EXAM 1 CH. 3 & 4 (TEST BANK
CLINICAL SKILLS Q'S) EXAM
QUESTIONS WITH CORRECT
ANSWERS
3. A patient is diagnosed with heart failure after being admitted to the hospital for
shortness of breath and fatigue. Which teaching strategy, if implemented by the
nurse, is most likely to be effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid
restrictions. - Answer-ANS: B
Principles of adult education indicate that readiness and motivation to learn are high
when facing new tasks (e.g., learning about the sodium amounts in various food
items) and when demonstration and practice of skills are available. Although a home
health referral may be needed for this patient, teaching should not be postponed until
discharge. Adult learners are independent. The nurse should act as a facilitator for
learning, rather than as the expert. Adults leam best when the topic is of immediate
usefulness. Long-term goals may not be very motivating.
4. A patient who was admitted to the hospital with hyperglycemia and newly
diagnosed diabetes mellitus is scheduled for discharge the second day after
admission. When implementing patient teaching, what is the priority action for the
nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control. - Answer-ANS:
C
When time is limited, the nurse should focus on the priorities of teaching. In this
situation, the patient should know how to test blood glucose and administer
medications to control glucose levels. The patient will need further teaching about
the role of diet, exercise, various medications, and the many potential complications
of diabetes, but these topics can be addressed through planning for appropriate
referrals.
, 5. A patient states, "I told my husband I wouldn't buy as much prepared food snacks,
so I will go the grocery store to buy fresh fruit, vegetables, and whole grains." When
using the Transtheoretical Model of Health Behavior Change, the nurse identifies
that this patient is in which stage of change?
a. Preparation
b. Termination
c. Maintenance
d. Contemplation - Answer-ANS: A
The patient's statement indicating that the plan for change is being shared with
someone else indicates that the preparation stage has been achieved.
Contemplation of a change would be indicated by a statement like "I know I should
exercise." Maintenance of a change occurs when the patient practices the behavior
regularly. Termination would be indicated when the change is a permanent part of
the lifestyle.
6. While admitting a patient to the medical unit, the nurse determines that the patient
has a hearing impairment. How should the nurse use this information to plan
teaching and learning strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions. - Answer-ANS: D
The information that the patient has a hearing impairment indicates that the nurse
should use written and verbal materials in teaching along with other strategies. The
patient does not indicate a lack of motivation or an inability to understand new
information. The patient's decreased hearing does not necessarily imply that the
family must be included in the teaching process.
7. A patient who is morbidly obese states, "I've recently made some changes in my
life. I've decreased my fat intake, and I've stopped smoking." Which statement, if
made by the nurse, is the best initial response?
a. "Although those are important, it is essential that you make other changes, too."
b. "Are you having any difficulty in maintaining the changes you have already
made?"
c. "Which additional changes in your lifestyle would you like to implement at this
time?"
CLINICAL SKILLS Q'S) EXAM
QUESTIONS WITH CORRECT
ANSWERS
3. A patient is diagnosed with heart failure after being admitted to the hospital for
shortness of breath and fatigue. Which teaching strategy, if implemented by the
nurse, is most likely to be effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid
restrictions. - Answer-ANS: B
Principles of adult education indicate that readiness and motivation to learn are high
when facing new tasks (e.g., learning about the sodium amounts in various food
items) and when demonstration and practice of skills are available. Although a home
health referral may be needed for this patient, teaching should not be postponed until
discharge. Adult learners are independent. The nurse should act as a facilitator for
learning, rather than as the expert. Adults leam best when the topic is of immediate
usefulness. Long-term goals may not be very motivating.
4. A patient who was admitted to the hospital with hyperglycemia and newly
diagnosed diabetes mellitus is scheduled for discharge the second day after
admission. When implementing patient teaching, what is the priority action for the
nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control. - Answer-ANS:
C
When time is limited, the nurse should focus on the priorities of teaching. In this
situation, the patient should know how to test blood glucose and administer
medications to control glucose levels. The patient will need further teaching about
the role of diet, exercise, various medications, and the many potential complications
of diabetes, but these topics can be addressed through planning for appropriate
referrals.
, 5. A patient states, "I told my husband I wouldn't buy as much prepared food snacks,
so I will go the grocery store to buy fresh fruit, vegetables, and whole grains." When
using the Transtheoretical Model of Health Behavior Change, the nurse identifies
that this patient is in which stage of change?
a. Preparation
b. Termination
c. Maintenance
d. Contemplation - Answer-ANS: A
The patient's statement indicating that the plan for change is being shared with
someone else indicates that the preparation stage has been achieved.
Contemplation of a change would be indicated by a statement like "I know I should
exercise." Maintenance of a change occurs when the patient practices the behavior
regularly. Termination would be indicated when the change is a permanent part of
the lifestyle.
6. While admitting a patient to the medical unit, the nurse determines that the patient
has a hearing impairment. How should the nurse use this information to plan
teaching and learning strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions. - Answer-ANS: D
The information that the patient has a hearing impairment indicates that the nurse
should use written and verbal materials in teaching along with other strategies. The
patient does not indicate a lack of motivation or an inability to understand new
information. The patient's decreased hearing does not necessarily imply that the
family must be included in the teaching process.
7. A patient who is morbidly obese states, "I've recently made some changes in my
life. I've decreased my fat intake, and I've stopped smoking." Which statement, if
made by the nurse, is the best initial response?
a. "Although those are important, it is essential that you make other changes, too."
b. "Are you having any difficulty in maintaining the changes you have already
made?"
c. "Which additional changes in your lifestyle would you like to implement at this
time?"
