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concepts of nursing
Week 1
| Question | Answer |
|---|---|
| Which populations are at increased risk for limited health literacy? | -B. Non-native speakers of the English language -D. Individuals with compromised health status -E. People belonging to ethnic minority groups |
| Which question by the nurse assesses the patient’s ability to read health care information? | Can you read this medication label for me?" |
| The nurse will ask which health literacy questions prior to developing the patient’s education plan? | -A. What grade did you complete in school?" -B. Do you learn by seeing, hearing, or doing?" -C. Are you currently carrying out your treatments?" -E. What is your goal from our teaching session?" |
| Which question will the nurse ask to asses a Hispanic patient’s health literacy? | Which language do you speak and understand?" |
| Which statements are true about health literacy assessment? | -B. Limited health literacy negatively influences health. -C. Patient readiness to learn is part of health literacy. -D. Educational level affects a person's health literacy. |
| Which behavior indicates that a patient with limited health literacy is ready to learn? | Asking several questions about medications |
| A patient’s sister, brother, child, and caregiver are visiting a patient who is unable to perform self-care. Who is the designated learner when the nurse arrives to teach home care? | Caregiver In this situation, the caregiver is the designated learner because the patient is unable to perform self-care. The caregiver will be responsible for caring for the patient and needs to understand how to manage the patient's care. |
| Which information will the nurse collect when assessing a patient’s health literacy? | A. Readiness for caregivers to be educated -B. Review of past health care teaching -D. Patient view of most important learning |
| Which individuals need to have an adult appointed as a learner on their behalf? | -A. 4-year-old patient undergoing surgery -D. 40-year-old with developmental disability |
| A patient states, “I am eager to participate in my ostomy care.” Which learning domain does this represent? | affective |
| A patient demonstrates a dressing change to the nurse. Which learning domain does this represent? | Psychomotor |
| Which example demonstrates the cognitive domain of learning? | The nurse reviews pamphlets on stress reduction with a patient. |
| The kinesthetic learner learns best through which method of learning? | Doing |
| Use of a color-coded handout is effective for a person who prefers which learning style? | Visual |
| Which teaching strategies will be effective for a VRK learner who needs to learn self-administration of injections? | Show the patient how to self-administer the injection. Have the patient self-administer the medication injection Provide written information about self-administering injections. |
| Which response by the patient indicates teaching about home care may be ineffective and needs further clarification? | "I don't have an insurance prescription plan." |
| Which patient has an accessible support system? | 65-year-old woman living with her retired husband and adult daughter |
| Which action should the nurse take when educating a patient who speaks a different language from the nurse? | Provide a professional interpreter |
| Evidence supports which patient teaching practices? | Ensure understanding of all covered content Encourage active patient and family involvement Use multiple teaching methods during each session Review previously taught content before proceeding |
| Which evidence-based teaching strategy is the nurse using when the nurse asks patients if they understand their treatment plans? | Promoting patient involvement |
| Evidence supports that the most effective patient education plans are those developed with the patient and which other participants? | Interdisciplinary team members |
| Which health literacy factors will the nurse consider when developing a teaching plan for a 69-year-old homeless man with a grade school education diagnosed with prostate cancer? | - Homelessness - Grade school education - Age of patient |
| Which concept underlies the definition of health literacy, regardless of the defining organization? | Ability to understand and use health information |
| Which actions will the nurse take when providing written instructions to patients and families? | - Validate patient understanding of health-related numbers. - Determine if patients can identify credible health information. |
| According to Healthy People 2020, health proficient individuals should be able to demonstrate which competencies? | - Make appointments - Complete health-related forms - Contact correct providers - Identify credible health information |
| Which components are included in patient education? | - Disease prevention methods - Clarification of information - Treatment Procedures - Health promotion measures |
| How can nurses ensure patient understanding of teaching at their level of health literacy? | Request patients verbalize teaching, as they understood it. |
| Which situation represents informal health care teaching? | - Student taught how to remove a patient's indwelling urinary catheter - Patient taught how to avoid contaminating a wound when changing a dressing - Caregiver taught about patient precautions following a diagnostic test |
| A patient presents several resources downloaded from the Internet. Which response from the nurse will enable evaluation of the patient’s resources? | "Nice job! Let's review and discuss your findings." |
| Which examples represent formal teaching by the nurse? | - CPR class held for health care professionals - Childbirth sessions conducted for expectant mothers - IV return demonstration taught to nursing students |
| Childbirth classes for a group of expectant mothers | - Formal patient teaching |
| Patient asks question about a procedure while nurse is at bedside | Informal patient teaching |
| Nurse shows patient how to change dressing; patient goal to do so correctly | Formal and informal patient teaching |
| Which situation has characteristics of both formal and informal patient teaching? | Teaching a patient how to perform a dressing change with the goal of preventing wound contamination |
| Which characteristics comprise informal patient teaching? | - Random - Impromptu - Unstructured |
| Which teaching approach is effective for a school-aged child learning about a dressing change? | - Encourage hands-on learning - Allow ample time for questions |
| Which methods will the nurse employ to effectively teach a 14-year-old child with diabetes to self-administer insulin injections? | Use return skill demonstration - Include patient in decision making |
| Which questions will the nurse ask to determine if patient teaching was effective? | - When will you take this medication? - What is your understanding of the test? - Why will you contact your provider? |
| How can nurses assess patient’s reading abilities before suggesting reading materials to them? | Ask patients if they prefer written materials or pictures. |
| Which behaviors, if noted, indicate that a patient is motivated and ready to learn? | - Asking questions - Displaying interest - Reading literature |
| Which patient behavior indicates the potential for ineffective patient teaching? | Watching television occasionally throughout the teaching - Asking the nurse to return when the patient is feeling less fatigued |
| Which action should the nurse take before teaching a patient in a semi-private room with a second patient? | Move to another quiet area of the unit. |
| Prior to moving patients from their rooms to other locations for teaching, what should the nurse ensure about the new location? | Comfortable temperature Adequate lighting Privacy for patients |
| Which action will the nurse take after noticing the room is too small to accommodate the number of class participants? | Find a room to accommodate the class. |
| Which consideration is more important when teaching older adults than when teaching younger adults? | Pace of learning |
| Which learning methods can effectively assist in patients learning at a pace that fits their own learning needs? | Providing handouts or brochures Using return demonstrations Reinforcing previous learning |
| What is the rationale for allowing patients to review educational materials multiple times? | Permits assimilation of content at their own pace |
| What did the nurse promote by integrating touch and vision into the teaching session? | Content retention |
| A patient learning insulin injections reveals administering allergy injections to a child for years. How will this information influence the patient’s teaching plan? | Allows the nurse to build from the patient's experience |
| Which actions can the nurse take to assist a patient having difficulty retaining teaching about home care? | Propose logical changes. Use simple terminology. Reinforce previous learning. Provide written materials. |
| Which nursing action will help a patient remember information about a newly prescribed medication? | Repeat teaching frequently. |
| Which action will the nurse take to ensure patient understanding of a dressing change prior to home discharge? | Have the patient demonstrate the dressing change. |
| Which nursing action evaluates patient teaching on the use of an incentive spirometer? | Requesting the patient demonstrate use of the incentive spirometer |
| Which nursing action facilitates the nurse’s ability to accurately evaluate patient learning? | Requesting patients to verbalize discharge instructions Observing patient interest in teaching sessions Watching patients perform skill demonstrations |
| Which nursing diagnoses consider the patient’s vulnerability for developing a problem and are influenced by patient teaching? | Risk for Injury Risk for Infection |
| Which nursing diagnosis will the nurse select and individualize for a patient who requires education about a newly prescribed medication? | Deficient Knowledge: Prescribed Medication |
| Which nursing diagnosis does the goal “Patient will demonstrate the correct technique for self-administering insulin within 24 hours” address? | Deficient Knowledge |
| Which individuals can serve as the patient support person when a patient cannot meet his or her own educational needs? | Caregiver Health coach |
| Which relationships are demonstrated when nurses, health care providers, social workers, and therapists work together to facilitate positive patient educational outcomes? | Collaboration Teamwork |
| Which are descriptors of appropriate patient educational goals? | Individualized Measurable Realistic Specific |
| A patient has the goal “Patient will verbalize the desire to learn diabetes-related information within 24 hours.” Which nursing diagnosis did the nurse select for this patient? | Ineffective Self-Health Management |
| Which patient-centered goal is realistic and measurable? | 43-year-old patient will correctly self-change sterile dressing within 48 hours. |
| Which goal statement is correct for the nursing diagnosis Deficient Knowledge? | Patient will demonstrate the correct technique for insulin administration within 48 hours. |
Created by:
colby.caswell