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Chapter 25 Patient Education-Fundamentals of Nursing

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Chapter 25 Patient Education-Fundamentals of Nursing

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Chapter 25: Hospital client
ra ra ra r a Education



MULTIPLE CHOICE ra




1. A nursing attendant is teaching a hospital client ’s family member about permanent tube
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feedings at home. Which purpose of hospital client education is the nursing attendant
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meeting?
a. Health promotion ra




b. Illness prevention ra




c. Restoration of health ra ra




d. Coping with impaired functions ra ra ra




ACCURATE ar



ANSWER:-D
Teach family members to help the hospital client with health care management (e.g., giving
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medications through gastric tubes and doing passive range- ra ra ra ra ra ra ra



ofmotion exercises) when coping with impaired functions. Not all hospital client s fully recover
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from illness or injury. Many have to learn to cope with permanent health alterations. Health
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promotion involves healthy people staying healthy, while illness prevention is prevention of
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diseases. Restoration of health occurs if the teaching is about a temporary tube feeding, not a
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permanent tube feeding. ra ra




DIF:Understand (comprehension) ra



OBJ:Identify the three purposes of hospital client ra ra ra ra ra ra ar



education. TOP:Teaching/Learning ra MSC: Basic Care and Comfort ra ra ra ra




2. A nursing attendant is teaching a group of healthy adults about the benefits of flu immuniz
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ations. Which type of hospital client education is the nursing attendant providing?
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Health analogies ra




b. Restoration of health ra ra




c. Coping with impaired functions ra ra ra




d. Promotion of health and illness prevention ra ra ra ra ra




ACCURATE ANSWER:-D ra



As a nursing attendant , you are a visible, competent resource for hospital client s who want t
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o improve their physical and psychological wellbeing. In the school, home, clinic, or workplace, y
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ou promote health and prevent illness by pro
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viding information and skills that enable hospital client s to assume healthier behaviors. Injur
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ed and ill hospital client s need information and skills to help them regain or maintain their le
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vel of health; this is referred to as restoration of health. Not all hospital client s fully recover fr
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om illness or injury. Many have to learn to cope with permanent health alterations; this is kno
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wn as coping with impaired functions. Analogies supplement verbal instruction with familiar
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images that make complex information more real and understandable. For example, when exp
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laining arterial blood pressure, use an analogy of the flow of water through a hose.
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DIF:Understand (comprehension) ra



OBJ:Identify the three purposes of hospital client ra ra ra ra ra ra ar



education. TOP:Teaching/Learning ra MSC: Health Promotion and Maintenance ra ra ra ra

,3. A nursing attendant ’s goal is to provide teaching for restoration of health. Which situation
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indicates the nursing attendant is meeting this goal? ra ra ra ra ra ra ra




a. Teaching a family member to provide passive range of motion for a stroke hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra




b. Teaching a woman who recently had a hysterectomy about possible adoption ra ra ra ra ra ra ra ra ra ra




c. Teaching expectant parents about changes in childbearing women ra ra ra ra ra ra ra




d. Teaching a teenager with a broken leg how to use crutches ra ra ra ra ra ra ra ra ra ra




ACCURATE ANSWER:-D ra



Injured or ill hospital client s need information and skills to help them regain or maintain their
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar



levels of health. An example includes teaching a teenager with a broken leg how to use crutch
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es. Not all hospital client s fully recover from illness or injury. Many have to learn to cope wit
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h permanent health alterations. New knowledge and skills are often necessary for hospital cli
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ent s and/or family members to continue activities of daily living. Teaching family members to
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help the hospital client with health care management (e.g., giving medications through gastri
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c tubes, doing passive range-of-
ra ra ra ra



motion exercises) is an example of coping with longterm impaired functions. For a woman with
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a hysterectomy, teaching about adoption is not r
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estoration of health; restoration of health in this situation would involve activity restrictions
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and incision care if needed. In childbearing classes, you teach expectant parents about physic
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al and psychological changes in the woman and about fetal development; this is part of health
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maintenance.
a




DIF:Analyze (analysis) OBJ:Identify the three purposes of hospital client education.
ra ra ra ra ra ra ra ra



TOP:Teaching/Learning MSC: Basic Care and Comfort ra ra ra ra




4. A nursing attendant attends a seminar on teaching/learning. Which statement indicates t
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he nursing attendant has a good understanding of teaching/learning? a.
ar ra ra ra ra ra ra ra




―Teaching and learning can be separated.‖ ra ra ra ra ra




b. ―Learning is an interactive process that promotes teaching.‖ ra ra ra ra ar ra ar




c. ―Teaching is most effective when it responds to the learner’s needs.‖ ra ra ra ra ra ra ra ra ra ra




d. ―Learning consists of a conscious, deliberate set of actions designed to help the te acher.‖ ra ra ar ra ra ra ra ra ra ra ra ra ar




ACCURATE ANSWER:-C ra



Teaching is most effective when it responds to the learner’s needs. It is impossible to separate tea
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c
hing from learning. Teaching is an interactive process that promotes learning. Teaching consists
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of a conscious, deliberate set of actions that help individuals gain new knowledge, change attitud
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es, adopt new behaviors, or perform new skills.
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DIF:Analyze (analysis) OBJ:Identify the three purposes of hospital client education. TOP:Evaluation
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MSC: Health Promotion and Maintenance
ra ra ra ra




5. A nursing attendant is determining if teaching is effective. Which finding best indicates l
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earning has occurred? ra ra




a. A nursing attendant presents information about diabetes.
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b. A hospital client demonstrates how to inject insulin.
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c. A family member listens to a lecture on diabetes.
ra ra ra ra ra ra ra ra




d. A primary care provider hands a diabetes pamphlet to the hospital client .
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ACCURATE ANSWER:-B ra

, Learning is the purposeful acquisition of new knowledge, attitudes, behaviors, and skills: hos
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pital client demonstrates how to inject insulin. A new mother exhibits learning when she dem
ra ra ra ra ra ra ra ra ra ra ra ra ra ar



onstrates how to bathe her newborn. A nursing attendant presenting information and a prim
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ary care provider handing a pamphlet to a hospital client are examples of teaching. A family
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member listening to a lecture does not indicate that learning occurred; a change in knowledg
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e, attitudes, behaviors, and/or skills must be evident.
ra ra ra ra ra ra ra




DIF:Analyze (analysis) ra



OBJ:Identify the three purposes of hospital client education. ra ra ra ra ra ra ar



TOP:Teaching/Learning MSC: Basic Care and Comfort ra ra ra ra




6. A nursing attendant is teaching a hospital client about the Speak Up Initiatives. Which i
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nf ormation should the nursing attendant include in the teaching session? a. ra ra ra ra ra ra ra ra ra



If you still do not understand, ask again.
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b. Ask a nursing attendant to be your advocate or supporter.
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c. The nursing attendant is the center of the health care team.
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d. Inappropriate medical tests are the most common mistakes. ra ra ra ra ra ra ra




ACCURATE ANSWER:-A ra




If you still do not understand, ask again is part of the S portion of the Speak Up Initiatives. Spea
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k up if you have questions or concerns. You (the hospital client ) are the center of the health c
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are team, not the nursing attendant . Ask a trusted family member or friend to be your advocat
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e (advisor or supporter), not a nursing attendant . Medication errors are the most common he
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alth care mistakes, not inappropriate medical tests.
ra ra ra ra ra ra




DIF:Understand (comprehension) ra



OBJ:Explain how the Speak up Initiatives from The Joint Commission promote hospital client
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participation in learning. TOP:Teaching/Learning
ra ra



MSC: Safety and Infection Control ra ra ra ra




7. A nursing attendant teaches a hospital client with heart failure healthy food choices.
ra ra ra ra ra ra ra ra ra ra ra ra ra



The h ra ospital client ra r a



states that eating yogurt is better than eating cake. Which element represent
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s feedback?
ar




a. The nursing attendant ra ra




b. The hospital client ra ra




c. The nursing attendant teaching about healthy food choices
ra ra ra ra ra ra ra




d. The hospital client stating that eating yogurt is better than eating cake
ra ra ra ra ra ra ra ra ra ra ra




ACCURATE ANSWER:-D ra



Feedback needs to demonstrate the success of the learner in achieving objectives (i.e., the le
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arner verbalizes information or provides a return demonstration of skills learned). The nursi
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ng attendant is the sender. The hospital client (learner) is the receiver. The teaching is the m
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra



essage.

DIF:Understand (comprehension) ra



OBJ:Describe appropriate communication principles when providing hospital client ra ra ra ra ra ra ra ar



education. TOP:Teaching/Learning MSC: Basic Care and Comfort
ra ra ra ra ra




8. While preparing a teaching plan, the nursing attendant describes what the learn
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er will be able to accomplish after the teaching session about healthy eating. Whi
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ch action is the nursing attendant completing? a. Developing learning objectives
ar ra ra ra ra ra ra ra

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