Chapter 04: Patient and Caregiver Teaching

MULTIPLE CHOICE

1. Question: A patient with newly diagnosed colon cancer has a nursing diagnosis of deficient knowledge about colon cancer. The nurse should initially focus on which learning goal for this patient?
2. Question: A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effective?
3. Question: After the nurse provides dietary instructions for a patient with diabetes, the patient can explain the information but fails to make the recommended dietary changes. How would the nurse evaluate the patients situation?
4. Question: A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, what is the priority action for the nurse?
5. Question: A patient states, I told my husband I wouldnt buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains. When using the Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change?
6. Question: While admitting a patient to the medical unit, the nurse determines that the patient is hard of hearing. How should the nurse use this information to plan teaching and learning strategies?
7. Question: A patient who is morbidly obese states, Ive recently made some changes in my life. Ive decreased my fat intake and Ive stopped smoking. Which statement, if made by the nurse, is the best initial response?
8. Question: The nurse is planning a teaching session with a patient newly diagnosed with migraine headaches. To assess a patients readiness to learn, which question should the nurse ask?
9. Question: The nurse considers a nursing diagnosis of ineffective health maintenance related to low motivation for a patient with diabetes. Which finding would the nurse most likely use to support this nursing diagnosis?
10. Question: A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
11. Question: The nurse educator teaches students how to be more assertive. Which teaching strategy, if implemented by the nurse educator, would be most effective?
12. Question: The nurse and the patient who is diagnosed with hypertension develop this goal: The patient will select a 2- gram sodium diet from the hospital menu for the next 3 days. Which evaluation method will be best for the nurse to use when determining whether teaching was effective?
13. Question: The nurse prepares written handouts to be used as part of the standardized teaching plan for patients who have been recently diagnosed with diabetes. What statement would be appropriate to include in the handouts?
14. Question: The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities. How would the nurse best evaluate the patients long-term response to the teaching?
15. Question: A patient who smokes a pack of cigarettes per day tells the nurse, I enjoy smoking and have no plans to quit. Which nursing diagnosis is most appropriate?
16. Question: older Asian patient, who is seen at the health clinic, is diagnosed with protein malnutrition. What priority action should the nurse include in the teaching plan?
17. Question: A middle-aged patient who has diabetes tells the nurse, I want to know how to give my own insulin so I dont have to bother my wife all the time. What is the priority action of the nurse?
18. Question: The nurse plans to teach a patient and the caregiver how to manage high blood pressure (BP). Which action should the nurse take first?
19. Question: A postoperative patient and caregiver need discharge teaching. Which actions included in the teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
20. Question: A family caregiver tells the home health nurse, I feel like I can never get away to do anything for myself. Which action is best for the nurse to take?

MULTIPLE RESPONSE

1. Question: The nurse plans to provide instructions about diabetes to a patient who has a low literacy level. Which teaching strategies should the nurse use (select all that apply)?