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The nursing process is foundational to the process of patient education. Which of the following
describes the evaluation phase of patient education?
a. Tailoring teaching, learning strategies, and interventions.
b. Measuring learning attained and level of self-efficacy.
c. Determining readiness to learn and learning needs?
d. Mutually setting goals and outcomes expected. - correct answer -B. Measuring learning attained and
level of self-efficacy
For patients with chronic pain, educational interventions should include:
a. Masking nonverbal indications of pain to reduce the anxiety of their family and other caregivers.
b. Learning to tolerate mild to moderate pain without interventions to avoid addiction to pain
medications.
c. Recognizing distraction and relaxation techniques are rarely helpful in reducing pain significantly.
d. Understanding the length of action of various medications and which can be taken together or
alternately. - correct answer -D. Understanding the length of action of various medications and which
can be taken together or alternately.
Patients with chronic illnesses need to develop the ability to deal with all the disease and its
treatment entail. Core skills for chronic disease self-management include:
a. Understanding the evidence-based guidelines.
b. Becoming familiar with community and Internet resources.
c. Problem solving, decision making, and taking actions.
d. Focusing on the health issues that contribute to emergency department visits or hospitalizations. -
correct answer -C. Problem-solving, decision making and taking actions.
,The Patient Protection and Affordable Care Act of 2010 (PPACA) encourages health care providers to
focus on efforts such as implementing evidence-based educational programs and encourage patient
self-efficacy. What is the best definition of patient self-efficacy?
a. The patient plays a central role in preventing and managing his or her illness.
b. Health plans cover preventive services and wellness care, making them more affordable to patients.
c. Nurses and other providers of health care are responsible for reinforcing patients' and families'
responsibility for health care.
d. The patient's perception of his or her own ability to attain health care goals. - correct answer -d. The
patients perception of his or her own ability to attain health care goals.
The Centers for Disease Control recently set a goal to reduce the number of unintended pregnancies in
the United States by 30% in the next few years. Nurses providing counseling should consider for the
following:
a. Unintended pregnancies are most common in women in their 20's.
b. All contraceptive methods also protect against sexually transmitted diseases.
c. Cultural and ethnic beliefs may affect family planning options.
d. With sufficient education about the contraceptive method chosen, follow-up may not be necessary. -
correct answer -c. Cultural and ethnic beliefs may affect family planning options.
In counseling about childhood or adolescent drinking, which of the following should be considered?
a. The physical and psychological effects of alcohol use.
b. Consumption of alcohol during pregnancy can lead to severe physical and mental problems for the
infant.
c. Risky drinking has been defined as more than four drinks per occasion for males and more than three
drinks per occasion for females.
d. Speaking frequently with a child about drinking is likely to alienate him or her and may have a
negative rather than positive effect on behavior. - correct answer -a. The physical and psychological
effects of alcohol use.
Childhood obesity has become a national health problem in the United States. Topics important to
include in counseling for the parents of school-aged children include:
a. Diets high in energy are also high in nutritional value.
b. Provide a variety of foods, including grains, fruits, and vegetables.
,c. School-aged children will automatically choose the right nutrients for themselves if they see their
parents and other role models doing so.
d. A multivitamin is important to supplement a child's diet at this age. - correct answer -b. Provide a
variety of foods, including grains, fruits, and vegetables.
Mr. McIntire is a 37 year old patient who has a 25 pack a year history of smoking. Today, he has told
his physician he is ready to quit. Ryan, the ambulatory care nurse, has been asked to assist Mr.
McIntire. Which of the following describes a potential method to assist this patient to quit smoking?
a. Explain that relapsing is part of the process.
b. Advise Mr. McIntire about the harms of smoking, which impact nearly every organ in the body.
c. Set specific goals and a quit date.
d. Use motivational interviewing to help him understand his ambivalence about quitting. - correct
answer -c. Set specific goals and a quit date.
A 53 year old man has recently been diagnosed with diabetes. The provider has sent him to the nurse
for instruction about glucose monitoring at home. The patient arrives for teaching as scheduled, but
has not yet purchased the electronic monitoring device. Which of the following would be the best
nursing action at this time?
a. Assess the patient's current understanding and his interest in learning about self-monitoring his
glucose.
b. Demonstrate the procedure using the glucose-monitoring device used in the office.
c. Have the office assistant give him written materials about glucose control and schedule him to return
another day to discuss. - correct answer -a. Assess the patients current understanding and his interest
in learning about self-montoring his glucose.
Primary prevention of HIV and other sexually transmitted diseases (STDs) would include the following:
a. Use of condoms and avoidance of anonymous partners.
b. Vaccination against herpes, hepatitis and meninogococcal infections..
c. Prophylactic antibiotics for any oral sex.
d. Annual health screenings. - correct answer -a. use of condoms and avoidance of anonymous
partners.
One of the developmental considerations for teaching an adolescent is :
, a. They tend to build on past life experiences which may be relevant to the new learning.
b. They are reflecting on unsatisfactory life aspects.
c. One should anticipate negative responses, but support autonomy by involving them in decision-
making whenever possible.
d. Parents are strong role models for the development of health habits at this stage. - correct answer -
c. One should anticipate negative responses, but support autonomy by involving them in decision-
making whenever possible.
An ambulatory nurse should teach adults the importance of routine screening for which of the
following?
a. Lung cancer
b. Ovarian cancer
c. Colorectal cancer
d. bladder cancer - correct answer -c. Colorectal cancer
Legal mandates for professional nurses to educate patients include:
a. The Joint Commission's requirements
b. State's nurse practice acts.
c. American Nurses Association's standards of practice.
d. American Hospital Association's list of patient rights. - correct answer -b. State's nurse practice acts.
As an advocate for patients, an ambulatory care nurse may provide coordination of care across service
lines and venues. Patient education by the nurse related to this role may include:
a. Expressing his or her voice in the allocation of health resources.
b. Evaluating services available and applying process improvement to decrease inefficiencies and resolve
gaps.
c. Increasing outreach efforts in the community.
d. Orienting the patient to services available that may meet their needs. - correct answer -d. Orienting
the patient to services available that may meet their needs.