Page |1
Medical-Surgical Nursing in Canada Assessment and
Management of Clinical Problems Final Exam
Question Bank |Questions and Correct Answers
|Latest 2025/2026 A+ Graded
RATED
When obtaining an initial health history from a patient who immigrated to the United States several years
ago, it is most important for the nurse to first
a. ask permission to touch the patient.
b. explain to the patient the values and beliefs of his or her own culture.
c. determine the extent of the patient’s identification with a cultural group.
d. engage the patient in general, nonthreatening conversation before asking direct questions.
C
The nurse takes a health history and performs a physical examination on a patient admitted to the
hospital. The nurse would be most concerned if what occurs?
a. The patient requests the presence of a family member.
b. The patient complains of intermittent abdominal pain.
c. The patient is unable to provide a list of current medications.
d. The patient suddenly develops severe shortness of breath.
D
, Page |2
Chapter 04. Patient and Caregiver Teaching
When a patient asks a question about the causes of a diagnosis and the nurse is unsure of the correct
answer, the nurse realizes that it is important to avoid doing what?
1
Seeking help from coworkers
2
Providing vague explanations
3
Admitting that the nurse is unsure
4
Seeking help from reliable sources
The nurse should avoid giving vague explanations if he or she is unaware of the causes of the development of
the patient's condition. Giving vague explanations might confuse the patient. In addition, the patient may not
trust the nurse later. The nurse should seek help from co-workers and reliable sources to learn about the patient's
situation, and then inform the patient. Admitting that she is unsure is not a problem; it would show that she is
being genuine.
Text Reference - p. 51
A nurse is providing teaching for a patient with a new diagnosis of hypertension. Which patient
characteristic enhances the teaching-learning process?
1
Moderate anxiety
2
High self-efficacy
3
Limited health literacy
4
A humorous outlook
An important characteristic that can enhance the teaching-learning process is the patient's sense of self-efficacy.
There is a strong correlation between self-efficacy and outcomes of illness management. Self-efficacy increases
when a person gains new skills in managing a threatening situation, but it decreases when the individual
experiences repeated failure. The nurse should plan easily attainable goals early in the teaching sessions and
proceed from simple to more complex content to establish a feeling of success. Although mild anxiety increases
the learner's perceptual and learning abilities, moderate or severe anxiety limits learning. A limited health
literacy results in poor patient outcomes, nonadherence with treatment plans, limited self-management skills,
and increased health disparities. Humor in the teaching process is important and useful, but the nurse needs to
determine when humor is used excessively or inappropriately to avoid reality.
Text Reference - p. 49
, Page |3
A nurse is caring for a patient who suffers from alcoholism. The patient has limited literacy. Which
teaching interventions would be appropriate for this patient?
1
Encouraging the patient to enroll in adult literacy programs
2
Tailoring the teaching aids to the patient's literacy abilities
3
Discussing studies that describe the impact of literacy on patient outcomes
4
Ensuring that the patient teaching materials are at a sixth grade reading level or higher
When educating an illiterate patient, the nurse should tailor the teaching aids to the patient's literacy abilities.
Doing so may help the patient to understand the teaching better. Enrolling in an adult literacy program would
help the patient increase the literacy level, but it would not help solve the immediate problem. It is not an
appropriate time to discuss research studies; the patient needs a teaching technique that will meet the client's
current learning needs. Low literacy results in poor patient outcomes, non-adherence to treatment plans, and
higher health disparities. The patient teaching materials should be written at a fifth grade or lower reading level.
Text Reference - p. 54
Which teaching strategy would be best to offer to a 20-year-old patient?
1
Lecture or books
2
Websites or podcasts
3
Television or pamphlets
4
Role play or support group
The 20-year-old patient is likely to be a multitasker who prefers interactive and virtual environments and has a
short attention span. Internet, websites, podcasts, or video game systems are recommended to teach Millenials
health behaviors. Veterans (born before 1946) prefer lecture and book strategies. Baby Boomers (born 1946-
1964) prefer lecture and discussion, educational TV, or printed materials. Generation X (born 1965-1980) prefer
group teaching, support groups, role playing, and Internet-based education materials.
Text Reference - p. 55
The nurse is developing a teaching plan for the patient from a different culture. The priority of the nurse
is to assess the patient's:
1
National origin
2
Family members
, Page |4
3
Religious practices
4
Health and illness beliefs
Health and illness beliefs assist the nurse to tailor the patient teaching to cultural needs. This avoids stereotyping
patients. National origin is not pertinent to tailoring the patient teaching to cultural needs. Family members may
play an important role for the patient; however, the teaching plan is developed based on patient cultural needs.
Religious practices may play a role during illness; however, the focus is on health and illness beliefs. Health
practices, beliefs, and behaviors are influenced by one's cultural traditions. The Joint Commission requires
patient teaching is tailored to the patient's cultural needs.
Text Reference - p. 54
TEST-TAKING TIP: Attempt to select the answer that is most complete and includes the other answers within
it. For example, a stem might read, "A child's intelligence is influenced by:" and three options might be genetic
inheritance, environmental factors, and past experiences. The fourth option might be multiple factors, which is a
more inclusive choice and therefore the correct answer.
Based on adult learning principles, which situation indicates that the patient is ready to learn about
taking enoxaparin (Lovenox) injections at home?
1
The patient is requesting pain medication.
2
The patient is too tired to stay awake to watch the teaching DVD.
3
The patient wants to practice before actually injecting him- or herself with the needle.
4
The patient is nervous and says he or she cannot do it when he or she picks up the bottle of medication.
The patient wanting to practice before injecting him- or herself is demonstrating the learner's orientation to
learning by seeking out a resource for this stage of learning. The patient requesting pain medication and the tired
patient demonstrate they do not have the readiness to learn. The nervous, unconfident patient demonstrates that
the learner's self-concept is in need of encouragement and more teaching is needed. Other adult learning
principles include the learner's need to know, prior experiences, and motivation to learn.
TEST-TAKING TIP: Relax during the last hour before an exam. Your brain needs some recovery time to
function effectively.
Text Reference - p. 54
A cardiac patient spends much time traveling due to work obligations. The patient wishes to obtain
healthcare services, including consultation with the patient's primary health care provider, even when in a
remote area. What health care technology should the nurse recommend to this patient?
Medical-Surgical Nursing in Canada Assessment and
Management of Clinical Problems Final Exam
Question Bank |Questions and Correct Answers
|Latest 2025/2026 A+ Graded
RATED
When obtaining an initial health history from a patient who immigrated to the United States several years
ago, it is most important for the nurse to first
a. ask permission to touch the patient.
b. explain to the patient the values and beliefs of his or her own culture.
c. determine the extent of the patient’s identification with a cultural group.
d. engage the patient in general, nonthreatening conversation before asking direct questions.
C
The nurse takes a health history and performs a physical examination on a patient admitted to the
hospital. The nurse would be most concerned if what occurs?
a. The patient requests the presence of a family member.
b. The patient complains of intermittent abdominal pain.
c. The patient is unable to provide a list of current medications.
d. The patient suddenly develops severe shortness of breath.
D
, Page |2
Chapter 04. Patient and Caregiver Teaching
When a patient asks a question about the causes of a diagnosis and the nurse is unsure of the correct
answer, the nurse realizes that it is important to avoid doing what?
1
Seeking help from coworkers
2
Providing vague explanations
3
Admitting that the nurse is unsure
4
Seeking help from reliable sources
The nurse should avoid giving vague explanations if he or she is unaware of the causes of the development of
the patient's condition. Giving vague explanations might confuse the patient. In addition, the patient may not
trust the nurse later. The nurse should seek help from co-workers and reliable sources to learn about the patient's
situation, and then inform the patient. Admitting that she is unsure is not a problem; it would show that she is
being genuine.
Text Reference - p. 51
A nurse is providing teaching for a patient with a new diagnosis of hypertension. Which patient
characteristic enhances the teaching-learning process?
1
Moderate anxiety
2
High self-efficacy
3
Limited health literacy
4
A humorous outlook
An important characteristic that can enhance the teaching-learning process is the patient's sense of self-efficacy.
There is a strong correlation between self-efficacy and outcomes of illness management. Self-efficacy increases
when a person gains new skills in managing a threatening situation, but it decreases when the individual
experiences repeated failure. The nurse should plan easily attainable goals early in the teaching sessions and
proceed from simple to more complex content to establish a feeling of success. Although mild anxiety increases
the learner's perceptual and learning abilities, moderate or severe anxiety limits learning. A limited health
literacy results in poor patient outcomes, nonadherence with treatment plans, limited self-management skills,
and increased health disparities. Humor in the teaching process is important and useful, but the nurse needs to
determine when humor is used excessively or inappropriately to avoid reality.
Text Reference - p. 49
, Page |3
A nurse is caring for a patient who suffers from alcoholism. The patient has limited literacy. Which
teaching interventions would be appropriate for this patient?
1
Encouraging the patient to enroll in adult literacy programs
2
Tailoring the teaching aids to the patient's literacy abilities
3
Discussing studies that describe the impact of literacy on patient outcomes
4
Ensuring that the patient teaching materials are at a sixth grade reading level or higher
When educating an illiterate patient, the nurse should tailor the teaching aids to the patient's literacy abilities.
Doing so may help the patient to understand the teaching better. Enrolling in an adult literacy program would
help the patient increase the literacy level, but it would not help solve the immediate problem. It is not an
appropriate time to discuss research studies; the patient needs a teaching technique that will meet the client's
current learning needs. Low literacy results in poor patient outcomes, non-adherence to treatment plans, and
higher health disparities. The patient teaching materials should be written at a fifth grade or lower reading level.
Text Reference - p. 54
Which teaching strategy would be best to offer to a 20-year-old patient?
1
Lecture or books
2
Websites or podcasts
3
Television or pamphlets
4
Role play or support group
The 20-year-old patient is likely to be a multitasker who prefers interactive and virtual environments and has a
short attention span. Internet, websites, podcasts, or video game systems are recommended to teach Millenials
health behaviors. Veterans (born before 1946) prefer lecture and book strategies. Baby Boomers (born 1946-
1964) prefer lecture and discussion, educational TV, or printed materials. Generation X (born 1965-1980) prefer
group teaching, support groups, role playing, and Internet-based education materials.
Text Reference - p. 55
The nurse is developing a teaching plan for the patient from a different culture. The priority of the nurse
is to assess the patient's:
1
National origin
2
Family members
, Page |4
3
Religious practices
4
Health and illness beliefs
Health and illness beliefs assist the nurse to tailor the patient teaching to cultural needs. This avoids stereotyping
patients. National origin is not pertinent to tailoring the patient teaching to cultural needs. Family members may
play an important role for the patient; however, the teaching plan is developed based on patient cultural needs.
Religious practices may play a role during illness; however, the focus is on health and illness beliefs. Health
practices, beliefs, and behaviors are influenced by one's cultural traditions. The Joint Commission requires
patient teaching is tailored to the patient's cultural needs.
Text Reference - p. 54
TEST-TAKING TIP: Attempt to select the answer that is most complete and includes the other answers within
it. For example, a stem might read, "A child's intelligence is influenced by:" and three options might be genetic
inheritance, environmental factors, and past experiences. The fourth option might be multiple factors, which is a
more inclusive choice and therefore the correct answer.
Based on adult learning principles, which situation indicates that the patient is ready to learn about
taking enoxaparin (Lovenox) injections at home?
1
The patient is requesting pain medication.
2
The patient is too tired to stay awake to watch the teaching DVD.
3
The patient wants to practice before actually injecting him- or herself with the needle.
4
The patient is nervous and says he or she cannot do it when he or she picks up the bottle of medication.
The patient wanting to practice before injecting him- or herself is demonstrating the learner's orientation to
learning by seeking out a resource for this stage of learning. The patient requesting pain medication and the tired
patient demonstrate they do not have the readiness to learn. The nervous, unconfident patient demonstrates that
the learner's self-concept is in need of encouragement and more teaching is needed. Other adult learning
principles include the learner's need to know, prior experiences, and motivation to learn.
TEST-TAKING TIP: Relax during the last hour before an exam. Your brain needs some recovery time to
function effectively.
Text Reference - p. 54
A cardiac patient spends much time traveling due to work obligations. The patient wishes to obtain
healthcare services, including consultation with the patient's primary health care provider, even when in a
remote area. What health care technology should the nurse recommend to this patient?
