Med Surg Chapter 4 Quiz

The nurse is preparing to educate a patient about he home care of an abdominal wound. What patient behaviors does the nurse notice that demonstrate readiness to learn? (select all that apply)

- The patient shows motivation to learn. - The patient has accepted the therapeutic regimen. - The patient requests a contact number if there are questions.

What is the priority responsibility for the nurse providing patient teaching? (select All that apply)

-Determining individual needs for teaching -Motivation each person to learn -Presenting information at the level of the learner

Name four classifications of variables (Factors) that influence a person's ability to adhere to a program of care:

1. Age 2. Sex 3. Education 4. Illness variables such as the severity of illness and the effects of therapy

There is a positive correlation between patient motivation and adherence to a teaching plan. Name three significant variables affecting motivation and learning:

1. Choice 2. Quality of patient provider 3. Establisment of agreed upon goals

Explain at least five ways that exercise can promote health.

1. Improves circulatory 2. Decreases Cholesterol 3. Decreases Body weight 4. Delays Osteoporosis 5. Improves flexibility

List at least six variables that makes adherence to a therapeutic regimen difficult for the elderly:

1. Increased sensitivity 2. Financial constraints 3. Difficulty adjusting to change 4. Stress 5. Forgetfulness 6. Hearing deficits

Identify two overall goals front eh Healthy People 2020 report:

1. Increased the quality and years of healthy life. 2. Eliminated health disparities among various segments.

Identify six teaching techniques that nurses frequently use:

1. Lecture method 2. Group Teaching 3. Demonstrations 4. Reinforcement 5. Use of Teaching Aids 6. Follow up

List five common examples of specific activities that promote and maintain health:

1. Medication compliance 2. Maintaining a healthy diet 3. Increasing daily exercise 4. Self monitoring for signs of illness 5. Practicing good overall hygiene 6. Seeking health screenings and evaluations 7. Performing therapeutic preventative measures

List three significant factors for a nurse to consider when planning patient education:

1. The availability of health care outside the hospital setting. 2. The employment of diverse health care provers to accomplish care management goals. 3. The increased used of alternative strategies other than the traditional approaches to care

About 50 percent of elderly persons have one or more chronic illnesses.

80 percent of those are older than 65 years.

Which patient is most in need of health education by the nurse?

A 62 year old male with chronic kidney injury

Define the the term adherence as it relates to a person's therapeutic regimen:

Adherence implies that a patient makes one or more lifestyle changes to carry out specific activities to promote and maintain health.

The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. This is an example of what part of the nursing process?

Assessment

What nursing action involves modifying a teaching program if a larger is not experientially ready?

Changing the wording in a teaching pamphlet so that a patient with a fourth-grade reading level can understand it.

Health promotion activities are grounded in four active processes:

Demographics, disease factors, barriers and resources, and perceptual factors

Elderly persons rarely experience significant improvement from health promotion activities

Elderly persons usually gains

Evaluation, the final step in the teaching process, should be summative (done at the end of the teaching process)

Evaluation should be continued

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate?

Health Belief Model

Health education is dependent function of nursing practice that requires physician approval.

Health education is an independent function of nursing practice that requires physician approval.

What does the nurse understand is the single most important factor in determining health status and longevity?

Motivation to change

Which action by the nurse can negatively affect the patient's ability to learn?

Negative criticism when the patient is unsuccessful so that inappropriate behavior patterns will not be learned.

Patients are encouraged to evidence compliance with their therapeutic regimen.

Patients are encouraged to adhere compliance with their therapeutic regimen.

Explain why health education is so essential for those with a chronic illness:

People with a chronic illness need as much health care information as possible to actively participate in and assume responsibility for the management of their own care. Health education can help the patient adapt to illness and cooperate with a treatment regimen. The goal of health education is to teach people to maximize their health potential.

The nurse develops a program of increased ambulation for a patient with an orthopedic disorder. This is an example of what component of the nursing process?

Planning

The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with agings, how should the nurse proceed?

Print directions in large, bold type, preferably using black ink.

Since normal aging results in changes in cognition, how should the nurse teach an elderly patient to administer insulin?

Repeat the information frequently for reinforcement.

Increased age affects cognition by decreasing:

The elderly's ability to draw inferences, apply information, understand major teaching points.

The largest group of people in need of health eduction today are children and those with infectious diseases.

The largest group of people in need of health education today are those with chronic illnesses and disabilities.

The nurse develops outcome criteria for a patient with chronic obstructive pulmonary disease. Which outcome criteria are appropriate?

The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

Describe the nature of the teaching-learning process:

The teaching-learning process requires the active involvement of teacher and learner, in an effort to reach the desired outcome: a change in behavior. The teacher serves as a facilitator of learning.