interpreter if needed. -The LPN/LVN should review cultural and religious information that can influence teaching.

. The nurse is caring for a patient after the placement of a cast for a lower leg fracture. The patient states, "I have never had a cast before. How do I take care of myself?" Which answer will the nurse provide?

"Do not stick anything down in the cast."

The nurse in a clinic has been seeing a patient who needs to lose weight. After several sessions of patient teaching, which statement by the patient indicates that learning has occurred?

"I got a calorie-counting app for my phone so I can keep track of my intake."

The nurse is caring for a patient after surgery. Which documentation will the nurse use to indicate that the patient is ready for advanced knowledge?

"Patient asks questions about how to take care of the incision and dressing when discharged home."

The nurse is reinforcing teaching information prior to a patient's discharge home. Which interventions are helpful in promoting self-care? Select all that apply.

-Review the purpose and effects of medications in order to promote compliance. -Reinforce why the patient should perform the treatments ordered by the health-care provider. -Remind the patient that they may call the nurse or health-care provider if they have questions. -reinforce why the patient needs good nutrition and adequate fluid intake.

The nurse understands the purpose of patient teaching. However, the nurse does not have a complete understanding about "teachable moments." Which examples can the other nurses provide? Select all that apply.

-The patient asks questions about their diagnosis. -The patient learns why they are on bedrest. -The patient shares a friend's opinion. -the patient asks about the machines being used.

Patients often know a great deal about their illnesses and treatments because of information on the Internet. Which recommendations should the nurse make regarding patient research? Select all that apply.

-The patient's pharmacist is a good resource about medications. -Internet sites ending with ".org," ".edu," and ".gov" are reliable. -Internet information provides good talking points between the patient and health-care provider. -The NIH.gov and the Mayo Clinic sites are understandable and have credible information.

The home health-care (HHC) nurse is visiting a patient with a history of congestive heart failure (CHF). The nurse receives a health-care provider's order to reinforce prior teaching. The nurse recognizes that which patient goal is most likely promoted by the prescribed teaching?

. The patient will be better prepared to avoid the need for rehospitalization.

The nurse is preparing to review patient teaching with a patient. Which assessment finding is most likely to cause the nurse to modify the review process?

A patient has a hearing deficit.

Which situation presents the nurse with a teachable moment?

A patient with gastrointestinal irritation requests caffeinated coffee with meals.

The nurse is helping to develop a teaching plan for a patient. Which interventions will the nurse suggest to be included? Select all that apply.

Ascertain what the patient already knows. Determine the patient's specific learning needs. Decide how to teach the topics identified by patient need.

The nurse works in a long-term care facility. The health-care provider writes an order for an older adult patient to begin physical therapy for strengthening to enable the use of a walker. How will the nurse present information about the patient's new activity?

Begin teaching as far ahead of the activity as possible.

A patient is newly diagnosed with type 2 diabetes mellitus. The nurse overhears a patient tell a family member, "I will never be required to take insulin." Which action by the nurse needs to occur?

Clarify for the patient about disease progression and possible treatments.

. A patient recently diagnosed with rheumatoid arthritis asks the nurse to recommend good resources to learn more about the disease. Which resource is least reliable for the nurse to recommend?

Do an internet search for other people with the condition

The nurse works in an adult clinic. A middle-aged adult patient is overweight and smokes a pack of cigarettes daily. The patient has always worked at a desk job. Which type of information is most important for the nurse to provide?

Information about wellness strategies focused on current findings.

The nurse is preparing to reinforce previous teaching activities. The patient states, "Just show me what I need to know. I get bored watching videos and reading pamphlets." Which learning style does the nurse recognize for this patient?

Kinesthetic

The nurse is aware that patients will learn easier when they can incorporate the methods by which they learn best. Which statement is incorrect about learning styles?

Once a learning style is identified, the patient should be taught in that style.

The nurse is providing care to a patient who is hospitalized with hyperglycemia. The patient is diagnosed with type 1 diabetes mellitus. Which teaching reinforcement process is important for this patient?

Provide time for repetition of disease-related skills.

The registered nurse (RN) is working with a licensed practical nurse/licensed vocational nurse (LPN/LVN). The LPN/LVN reports to the RN, "I went ahead and taught the patient how to do a blood glucose check." Which action should the nurse take first?

Reinforce that teaching is not a part of the LPN/LVN's scope of practice.

The nurse is reinforcing teaching to a patient about a newly diagnosed health problem. The nurse has just two days before the patient is discharged. Which principle will help the nurse determine what teaching to reinforce?

Reinforce the most important information due to a limited availability of time.

The nurse has been reinforcing teaching to a patient who is learning to perform wound care. Which process is the least effective in determining if the patient understands the teaching?

The nurse provides verbal clues and assistance as needed.

The nurse is caring for a patient who had surgery for the placement of a colostomy. The nurse is planning to review colostomy care with a patient. Which situation is most likely to interfere with learning?

The patient will not look at the surgery site.

The nurse is reinforcing patient teaching with a patient learning to change a dressing after discharge. The nurse has identified the patient as being a kinesthetic learner. Which method of evaluation will the nurse use?

Watch as the patient changes the dressing.

The nurse is reinforcing teaching to a patient newly diagnosed with diabetes mellitus. The nurse notes that the patient appears confused about the instructions for drawing up insulin. Which statements made by the patient would indicate that he or she is a kinesthetic learner? Select all that apply.

"Can you let me try to do it?" "Can I try rolling the insulin myself?"

The nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which assessment question by the nurse will be least effective when developing a patient teaching plan?

"Do you have a family history of this disease?"

The nurse is caring for a patient with diabetes mellitus who has had multiple hospitalizations for hypoglycemia. Which patient statement will guide the nurse toward patient teaching related to a knowledge deficit?

"I have begun an intense exercise program for weight control."

The nurse is preparing to reinforce teaching for a patient about obtaining a glucose finger stick reading. Which statement by the patient indicates that the patient is ready for reinforcement of information?

"I want you to watch and make sure I can do it."

The nurse is discussing a patient's genetic disorder. The patient states, "I found this website about people like me who have been cured." Which statement should the nurse make?

"I would like to look it up. Would you share the website with me?"

The nurse learns that a patient is reading information about the patient's diagnosis on Wikipedia. Which comment will the nurse make to provide guidance for the patient?

"Let give you some suggestions for valid websites."

The nurse works in an acute care setting where electronic documentation is used. A specific screen addresses patient teaching. Which comment will the nurse follow up with to provide additional patient teaching and reinforcement?

"Patient changed colostomy appliance. Leakage noted from under the newly applied skin barrier."

The licensed practical nurse/licensed vocational nurse (LPN/LVN) reviews the documentation by the previous shift regarding patient teaching. Which documentation indicates to the LPN/LVN that reinforcement of teaching is necessary?

"Taught patient how to do a blood glucose test. Remains hesitant to perform finger stick."

The nurse states, "I guess I will start reinforcing patient teaching now. I feel like I just say the same things over and over." Which reply by the nurse manager will promote correct patient teaching?

"The key to understanding and remembering information is repetition."

The nurse works in a pediatric clinic. Which concepts about teaching pediatric patients should the nurse use? Select all that apply.

-Adolescent patients like to be treated with respect that reflects their maturity. -Younger patients will relate to teaching that involves play. -Toddlers will like to listen to their heart beats and bowel sounds.

The nurse is preparing to reinforce patient teaching. Which arrangements will the nurse make to promote effective learning? Select all that apply.

-Arranging for privacy -Assessing for discomfort -Ascertain the stage or grief and loss.

Which of the following would be considered teachable moments? Select all that apply

-Discussing foot care while giving a patient a bath -Answering a patient's questions after a new diagnosis -Describing the benefits of walking during ambulation -Discussing the side effects of a medication prior to medication administration

the nurse is preparing to reinforce patient teaching. Which principles of implementation will the nurse include? Select all that apply.

-Explain a task and then demonstrate the task and explain it again. -Encourage the patient by providing frequent positive feedback.

The nurse should plan to introduce teaching covering wellness strategies with which of the following patients? Select all that apply.

-Helping a patient exhibiting respiratory symptoms with a 15-year smoking habit to quit smoking -Counseling a patient who is morbidly obese on weight loss strategies -Helping a college student create a plan to reduce his or her consumption of alcohol.

Which patient behaviors support the visual, auditory, and kinesthetic (VAK) theory related to learning styles? Select all that apply.

-Injecting water into a sponge during insulin teaching. -Watching videos about a disease condition and the treatments. -Listening to audio tapes and the nurse's lecture about dietary guidelines.

The nurse notes that several patients on the unit need teaching reinforcement about diabetes mellitus. The nurse decides to arrange a group review. For which reason will the nurse develop a teaching plan?

Once patients begin to ask questions it is easy to lose track of the teaching.

The nurse is preparing to reinforce teaching about the patient's diagnosis of obesity. In this session, the nurse will cover dietary restrictions and the effects of obesity on the body. For which reason will the nurse provide this reinforcement?

Patient compliance will increase with greater understanding of and reasons for the treatment.

The nurse is presenting information to a patient about health promotion. Which topic will the nurse present as a wellness strategy?

Renew cholesterol medication

The health-care provider just informed a patient of a life-threatening condition with limited treatment options. The nurse wants to start a patient teaching plan. Which action should the nurse take?

Sit quietly and allow the patient to develop some questions.

The nurse works in a pediatric clinic. How will the nurse approach a preschool patient when an injection is necessary?

Tell the patient the injection will cause a little pinch.

The nurse is providing care for a patient with a strong ethnic and cultural background. Prior to reinforcing patient teaching, which assessment should the nurse make?

The anticipated response to teaching from a person outside of the patient's culture.

The nurse manager is aware that patient teaching is taking place at the time of discharge. Which important process of teaching and learning is being neglected?

The opportunity for repetition.

The nurse is reinforcing teaching to a patient who had abdominal surgery. Which information is most important for the nurse include in the teaching?

The symptoms for which the health-care provider should be called.