C HAPTER 05: P ATIENT AND F AMILY
E DUCATION
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. What are the three learning domains to be considered when developing an
individualized education plan?
a. Knowledge, abilit y, and willingness to learn
b. Psychologic, skills, and knowledge
c. Knowledge, skills, and attitude
d. Skills, attitude, and psychologic
ANS: C
Three learning domains are considered when developing an
individualized education plan: knowledge, attitude, and ski lls.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 65
OBJ: Nursing Process Step: N/A TOP: Patient and
Famil y Education MSC: NC LEX: Safe and Effective Care
Environment
2. Information on what topic should be included in the educational plan of a
patient who is unconscious?
a. Sensations
, b. Pathophysiology
c. Rehabilitation
d. Attitudes
ANS: A
Providing information regarding environment, procedures, sensations,
and time of day is benevolent and may help decrease immediate
physiologic stress.
PTS: 1 DIF: Cognitive Level: Appl ying REF: p. 70
OBJ: Nursing Process Step: Intervention TOP:
Patient and Famil y Education MSC: NC LEX: Safe and Effective
Care Environment
3. What topic should be included in the education of a patient’s famil y
members during their first v isit?
a. When to call the practitioner
b. Availabilit y of support groups
c. Expectations about self -care
d. What the patient may look like
ANS: D
The focus of the any education during the first visit should include
what the patient may look like. When to call the pr actitioner,
availabilit y of support groups, and expectation for self -care should be
included into later teaching sessions.
, PTS: 1 DIF: Cognitive Level: Understanding REF: p.
64 | Table 5-2 OBJ: Nursing Process Step: Assessment
TOP: Patient and Famil y Education MSC: NC LEX:
Psychosocial Integrity
4. A patient has been in the critical care unit for 20 days with a diagnosis of
sepsis and acute respiratory distress syndrome. The patient is ready for
transfer to the step -down unit but is apprehensive. The pa tient has
communicated to the nurse that he does not want to leave the ICU because
he is afraid that his needs will not be met on the step -down unit. Which
educational objective would be best to use in this situation?
a. The patient will state two reasons why he is being transferred by the
end of the day.
b. The patient will confront his fears and deal with them within 1 day
of transfer.
c. The patient will state the name of his “new” nurse by the end of the
day.
d. The patient will be introduced to at least two of his “new”
caregivers by the time of transfer.
ANS: D
The patient needs to trust the new caregivers on the step -down unit.
Introducing the new caregivers will help decrease his anxiet y about an
unfamiliar environment. Objectives must be realistic in expectat ion and
timeline. Anxiet y and fear of change will decrease the patient’s
cognitive level.
PTS: 1 DIF: Cognitive Level: Appl ying REF: p. 64 |
Table 5-2 OBJ: Nursing Process Step: Planning TOP:
E DUCATION
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. What are the three learning domains to be considered when developing an
individualized education plan?
a. Knowledge, abilit y, and willingness to learn
b. Psychologic, skills, and knowledge
c. Knowledge, skills, and attitude
d. Skills, attitude, and psychologic
ANS: C
Three learning domains are considered when developing an
individualized education plan: knowledge, attitude, and ski lls.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 65
OBJ: Nursing Process Step: N/A TOP: Patient and
Famil y Education MSC: NC LEX: Safe and Effective Care
Environment
2. Information on what topic should be included in the educational plan of a
patient who is unconscious?
a. Sensations
, b. Pathophysiology
c. Rehabilitation
d. Attitudes
ANS: A
Providing information regarding environment, procedures, sensations,
and time of day is benevolent and may help decrease immediate
physiologic stress.
PTS: 1 DIF: Cognitive Level: Appl ying REF: p. 70
OBJ: Nursing Process Step: Intervention TOP:
Patient and Famil y Education MSC: NC LEX: Safe and Effective
Care Environment
3. What topic should be included in the education of a patient’s famil y
members during their first v isit?
a. When to call the practitioner
b. Availabilit y of support groups
c. Expectations about self -care
d. What the patient may look like
ANS: D
The focus of the any education during the first visit should include
what the patient may look like. When to call the pr actitioner,
availabilit y of support groups, and expectation for self -care should be
included into later teaching sessions.
, PTS: 1 DIF: Cognitive Level: Understanding REF: p.
64 | Table 5-2 OBJ: Nursing Process Step: Assessment
TOP: Patient and Famil y Education MSC: NC LEX:
Psychosocial Integrity
4. A patient has been in the critical care unit for 20 days with a diagnosis of
sepsis and acute respiratory distress syndrome. The patient is ready for
transfer to the step -down unit but is apprehensive. The pa tient has
communicated to the nurse that he does not want to leave the ICU because
he is afraid that his needs will not be met on the step -down unit. Which
educational objective would be best to use in this situation?
a. The patient will state two reasons why he is being transferred by the
end of the day.
b. The patient will confront his fears and deal with them within 1 day
of transfer.
c. The patient will state the name of his “new” nurse by the end of the
day.
d. The patient will be introduced to at least two of his “new”
caregivers by the time of transfer.
ANS: D
The patient needs to trust the new caregivers on the step -down unit.
Introducing the new caregivers will help decrease his anxiet y about an
unfamiliar environment. Objectives must be realistic in expectat ion and
timeline. Anxiet y and fear of change will decrease the patient’s
cognitive level.
PTS: 1 DIF: Cognitive Level: Appl ying REF: p. 64 |
Table 5-2 OBJ: Nursing Process Step: Planning TOP:
