1. The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she
explains the procedure to the patient. To best promote
... [Show More] learning, her next step should be to:
a. give the patient written materials to study and learn the procedure.
b. have the patient explain the procedure to the nurse to assess understanding.
c. give the patient a day to allow him to process and absorb the information.
d. have the patient practice the procedure with the nurse helping.
____ 2. Patient education for an 82-year-old patient to perform a dressing change to be done at home after
discharge, the nurse would adjust the teaching session to:
a. include another person in the instruction because an 82-year-old person will be
unable to master the technique.
b. slow the pace and frequently ask questions to assess comprehension.
c. speed through the details because age and experience will shorten learning time.
d. provide written material and diagrams alone.
____ 3. The nurse can assess her patient’s ability to read and comprehend written instructions by doing
which of the following?
a. Asking the patient, “Did you graduate from high school?”
b. Giving the patient a printed instruction sheet and saying, “Some people have
difficulty with written instructions. Others find them helpful. Would these be
helpful to you?”
c. Asking the patient, “Are you able to read?”
d. Giving the patient some printed materials and saying, “After you have read this, I’ll
ask you some questions about what’s in them, to see if you’ve learned it.”
____ 4. The best way for a nurse to reinforce learning during a return demonstration by the patient is for
the nurse to:
a. give recognition and praise for the parts the patient does well and to assist or teach
when the patient becomes confused or forgetful.
b. watch quietly until the return demonstration is finished and then list the errors.
c. instruct the patient to read the written material again when an error is made.
d. stop the patient each time he makes a mistake and have him start again after the
nurse reviews the procedure with him.
____ 5. A patient states, “I don’t think I’ll ever be able to give myself an injection.” The best reply by the
nurse is:
a. “Everyone feels like that at first. You’ll get over it.”
b. “Don’t be afraid. It’s an easy skill for anyone to learn.”
c. “What bothers you most about the idea of giving yourself an injection?”
d. “I know just how you feel. I would have trouble giving myself an injection.”
____ 6. The nurse takes into consideration that when using printed patient education material for a 65-yearold Middle Eastern patient who speaks perfect English, the nurse should:
a. use patient education material printed in English.
b. determine if the patient can read English.
c. engage a translator to read the English material to the patient.
d. use English material that is printed in bold type on white paper.
____ 7. The nurse designing a patient education plan for a patient admitted to the hospital for treatment of
a heart problem after years of treating the ailment at home with herbal remedies and practices
common in his cultural group should:
a. help the patient to see that using herbal remedies has not worked in the past.
b. explain that cultural remedies may conflict with conventional medicine.
c. help the patient to identify optimum outcomes that can be achieved through
education and compromise.
d. ask family members to intervene for the cessation of the use of cultural remedies.
____ 8. When a nurse is “talking through” a procedure or assisting the patient to learn, the nurse
encourages the patient to:
a. close her eyes and envision the process.
b. read the listed steps written on a poster board on the wall.
c. write down the steps as she performs them.
d. verbalize each step until the steps are memorized.
____ 9. A nurse who is communicating with a school age child about receiving anesthesia for surgery later
this afternoon would best describe the process by saying:
a. “The doctor who will be wearing a mask will put a needle in your arm and then you
go to sleep for a long time.”
b. “You will just float off to dreamland and after you come back your tonsils will have
been cut out.”
c. “After the doctor puts medicine in your arm, you will ride on a pony to where
fairies will take out your tonsils. Then you will ride right back here.”
d. “You will be given a ride on a special bed to a big room where the doctor will give
you some medicine that will make you very sleepy.”
____ 10. When educating an older adult patient about changing his dressing, the nurse would most
appropriately:
a. be certain the patient is wearing his glasses and/or hearing aid.
b. talk through the process rapidly to keep the patient from becoming tired.
c. wait for the patient to ask any questions about the procedure.
d. point out each mistake during the return demonstration.
____ 11. The nurse would identify an opportunity for a “teachable moment” in the situation of a patient
who:
a. has just been told of the malignancy of his tumor.
b. says, “How will I remember all the things about my new diet?”
c. has just returned from surgery for a deviated septum.
d. is packing belongings in preparation for discharge.
____ 12. The most culturally sensitive and useful question the admitting nurse should ask the Jewish patient
would be:
a. “Do you follow any dietary restrictions or will you eat hospital food as it is
prepared here?”
b. “Are there any medications or treatments your religion does not allow in your
medical treatment?”
c. “Would you like me to notify your rabbi so that he can make visits to you during
your stay?”
d. “Tell me about any religious practices you observe that we need to incorporate into
your care.”
____ 13. A Roman Catholic patient going to surgery for an emergency cesarean delivery is afraid the baby
may not survive, and because she is Roman Catholic, she asks you to be sure that the baby is
baptized when it is born. Your response to her should be:
a. “There won’t be time to baptize the baby in the operating room.”
b. “I will call your priest to come in, but if he is unable to be there, I’ll be sure the
baby is baptized.”
c. “Baptisms are not usually done in the hospital, and certainly not in the operating
room, but I will tell the charge nurse your concerns.”
d. “You need to think positively. Both you and the baby are going to be just fine.” [Show Less]