Chapter 25 Patient Education
A patient needs to learn to use a walker. Which domain is required for learning this skill?
- Affective domain
- Cognitive domain
- Attentional domain
- Psychomotor domain
D. Psychomotor domain
The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.)
- When there are visitors in the room
- When the patient states that he or she is pain free
- Just before lunch, when the patient is most awake and alert
- When the patient is talking about current stressors in his or her life
- When the patient is being transported for a procedure
B. When the patient states that he or she is pain free
C. Just before lunch, when the patient is most awake and alert
A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient?
- Teach the patient's spouse
- Focus on knowledge the patient will need in a few weeks
- Provide only the information that the patient needs to go home
- Convince the patient that learning about her health is necessary
C. Provide only the information that the patient needs to go home
The ______________ is a closed-loop communication technique used to evaluate patient understanding and retention of material.
Teach Back Method
When planning for instruction on cardiac diets to a patient with heart failure, which of the following instructional methods would be the most appropriate for someone identified as a visual/spatial learner?
- Printed pamphlets on cardiovascular disease and dietary recommendations from the American Heart Association
- A role-play activity requiring the patient to select proper foods from a wide selection
- Colored visual diagrams that categorize foods according to fat and sodium content
- A lecture-style discussion on heart healthy diet options
C. Colored visual diagrams that categorize foods according to fat and sodium content
A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation?
- Telling approach
- Selling approach
- Entrusting approach
- Participating approach
A. Telling approach
The nurse is organizing a disease prevention program for a specific cultural group. To effectively meet the needs of this group the nurse will: (Select all that apply.)
- Assess the needs of the community in general.
- Involve those affected by the problem in the planning process.
- Develop generalized goals and objectives for the program.
- Use educational materials that are simplistic and have many pictures.
- Assess commonly held health beliefs among the cultural group.
- Educate the specific cultural group about Western concepts of health and illness.
- Include cultural practices that are relevant to the specific community.
B. Involve those affected by the problem in the planning process.
E. Assess commonly held health beliefs among the cultural group.
G. Include cultural practices that are relevant to the specific community.
An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse:
- Speaks loudly.
- Presents the information once.
- Expects the patient to understand the information quickly.
- Allows the patient time to express himself or herself and ask questions.
D. Allows the patient time to express himself or herself and ask questions.
A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn?
- Describing difficulties a family member has had in taking insulin
- Expressing the importance of learning the skill correctly
- Being able to see and understand the markings on the syringe
- Having the dexterity needed to prepare and inject the medication
B. Expressing the importance of learning the skill correctly
A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use?
- Group instruction
- One-on-one discussion
When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, the nurse tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use?
A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first?
- How to use an inhaler during an asthma attack
- The need to avoid people who smoke to prevent asthma attacks
- Where to purchase a medical alert bracelet that says she has asthma
- The importance of maintaining a healthy diet and exercising regularly
A. How to use an inhaler during an asthma attack
A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse providing?
- Restoring health
- Coping with impaired function
- Health promotion and illness prevention
D. Health promotion and illness prevention
A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of:
- A teaching plan.
- A learning objective.
- Reinforcement of content.
- Enhancing the children's self-efficacy.
B. A learning objective.
A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages on the basis of his blood sugar results. This type of activity addresses learning in the cognitive domain at the level of ___________.