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Chapter 03: Patient and Family Education

Priorities in Critical Care Nursing 7th Edition Urden - Stacy - Lough

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Chapter 03: Patient and Family Education

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A patient is scheduled for a cardiac catheterization this afternoon. The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure. Which teaching strategy is most appropriate for this situation?
a. Discussion
b. Demonstration and practice
c. Audiovisual media
d. Written

 

 

ANS:  C

Media are used to educate patients on a variety of educational needs, such as medications, disease processes, procedures, symptom management, weight monitoring, laboratory tests, diet, surgery, and health maintenance issues. Patient education videos require the patient’s attention for only a few minutes and supply the learner with “nice-to-know” and “need-to-know” information. Demonstration and practice is not appropriate for this procedure because the patient is not performing the cardiac catheterization. Discussion and written material will help enhance the learning with the audiovisual media; however, this is not an interactive media.

 

  1. A nurse has been progressively working with a patient on the exercises he needs to do at home when he is discharged. The nurse wants to ensure he will remember what to do when he is at home. Which teaching strategy is most appropriate for this situation?
a. Discussion
b. Demonstration and practice
c. Audiovisual media
d. Written

 

 

ANS:  D

Written media, such as brochures, pamphlets, patient pathways, and booklets, are common in outpatient and inpatient areas of health care. Demonstration and practice would be useful throughout the hospitalization to make sure the patient is performing the exercises correctly. Discussion and audiovisual media would be appropriate in the assessment and intervention portion of learning; however, written material may be reviewed by the patient after returning home.

 

  1. The first step of the teaching–learning process involves
a. gathering data to assist in the assessment of learning needs.
b. identifying major learning needs for the patient.
c. identifying learning needs related to medical diagnosis.
d. evaluating the effects of prior teaching.

 

 

ANS:  A

The first step of the teaching–learning process is assessment, which involves gathering a database to assist the nurse in meeting the patient’s and family’s needs. Learning needs can be defined as gaps between what the learner knows and what the learner needs to know, such as survival skills, coping skills, and ability to make care decisions.

 

  1. Which of the following educational content areas is appropriate during the first hours of hospitalization?
a. Pathophysiology of the admitting diagnosis
b. Dietary modifications
c. Purpose of bedside equipment
d. Medication side effects

 

 

ANS:  C

Initial interventions are targeted to promote comfort and familiarity with the environment and surroundings. The plan should focus on survival skills, orientation to the environment and equipment, communication of prognosis, procedure explanations, and the immediate plan of care. Information regarding diagnosis, dietary modifications, and medication will be addressed after the patient is through the initial contact phase and is in the continuous care phase of education.

 

  1. How should a nurse respond when a patient asks if he or she is going to die?
a. Avoid the question by leaving the room.
b. Defer the question to the physician.
c. Answer honestly and sensitively with information that is understandable and in simple terms.
d. Speak with the family first before answering the patient.

 

 

ANS:  C

During this time of elevated stress, the nurse may have to refocus the patient or family to help concentrate efforts on coping with the present instead of dwelling on possibilities of the future. Not addressing these immediate concerns could result in further anxiety, affect their ability to cope, and prevent open and honest communication.

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