LEWIS MEDICAL SURGICAL NURSING ALL
CHAPTERS 2026 EXAM PREPARATION
WORKBOOK COMPREHENSIVE QUESTIONS
AND ANSWERS HIGH SCORE A+
◉ What are some of the adult learning principles applied to patient
teaching? Answer: - need to know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
◉ Stages of change in Transtheoretical Model Answer: - pre
contemplation
- contemplation
- preparation
- action
- maintenance
- termination
, ◉ Stage 1: Pre-contemplation Answer: Patient Behavior: Is not
considering a change. Is not ready to learn.
Nursing Implication: Provide support, increase awareness of
condition. Describe benefits of change and risks of not changing.
◉ Stage 2: Contemplation Answer: Patient Behavior: Thinks about a
change. May verbalize recognition of need to change. Says "I know I
should," but identifies barrier
Nursing Implication: Introduce what is involved in changing the
behavior. Reinforce the stated need to change.
◉ Stage 3: Preparation Answer: Patient Behavior: Starts planning
the change, gathers information, sets a date to initiate change, shares
decision to change with others.
Nursing Implication: Reinforce the positive outcomes of change,
provide information and encouragement, develop a plan, help set
priorities, and identify sources of support.
◉ Stage 4: Action Answer: Patient Behavior: Begins to change
behavior through practice. Tentative and may experience relapses.
CHAPTERS 2026 EXAM PREPARATION
WORKBOOK COMPREHENSIVE QUESTIONS
AND ANSWERS HIGH SCORE A+
◉ What are some of the adult learning principles applied to patient
teaching? Answer: - need to know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
◉ Stages of change in Transtheoretical Model Answer: - pre
contemplation
- contemplation
- preparation
- action
- maintenance
- termination
, ◉ Stage 1: Pre-contemplation Answer: Patient Behavior: Is not
considering a change. Is not ready to learn.
Nursing Implication: Provide support, increase awareness of
condition. Describe benefits of change and risks of not changing.
◉ Stage 2: Contemplation Answer: Patient Behavior: Thinks about a
change. May verbalize recognition of need to change. Says "I know I
should," but identifies barrier
Nursing Implication: Introduce what is involved in changing the
behavior. Reinforce the stated need to change.
◉ Stage 3: Preparation Answer: Patient Behavior: Starts planning
the change, gathers information, sets a date to initiate change, shares
decision to change with others.
Nursing Implication: Reinforce the positive outcomes of change,
provide information and encouragement, develop a plan, help set
priorities, and identify sources of support.
◉ Stage 4: Action Answer: Patient Behavior: Begins to change
behavior through practice. Tentative and may experience relapses.
