The nurse is using Braille boards to teach a patient who is visually impaired. Which area of the verbal,
aural, read/write, kinesthetic (VARK) learning style is the nurse using to teach this patient?
A. Aural
B. Verbal
C. Write
D.Kinesthetic - Answers D. Kinesthetic
Rationale:VARK is a learning style that includes areas of learning such as visual, aural, read/write, and
kinesthetic modes of learning. The kinesthetic mode of learning deals with learning using a hands-on
approach. Blind patients touch Braille boards to understand the content provided. Aural deals with
hearing. The nurse is not using verbal communication or writing to communicate to the patient.
p. 189-190
A nurse is assessing a patient who is diabetic. During the assessment, the nurse learns that the patient
has difficulty operating his home glucometer and has not been logging his daily blood sugars. Which
finding does this indicate?
A. The patient is irresponsible.
B. The patient has uncontrolled diabetes.
C. The patient needs further teaching on glucose testing.
D. The patient has not achieved treatment outcome. - Answers C. The patient needs further teaching
on glucose testing.
Rationale: The nurse assesses the patient to identify the patient's learning needs based on the
psychomotor domain of learning. The nurse identifies that the patient needs additional teaching on
glucose testing, glucometer use, and the importance of logging daily blood sugars. The patient is
having difficulty operating the equipment; therefore the patient's behavior is not irresponsible. There
is no evidence to suggest that the patient's diabetes is not controlled. The patient's behavior does not
indicate the state of his disease or the treatment outcome.
p. 189
A nurse is scheduled to teach a group of morbidly obese patients the significance of proper eating
habits and exercise. Which setting would be ideal to impart this teaching?
A. Cafeteria
B. Hospital lobby
C. Gymnasium
D. Classroom - Answers D. Classroom
Rationale: An ideal setting for teaching would be a classroom because patients would be able to sit
comfortably, and the room would have proper ventilation and light so that everyone can see and hear
the teacher without distraction. The patients would also be able to observe one another during the
teaching session. A cafeteria or hospital lobby would have numerous distractions that could interfere
with the teaching process. A gymnasium would not be conducive to learning as it would not offer
comfortable seating arrangements for the patients.
p. 190
A patient diagnosed with a myocardial infarction is scheduled for coronary artery bypass grafting
surgery. The nurse is scheduled to teach breathing exercises and coughing techniques to the patient
to prevent respiratory complications. When is the most appropriate time to teach this patient?
A. During discharge
B. After the surgery
C. Before the surgery
D. At the next follow-up visit - Answers C. Before the surgery
, Rationale: Deep breathing and coughing exercises are taught to the patient to prevent respiratory
complications after surgery. These should be taught preoperatively so that the patient learns the
techniques and can perform them properly after surgery. The client needs to start doing these
exercises immediately after surgery. Due to physical discomfort and fatigue after the surgery, the
patient may not be able to learn the exercises properly. Teaching breathing exercises at discharge or
at the follow-up visit would not benefit this patient.
p. 190
The nurse is training the nursing staff on how to provide formal patient education. Which example
would the nurse give to the staff?
A. The nurse teaches a patient about self-care and follow-up after discharge.
B. The nurse teaches a patient and family about what happens in an ultrasonography test.
C. The nurse answers a patient's question during a diabetes education session.
D. The nurse answers a patient's questions regarding the medication regimen. - Answers A. The nurse
teaches a patient about self-care and follow-up after discharge.
Rationale: Formal teaching is delivered in a planned, goal-directed, one-on-one session to a patient in
order to achieve specific patient goals. The nurse educates the patient about postdischarge care,
which is directed at preventing complications and ensuring better health after discharge. Teaching the
patient and family about what happens during an ultrasonography test is not a one-on-one session.
Questions regarding the management of diabetes or the medication regimen are directed by the
patient. Answering the patient's questions would be considered informal teaching.
p. 188
The nurse is teaching a patient who has been newly diagnosed with diabetes mellitus. Which possible
patient outcome indicates effective learning in the cognitive domain?
A. The patient accurately administers the insulin using a syringe.
B. The patient correctly verbalizes the prescribed medication regimen.
C. The patient is able to find the appropriate resources on the Internet.
D. The patient actively takes part in the teaching session with the nurse. - Answers B. The patient
correctly verbalizes the prescribed medication regimen.
Rationale:The patient is able to understand and recall the information about the drug regimen given
by the nurse. Learning about the medication regimen and integrating it into real life indicates that the
patient has
p. 189
A patient presents to the clinic with elevated blood pressure. While assessing the patient's health
status, the nurse learns that the patient has not been taking his blood pressure medications because
he is confused about the medication dosing schedule. Which nursing diagnosis is most appropriate for
this patient?
A. Problem with medication procurement (ICNP)
B. Adverse medication interaction (ICNP)
C. Medication side effect (ICNP)
D. Lack of knowledge of medication regime (ICNP) - Answers D. Lack of knowledge of medication
regime (ICNP)
Rationale: The most appropriate nursing diagnosis for this patient is lack of knowledge of medication
regime (ICNP). The patient reports confusion about the medication dosing schedule, not inability to
procure medication. No adverse medication interaction are observed in this patient. There is no
evidence of medication side effects in this situation.
p. 129
The home health nurse is developing a teaching plan for a patient who is resting at home after
surgery. Which concept would the nurse keep in mind while caring for this patient?
A. The nurse should make frequent home health visits to the patient.
B. The nurse should build a family