NSG3130 EXAM 2 Question and Answer |
Comprehensive Preparation Pack |
Grade A+
• Which nursing diagnoses are used in developing a patient teaching plan? (Select all
that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety -✓✓ b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for use in
developing a patient teaching plan. Moral Distress is a nursing diagnosis for those
facing ethical decisions. Difficulty Coping is not a nursing diagnosis used in developing
a teaching plan, but if a patient is not coping effectively, it may affect the ability to learn.
A nursing diagnosis of Anxiety may affect the patient's ability to learn but is not directly
related to developing a teaching plan. Teaching about Disease is not a nursing
diagnosis. It is an intervention performed by the nurse.
• Which nursing diagnosis is appropriate if a patient expresses an interest in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors -✓✓ a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the nursing
diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient has a
deficiency of knowledge on a particular subject. Effective Information Processing is the
patient's ability to acquire useful information. Health-Seeking Behaviors is active
seeking by a person of ways to alter habits to enhance health.
• A 61-year-old man is undergoing an emergency cardiac catheterization. The nurse
gives his wife the registration paperwork to complete. Which observed actions may
indicate a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter can
complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
,e. Returning the forms only partially filled out, with missing or inaccurate information. -
✓✓ b, c, e
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues.
Needing glasses does not correlate directly with health literacy. A tearful spouse
requires additional assessment to see whether health literacy is a problem. The wife
may be overwhelmed and feel unable to complete the forms, or she may need to collect
her thoughts in the midst of a stressful time.
• Teaching a patient to use an incentive spirometer by demonstration, with a return
demonstration by the patient, is an example of teaching based on which domain of
learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive -✓✓ a. Psychomotor
Demonstration along with a return demonstration by the patient is an example of
psychomotor domain learning. Affective domain learning integrates new knowledge by
recognizing an emotional component. Psychosocial is not one of the domains of
learning. Cognitive domain learning is based on knowledge and material that is
remembered, memorized, and recalled.
• The nurse is providing home care to a 62-year-old woman who was recently
diagnosed with insulin-dependent diabetes mellitus. What is the most important reason
for the nurse to document the teaching session?
a. The patient's insurance company requires documentation.
b. The nurse's employer requires documentation of home care sessions.
c. Other members of the health care team need to know the patient's progress.
d. Insulin is a potentially dangerous medication and needs to be documented. -✓✓ c.
Other members of the health care team need to know the patient's progress.
Although the remaining options may be true, the primary reason for specific
documentation of a patient's progress in a teaching plan is to ensure that other nurses
or members of other disciplines can pick up the teaching plan and know precisely what
the patient has accomplished and where to begin additional sessions.
• Written instructions showing pictures of the steps necessary to test blood glucose,
along with demonstration and a return demonstration of the steps, would most benefit
which learners?
a. Affective
b. VARK
, c. Psychomotor
d. Cognitive -✓✓ c. Psychomotor
Psychomotor learning involves physical movement and the use of motor skills such as
demonstration and return demonstration. The affective domain involves emotion, and
the cognitive domain is memorization and recall. VARK (verbal, aural, read/write,
kinesthetic) refers to a method of assessing learning style.
• The nurse is providing care to an 88-year-old male patient who just returned from the
recovery room after a right hip replacement. The nurse plans to teach the patient
prevention techniques for deep vein thrombosis. What is the best time to provide
teaching?
a. Do it right before the patient's next intravenous pain medication.
b. Wait until tomorrow morning because he is in too much pain today.
c. Leave written materials on his over-the-bed tray that he can read at his convenience.
d. Wait until 10 to 15 minutes after his next intravenous pain medication. -✓✓ d. Wait
until 10 to 15 minutes after his next intravenous pain medication.
Patients in pain are unable to focus on learning. Waiting 10 to 15 minutes after the
administration of intravenous pain medication allows it to provide relief, but the patient is
not sedated or resting soundly. Waiting until the following day is inappropriate because
early intervention and prevention are necessary to avoid the development of deep vein
thrombosis. Leaving important information where it can be easily covered up, set aside,
or overlooked is not an effective method of patient education. The nurse should
remember the concepts of health literacy and consider the potential effects of visual
impairments, reading ability, and pain level in ensuring patient comprehension.
LO: 14.10
• A nursing instructor is explaining the teach-back method to nursing students on a
medical-surgical unit. The instructor asks the students to identify benefits of using this
method of patient education. Which should the students include in their response to
their instructor? (Select all that apply.)
a. The teach-back method allows the nurse to determine understanding of information
taught and to reteach if necessary.
b. The nurse can rephrase information to the patient if the patient is unable to repeat the
information correctly.
c. The nurse can ask the patient to repeat information until it is determined that the
patient has verbalized understanding of the information taught.
d. The nurse can teach the patient using pictures, videos, and examples.
e. The teach-back method can be used in any health care setting. -✓✓ a, b, c, d, e
The teach-back method allows the nurse to determine understanding of information
taught and to reteach if necessary by rephrasing the information, using pictures, videos,
and examples if the patient is unable to repeat the information correctly. The nurse can
Comprehensive Preparation Pack |
Grade A+
• Which nursing diagnoses are used in developing a patient teaching plan? (Select all
that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety -✓✓ b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for use in
developing a patient teaching plan. Moral Distress is a nursing diagnosis for those
facing ethical decisions. Difficulty Coping is not a nursing diagnosis used in developing
a teaching plan, but if a patient is not coping effectively, it may affect the ability to learn.
A nursing diagnosis of Anxiety may affect the patient's ability to learn but is not directly
related to developing a teaching plan. Teaching about Disease is not a nursing
diagnosis. It is an intervention performed by the nurse.
• Which nursing diagnosis is appropriate if a patient expresses an interest in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors -✓✓ a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the nursing
diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient has a
deficiency of knowledge on a particular subject. Effective Information Processing is the
patient's ability to acquire useful information. Health-Seeking Behaviors is active
seeking by a person of ways to alter habits to enhance health.
• A 61-year-old man is undergoing an emergency cardiac catheterization. The nurse
gives his wife the registration paperwork to complete. Which observed actions may
indicate a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter can
complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
,e. Returning the forms only partially filled out, with missing or inaccurate information. -
✓✓ b, c, e
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues.
Needing glasses does not correlate directly with health literacy. A tearful spouse
requires additional assessment to see whether health literacy is a problem. The wife
may be overwhelmed and feel unable to complete the forms, or she may need to collect
her thoughts in the midst of a stressful time.
• Teaching a patient to use an incentive spirometer by demonstration, with a return
demonstration by the patient, is an example of teaching based on which domain of
learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive -✓✓ a. Psychomotor
Demonstration along with a return demonstration by the patient is an example of
psychomotor domain learning. Affective domain learning integrates new knowledge by
recognizing an emotional component. Psychosocial is not one of the domains of
learning. Cognitive domain learning is based on knowledge and material that is
remembered, memorized, and recalled.
• The nurse is providing home care to a 62-year-old woman who was recently
diagnosed with insulin-dependent diabetes mellitus. What is the most important reason
for the nurse to document the teaching session?
a. The patient's insurance company requires documentation.
b. The nurse's employer requires documentation of home care sessions.
c. Other members of the health care team need to know the patient's progress.
d. Insulin is a potentially dangerous medication and needs to be documented. -✓✓ c.
Other members of the health care team need to know the patient's progress.
Although the remaining options may be true, the primary reason for specific
documentation of a patient's progress in a teaching plan is to ensure that other nurses
or members of other disciplines can pick up the teaching plan and know precisely what
the patient has accomplished and where to begin additional sessions.
• Written instructions showing pictures of the steps necessary to test blood glucose,
along with demonstration and a return demonstration of the steps, would most benefit
which learners?
a. Affective
b. VARK
, c. Psychomotor
d. Cognitive -✓✓ c. Psychomotor
Psychomotor learning involves physical movement and the use of motor skills such as
demonstration and return demonstration. The affective domain involves emotion, and
the cognitive domain is memorization and recall. VARK (verbal, aural, read/write,
kinesthetic) refers to a method of assessing learning style.
• The nurse is providing care to an 88-year-old male patient who just returned from the
recovery room after a right hip replacement. The nurse plans to teach the patient
prevention techniques for deep vein thrombosis. What is the best time to provide
teaching?
a. Do it right before the patient's next intravenous pain medication.
b. Wait until tomorrow morning because he is in too much pain today.
c. Leave written materials on his over-the-bed tray that he can read at his convenience.
d. Wait until 10 to 15 minutes after his next intravenous pain medication. -✓✓ d. Wait
until 10 to 15 minutes after his next intravenous pain medication.
Patients in pain are unable to focus on learning. Waiting 10 to 15 minutes after the
administration of intravenous pain medication allows it to provide relief, but the patient is
not sedated or resting soundly. Waiting until the following day is inappropriate because
early intervention and prevention are necessary to avoid the development of deep vein
thrombosis. Leaving important information where it can be easily covered up, set aside,
or overlooked is not an effective method of patient education. The nurse should
remember the concepts of health literacy and consider the potential effects of visual
impairments, reading ability, and pain level in ensuring patient comprehension.
LO: 14.10
• A nursing instructor is explaining the teach-back method to nursing students on a
medical-surgical unit. The instructor asks the students to identify benefits of using this
method of patient education. Which should the students include in their response to
their instructor? (Select all that apply.)
a. The teach-back method allows the nurse to determine understanding of information
taught and to reteach if necessary.
b. The nurse can rephrase information to the patient if the patient is unable to repeat the
information correctly.
c. The nurse can ask the patient to repeat information until it is determined that the
patient has verbalized understanding of the information taught.
d. The nurse can teach the patient using pictures, videos, and examples.
e. The teach-back method can be used in any health care setting. -✓✓ a, b, c, d, e
The teach-back method allows the nurse to determine understanding of information
taught and to reteach if necessary by rephrasing the information, using pictures, videos,
and examples if the patient is unable to repeat the information correctly. The nurse can
