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