Study Material
The nurse is discharging a hospitalized patient to the home care setting. Place the following
actions in order of priority. (Separate letters by a comma and space as follows: A, B, C, D.)
a. Arrange a physical therapy visit before the patient is discharged from the hospital.
b. Assess the patient's ability to perform activities of daily living before discharge.
c. Have the patient demonstrate the learned skills at the end of the teaching session.
d. Determine if the patient has had home visits before and if the experience was positive. -
correct answer ✔✔ D, B, C, A
The nurse assesses that a patient has not been taking antihypertension medication as
prescribed. How should the nurse proceed?
a. Evaluate the teaching plan to determine if there is a need to reeducate the patient.
b. Assess the patient's perception and attitude towards the risks associated with missing doses
of medication.
c. Review and reinforce the need to take the medication as prescribed.
d. Ask the provider to prescribe a different medication because the patient does not want to
take this medication.
e. Emphasize the risk of stroke or heart attack if the patient does not adhere to the treatment
plan. - correct answer ✔✔ a. Evaluate the teaching plan to determine if there is a need to
reeducate the patient.
b. Assess the patient's perception and attitude towards the risks associated with missing doses
of medication.
c. Review and reinforce the need to take the medication as prescribed.
,A patient is being treated for tuberculosis (TB) with a standard four-drug regimen but continues
to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement?
a. Assist the patient with short-term goals and plan teaching according to these goals.
b. Provide the patient with all the educational materials about drug-resistant TB.
c. Refer the patient to a pulmonary specialist, who can assist the patient with the treatment
regimen.
d. Ask the patient about any barriers to obtaining medications. Ask the patient whether
medications have been taken as directed. - correct answer ✔✔ a. Assist the patient with short-
term goals and plan teaching according to these goals.
b. Provide the patient with all the educational materials about drug-resistant TB.
d. Ask the patient about any barriers to obtaining medications. Ask the patient whether
medications have been taken as directed.
The nurse is assessing learning needs for a patient who has coronary heart disease. The nurse
finds that the patient has recently made dietary changes to decrease fat intake and has stopped
smoking. The best initial response by the nurse at this time is
a. "You did an excellent job of changing your eating habits and quitting smoking. This is so
important for your heart health. Nice work!''
b. "Although the changes you made are important, it is essential that you make other changes,
too."
c. "Which additional changes in your lifestyle would you like to implement at this time?"
d. "Are you having any difficulty in maintaining the changes you have already made?" - correct
answer ✔✔ a. "You did an excellent job of changing your eating habits and quitting smoking.
This is so important for your heart health. Nice work!''
A patient is admitted to the long-term care setting. The nurse notes that the patient does not
read or write well. Which nursing actions are priority while developing a teaching plan to
increase adherence?
,a. Determine the patient's motivation and readiness to learn.
b. Assess what the patient knows about their health issues.
c. Include the family in the orientation to the unit and include them in the teaching process.
d. Assess what grade level the patient can read and write and tailor teaching strategies
accordingly.
e. Give the patient brochures with more pictures and explanations with short sentences. -
correct answer ✔✔ a. Determine the patient's motivation and readiness to learn.
b. Assess what the patient knows about their health issues.
c. Include the family in the orientation to the unit and include them in the teaching process.
d. Assess what grade level the patient can read and write and tailor teaching strategies
accordingly.
A 15-year-old pregnant patient asks the nurse how she can take care of herself and her baby at
home. What education should the nurse include in this patient's teaching plan?
Select all that apply.
a. Healthy diet
b. Physical activity
c. Taking prenatal vitamins
d. Avoiding alcohol
e. Infant bathing - correct answer ✔✔ a. Healthy diet
b. Physical activity
c. Taking prenatal vitamins
d. Avoiding alcohol
A student nurse demonstrates understanding of managing patient care involving chronic disease
when making which statement?
, a. Chronic disease management is best handled with one expert provider taking the lead role in
the treatment plan.
b. A care-giver centered approach is best for managing the complexities of chronic disease care.
c. Current health care trends are evolving toward the paternalistic approach to care of the
patient with chronic illness.
d. The patient and family should develop a partnership when developing a plan of care for a
loved one with a chronic illness. - correct answer ✔✔ d. The patient and family should develop
a partnership when developing a plan of care for a loved one with a chronic illness.
The nurse should identify which factors that put a patient diagnosed with diabetes at risk for
inadequately self-managed blood glucose levels?
Select all that apply.
a. Obesity
b. Desk job
c. New car
d. Busy lifestyle
e. Regular exercise - correct answer ✔✔ a. Obesity
b. Desk job
d. Busy lifestyle
The nurse identifies that which patient would best benefit from a plan of care including self-
management?
a. Patient hospitalized with femur fracture
b. Patient diagnosed with pulmonary embolus
c. Patient experiencing chest pain