Chapter 4: Patient and Caregiver Teaching

Chapter 4: Patient and Caregiver Teaching

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. A patient with newly diagnosed breast cancer has a nursing diagnosis of deficient
knowledge about breast cancer. When the nurse is planning teaching for the patient,
which is the most important initial learning goal?
a. The patient will select the most appropriate breast cancer therapy.
b. The patient will state ways of preventing the recurrence of the tumor.
c. The patient will demonstrate coping skills needed to manage the disease.
d. The patient will choose methods to minimize adverse effects of treatment.
ANS: A
Adults learn best when given information that can be used immediately. The first action
the patient will need to take after a cancer diagnosis is to choose a treatment option. The
other goals may be appropriate as treatment progresses.
DIF: Cognitive Level: Application REF: 50 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
2. After the nurse implements diet instruction for a patient with heart disease, the patient
can explain the information but fails to make the recommended dietary changes. The
nurse’s evaluation is that
a. learning did not occur because the patient’s behavior did not change.
b. choosing not to follow the diet is the behavior that resulted from learning.
c. the nursing responsibility for helping the patient make dietary changes has been
fulfilled.
d. the teaching methods were ineffective in helping the patient learn the dietary
information.
ANS: B
Although the patient behavior has not changed, the patient’s ability to explain the
information indicates that learning has occurred and the patient is choosing at this time to
continue with the previous diet. The patient may be in the contemplation or preparation
state in the Transtheoretical Model. The nurse should reinforce the need for change and
continue to provide information and assistance with planning for change.
DIF: Cognitive Level: Application REF: 50-51 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Test Bank 4-2
3. A 43-year-old is diagnosed with type 2 diabetes mellitus after being admitted to the
hospital with an infected foot wound. When applying principles of adult learning, which
teaching strategy by the nurse is most likely to be effective?
a. Discuss the importance of blood glucose control in maintenance of long-term
health.
b. Demonstrate the correct method for cleaning and redressing the wound to the
patient.
c. Assure the patient that the nurse is an expert on management of diabetes
complications.
d. Wait until after discharge and have a home health nurse teach about foot care and
diabetes management.
ANS: B
Principles of adult education indicate that readiness and motivation to learn are high
when facing new tasks (such wound care) and when demonstration and practice of skills
are available. Although a home health referral may be needed for this patient, teaching
should not be postponed until discharge. Adult learners are independent; the nurse should
act as a facilitator for learning, rather than as the expert. Adults learn best when the topic
is of immediate usefulness; long-term goals may not be very motivating.
DIF: Cognitive Level: Application REF: 50 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
4. A patient admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing
patient teaching, which is the best action for the nurse to take?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
When time is limited, the nurse should focus on the priorities of teaching. In this
situation, the patient should know how to test blood glucose and administer medications
to control glucose levels. The patient will need further teaching about the role of diet,
exercise, various medications, and the many potential complications of diabetes, but these
topics can be addressed through planning for appropriate referrals.
DIF: Cognitive Level: Application REF: 52
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance