AMBULATORY NURSE
CERTIFICATION EXAM
Questions, Answer Choices, Correct
Answers & Rationales | 100% Pass
Guaranteed | Graded A+
Question 1
The nursing process is foundational to the process of patient education. Which of the following describes the
evaluation phase of patient education?
A. Tailoring teaching, learning strategies, and interventions.
B. Measuring learning attained and level of self-efficacy.
C. Determining readiness to learn and learning needs.
D. Mutually setting goals and outcomes expected.
Correct Answer: B
A Explanation:
This describes implementation/planning of teaching rather than evaluation.
B Explanation:
Correct. Evaluation determines what the patient learned and assesses outcomes such as self-efficacy.
C Explanation:
This is assessment of readiness and learning needs.
D Explanation:
This is goal setting, part of planning rather than evaluation.
,Question 2
For patients with chronic pain, educational interventions should include:
A. Masking nonverbal indications of pain to reduce the anxiety of family and caregivers.
B. Learning to tolerate mild to moderate pain without interventions to avoid addiction to pain
medications.
C. Recognizing distraction and relaxation techniques are rarely helpful in reducing pain significantly.
D. Understanding the length of action of various medications and which can be taken together or
alternately.
Correct Answer: D
A Explanation:
Pain should be assessed and communicated rather than hidden from caregivers.
B Explanation:
Avoiding needed pain treatment because of fear of addiction is not appropriate education.
C Explanation:
Distraction and relaxation may be useful adjuncts for pain management.
D Explanation:
Correct. Patients need to understand medication duration, timing, and safe combinations or alternation.
Question 3
Patients with chronic illnesses need to develop the ability to deal with all the disease and its treatment entail.
Core skills for chronic disease self-management include:
A. Understanding the evidence-based guidelines.
B. Becoming familiar with community and Internet resources.
C. Problem solving, decision making, and taking actions.
D. Focusing on the health issues that contribute to emergency department visits or hospitalizations.
Correct Answer: C
A Explanation:
Guidelines are useful knowledge, but they are not the central self-management skill identified in the
source.
B Explanation:
Resources can support self-management but are not the core skill described.
C Explanation:
Correct. Problem solving, decision making, and taking action are core self-management skills.
D Explanation:
Reducing emergency visits can be an outcome, but it is not the core skill itself.
Question 4
The Patient Protection and Affordable Care Act of 2010 encourages evidence-based educational programs
and patient self-efficacy. What is the best definition of patient self-efficacy?
A. The patient plays a central role in preventing and managing his or her illness.
B. Health plans cover preventive services and wellness care, making them more affordable.
C. Nurses and other providers reinforce patients' and families' responsibility for health care.
, D. The patient's perception of his or her own ability to attain health care goals.
Correct Answer: D
A Explanation:
This describes active patient participation, not specifically the patient's belief in personal capability.
B Explanation:
This concerns insurance coverage rather than self-efficacy.
C Explanation:
This describes provider reinforcement of responsibility, not the patient's perception of capability.
D Explanation:
Correct. Self-efficacy is the patient's perception of the ability to achieve health-related goals.
Question 5
The CDC set a goal to reduce unintended pregnancies. Nurses providing counseling should consider:
A. Unintended pregnancies are most common in women in their 20s.
B. All contraceptive methods also protect against sexually transmitted diseases.
C. Cultural and ethnic beliefs may affect family planning options.
D. With sufficient education about the chosen contraceptive method, follow-up may not be necessary.
Correct Answer: C
A Explanation:
This statement does not address an important individualized counseling consideration identified by the
source.
B Explanation:
False. Most contraceptive methods do not protect against STIs; condoms can reduce STI transmission.
C Explanation:
Correct. Cultural and ethnic beliefs can influence family-planning choices and counseling.
D Explanation:
Follow-up may still be needed for effectiveness, side effects, adherence, and method-specific care.
Question 6
In counseling about childhood or adolescent drinking, which of the following should be considered?
A. The physical and psychological effects of alcohol use.
B. Consumption of alcohol during pregnancy can lead to severe physical and mental problems for the
infant.
C. Risky drinking is more than four drinks per occasion for males and more than three for females.
D. Speaking frequently with a child about drinking is likely to alienate the child and have a negative effect
on behavior.
Correct Answer: A
A Explanation:
Correct. Counseling should address both physical and psychological effects of alcohol use.
B Explanation:
This is true regarding pregnancy but is not the best answer for counseling specifically about
childhood/adolescent drinking in this question.
CERTIFICATION EXAM
Questions, Answer Choices, Correct
Answers & Rationales | 100% Pass
Guaranteed | Graded A+
Question 1
The nursing process is foundational to the process of patient education. Which of the following describes the
evaluation phase of patient education?
A. Tailoring teaching, learning strategies, and interventions.
B. Measuring learning attained and level of self-efficacy.
C. Determining readiness to learn and learning needs.
D. Mutually setting goals and outcomes expected.
Correct Answer: B
A Explanation:
This describes implementation/planning of teaching rather than evaluation.
B Explanation:
Correct. Evaluation determines what the patient learned and assesses outcomes such as self-efficacy.
C Explanation:
This is assessment of readiness and learning needs.
D Explanation:
This is goal setting, part of planning rather than evaluation.
,Question 2
For patients with chronic pain, educational interventions should include:
A. Masking nonverbal indications of pain to reduce the anxiety of family and caregivers.
B. Learning to tolerate mild to moderate pain without interventions to avoid addiction to pain
medications.
C. Recognizing distraction and relaxation techniques are rarely helpful in reducing pain significantly.
D. Understanding the length of action of various medications and which can be taken together or
alternately.
Correct Answer: D
A Explanation:
Pain should be assessed and communicated rather than hidden from caregivers.
B Explanation:
Avoiding needed pain treatment because of fear of addiction is not appropriate education.
C Explanation:
Distraction and relaxation may be useful adjuncts for pain management.
D Explanation:
Correct. Patients need to understand medication duration, timing, and safe combinations or alternation.
Question 3
Patients with chronic illnesses need to develop the ability to deal with all the disease and its treatment entail.
Core skills for chronic disease self-management include:
A. Understanding the evidence-based guidelines.
B. Becoming familiar with community and Internet resources.
C. Problem solving, decision making, and taking actions.
D. Focusing on the health issues that contribute to emergency department visits or hospitalizations.
Correct Answer: C
A Explanation:
Guidelines are useful knowledge, but they are not the central self-management skill identified in the
source.
B Explanation:
Resources can support self-management but are not the core skill described.
C Explanation:
Correct. Problem solving, decision making, and taking action are core self-management skills.
D Explanation:
Reducing emergency visits can be an outcome, but it is not the core skill itself.
Question 4
The Patient Protection and Affordable Care Act of 2010 encourages evidence-based educational programs
and patient self-efficacy. What is the best definition of patient self-efficacy?
A. The patient plays a central role in preventing and managing his or her illness.
B. Health plans cover preventive services and wellness care, making them more affordable.
C. Nurses and other providers reinforce patients' and families' responsibility for health care.
, D. The patient's perception of his or her own ability to attain health care goals.
Correct Answer: D
A Explanation:
This describes active patient participation, not specifically the patient's belief in personal capability.
B Explanation:
This concerns insurance coverage rather than self-efficacy.
C Explanation:
This describes provider reinforcement of responsibility, not the patient's perception of capability.
D Explanation:
Correct. Self-efficacy is the patient's perception of the ability to achieve health-related goals.
Question 5
The CDC set a goal to reduce unintended pregnancies. Nurses providing counseling should consider:
A. Unintended pregnancies are most common in women in their 20s.
B. All contraceptive methods also protect against sexually transmitted diseases.
C. Cultural and ethnic beliefs may affect family planning options.
D. With sufficient education about the chosen contraceptive method, follow-up may not be necessary.
Correct Answer: C
A Explanation:
This statement does not address an important individualized counseling consideration identified by the
source.
B Explanation:
False. Most contraceptive methods do not protect against STIs; condoms can reduce STI transmission.
C Explanation:
Correct. Cultural and ethnic beliefs can influence family-planning choices and counseling.
D Explanation:
Follow-up may still be needed for effectiveness, side effects, adherence, and method-specific care.
Question 6
In counseling about childhood or adolescent drinking, which of the following should be considered?
A. The physical and psychological effects of alcohol use.
B. Consumption of alcohol during pregnancy can lead to severe physical and mental problems for the
infant.
C. Risky drinking is more than four drinks per occasion for males and more than three for females.
D. Speaking frequently with a child about drinking is likely to alienate the child and have a negative effect
on behavior.
Correct Answer: A
A Explanation:
Correct. Counseling should address both physical and psychological effects of alcohol use.
B Explanation:
This is true regarding pregnancy but is not the best answer for counseling specifically about
childhood/adolescent drinking in this question.
