FUNDAMENTALS II, NURSING
EXAM
QUESTIONSAND CORRECT
ANSWERS LATEST UPDATE
Which nursing diagnoses are used in developing a patient
teaching plan? (Select all that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety - CORRECT ANSWER✔✔ b
Lack of Knowledge and Literacy Problem are appropriate
nursing diagnoses for use in developing a patient teaching plan.
Moral Distress is a nursing diagnosis for those facing ethical
decisions. Difficulty Coping is not a nursing diagnosis used in
developing a teaching plan, but if a patient is not coping
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,effectively, it may affect the ability to learn. A nursing
diagnosis of Anxiety may affect the patient's ability to learn
but is not directly related to developing a teaching plan.
Teaching about Disease is not a nursing diagnosis. It is an
intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses
an interest in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - CORRECT ANSWER✔✔ a.
Ready to Learn
A patient's expression of an interest in learning would indicate
correct use of the nursing diagnosis, Ready to Learn. Lack of
Knowledge would indicate the patient has a deficiency of
knowledge on a particular subject. Effective
Information Processing is the patient's ability to acquire useful
information. Health-Seeking Behaviors is active seeking by a
person of ways to alter habits to enhance health.
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,A 61-year-old man is undergoing an emergency cardiac
catheterization. The nurse gives his wife the registration
paperwork to complete. Which observed actions may indicate
a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so
that her daughter can complete the forms.
d. Setting the clipboard aside and staring tearfully out the
window.
e. Returning the forms only partially filled out, with missing or
inaccurate information. - CORRECT ANSWER✔✔ b, c, e
Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filling out forms are
behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful
spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her
thoughts in the midst of a stressful time.
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, Teaching a patient to use an incentive spirometer by
demonstration, with a return demonstration by the patient, is
an example of teaching based on which domain of learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive - CORRECT ANSWER✔✔ a. Psychomotor
Demonstration along with a return demonstration by the
patient is an example of psychomotor domain learning.
Affective domain learning integrates new knowledge by
recognizing an emotional component. Psychosocial is not one of
the domains of learning. Cognitive domain learning is based on
knowledge and material that is remembered, memorized, and
recalled.
The nurse is providing home care to a 62-year-old woman who
was recently diagnosed with insulin-dependent diabetes
mellitus. What is the most important reason for the nurse to
document the teaching session?
a. The patient's insurance company requires documentation.
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