FINALFINAL
1. A patient with newlydiagnosed colon cancer has a nursing diagnosis of deficient knowledge
about colon cancer. The nurse should initially focus on which learning goal for this patient?
a. The patient will select the most appropriate colon cancer therapy.
b. The patient will state ways of preventing the recurrence of the cancer.
c. The patient will demonstrate coping skills needed to manage the disease.
d. The patient will choose methods to minimize adverse effects of treatment.
ANS: A
2. Afterthe nurse provides dietary instructions for a patient with diabetes, the patient can explain
the information but fails to make the recommended dietary changes. How would the nurse
evaluate the patient’s situation?
a. Learning did not occur because the patient’s behavior did not change.
b. Choosing not to follow the diet is the behavior that resulted from learning.
c. The nursing responsibility for helping the patient make dietary changes has been fulfilled.
d. The teaching methods were ineffective in helping the patient learn the dietary instructions.
ANS: B
3. A patientis diagnosed with heart failure after being admitted to the hospital for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be
effective?
,a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
ANS: B
4. Apatient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is the priority action for the nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
5. A patient states,
“I told my husband I wouldn’t buy as much prepared food snacks, so I will go
the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the
Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in
which stage of change?
,a. Preparation
b. Termination
c. Maintenance
d. Contemplation
ANS: A
6. While admitting a patient to the medical unit, the nurse determines that the patient is hard
of hearing. How should the nurse use this information to plan teaching and learning
strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions.
ANS: D
7. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve
decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse,
is the best initial response?
a. “Although those are important, it is essential that you make other changes, too.”
, b. “Areyou having any difficulty in maintaining the changes you have already
made?”
c. “Which additional changes in your lifestyle would you like to implement at this time?”
d. “You have already accomplished changes that are important for the health of your heart.”
ANS: D
8. Thenurse is planning a teaching session with a patient newly diagnosed with migraine
headaches. To assess a patient’s readiness to learn, which question should the nurse ask?
a. “What kind of work and leisure activities do you do?”
b. “What information do you think you need right now?”
c. “Can you describe the types of activities that help you learn new information?”
d. “Do you have any religious beliefs that are inconsistent with the planned treatment?”
ANS: B
9. Thenurse considers a nursing diagnosis of ineffective health maintenance related to low
motivation for a patient with diabetes. Which finding would the nurse most likely use to
support this nursing diagnosis?
a. The patient does not perform capillary blood glucose tests as directed.
b. The patient occasionally forgets to take the daily prescribed medication.
1. A patient with newlydiagnosed colon cancer has a nursing diagnosis of deficient knowledge
about colon cancer. The nurse should initially focus on which learning goal for this patient?
a. The patient will select the most appropriate colon cancer therapy.
b. The patient will state ways of preventing the recurrence of the cancer.
c. The patient will demonstrate coping skills needed to manage the disease.
d. The patient will choose methods to minimize adverse effects of treatment.
ANS: A
2. Afterthe nurse provides dietary instructions for a patient with diabetes, the patient can explain
the information but fails to make the recommended dietary changes. How would the nurse
evaluate the patient’s situation?
a. Learning did not occur because the patient’s behavior did not change.
b. Choosing not to follow the diet is the behavior that resulted from learning.
c. The nursing responsibility for helping the patient make dietary changes has been fulfilled.
d. The teaching methods were ineffective in helping the patient learn the dietary instructions.
ANS: B
3. A patientis diagnosed with heart failure after being admitted to the hospital for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be
effective?
,a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
ANS: B
4. Apatient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is the priority action for the nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
5. A patient states,
“I told my husband I wouldn’t buy as much prepared food snacks, so I will go
the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the
Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in
which stage of change?
,a. Preparation
b. Termination
c. Maintenance
d. Contemplation
ANS: A
6. While admitting a patient to the medical unit, the nurse determines that the patient is hard
of hearing. How should the nurse use this information to plan teaching and learning
strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions.
ANS: D
7. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve
decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse,
is the best initial response?
a. “Although those are important, it is essential that you make other changes, too.”
, b. “Areyou having any difficulty in maintaining the changes you have already
made?”
c. “Which additional changes in your lifestyle would you like to implement at this time?”
d. “You have already accomplished changes that are important for the health of your heart.”
ANS: D
8. Thenurse is planning a teaching session with a patient newly diagnosed with migraine
headaches. To assess a patient’s readiness to learn, which question should the nurse ask?
a. “What kind of work and leisure activities do you do?”
b. “What information do you think you need right now?”
c. “Can you describe the types of activities that help you learn new information?”
d. “Do you have any religious beliefs that are inconsistent with the planned treatment?”
ANS: B
9. Thenurse considers a nursing diagnosis of ineffective health maintenance related to low
motivation for a patient with diabetes. Which finding would the nurse most likely use to
support this nursing diagnosis?
a. The patient does not perform capillary blood glucose tests as directed.
b. The patient occasionally forgets to take the daily prescribed medication.
