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Exam View - CH0004 Harding 11e TB
concept of adult health (Rockford University)
, Chapter 04: Patient and Caregiver Teaching
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse has assessed that a patient with newly diagnosed colon cancer does not have basic knowledg
nurse should initially focus on which learning goal for this patient?
a. The patient will state ways of preventing the recurrence of the cancer.
b. The patient will explore and select an appropriate colon cancer therapy.
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: B
Adults learn best when given information that can be used immediately. The first action the patient wil
diagnosis is to explore and choose a treatment option. The other goals may be appropriate as treatment
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
2. After the nurse provides diet instructions for a patient with diabetes, the patient can restate the informa
recommended diet changes. How would the nurse evaluate this outcome?
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 nurse’s responsibility for helping the patient make diet changes has been
fulfilled.
d. The teaching methods were ineffective in helping the patient learn about the
necessary diet changes.
ANS: B
Although the patient behavior has not changed, the patient’s ability to restate the information indicates
and the patient is choosing at this time not to change the diet. The patient may be in the contemplation
transtheoretical model. The nurse should reinforce the need for change and continue to provide inform
planning for change.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
3. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and
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. Delay teaching until the patient is seen by a home health nurse after discharge.
c. Discuss the importance of medication control to avoid long-term complications.
d. Explain to the patient at each meal about the amounts of sodium in various foods.
ANS: D
Principles of adult education indicate that readiness and motivation to learn are high when facing new t
sodium amounts in various food items) and when demonstration and practice of skills are available. Al
referral may be needed for this patient, teaching should not be postponed until discharge. Adult learner
should act as a facilitator for learning, rather than as the expert. Adults learn best when the topic is of i
Long-term goals may not be very motivating.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
4. A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes is sched
day after admission. When implementing patient teaching, what is the priority action for the nurse?
a. Provide detailed information about dietary control of glucose.
b. Teach glucose self-monitoring and medication administration.
c. Give information about the effects of exercise on glucose control.
Exam View - CH0004 Harding 11e TB
concept of adult health (Rockford University)
, Chapter 04: Patient and Caregiver Teaching
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse has assessed that a patient with newly diagnosed colon cancer does not have basic knowledg
nurse should initially focus on which learning goal for this patient?
a. The patient will state ways of preventing the recurrence of the cancer.
b. The patient will explore and select an appropriate colon cancer therapy.
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: B
Adults learn best when given information that can be used immediately. The first action the patient wil
diagnosis is to explore and choose a treatment option. The other goals may be appropriate as treatment
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
2. After the nurse provides diet instructions for a patient with diabetes, the patient can restate the informa
recommended diet changes. How would the nurse evaluate this outcome?
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 nurse’s responsibility for helping the patient make diet changes has been
fulfilled.
d. The teaching methods were ineffective in helping the patient learn about the
necessary diet changes.
ANS: B
Although the patient behavior has not changed, the patient’s ability to restate the information indicates
and the patient is choosing at this time not to change the diet. The patient may be in the contemplation
transtheoretical model. The nurse should reinforce the need for change and continue to provide inform
planning for change.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
3. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and
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. Delay teaching until the patient is seen by a home health nurse after discharge.
c. Discuss the importance of medication control to avoid long-term complications.
d. Explain to the patient at each meal about the amounts of sodium in various foods.
ANS: D
Principles of adult education indicate that readiness and motivation to learn are high when facing new t
sodium amounts in various food items) and when demonstration and practice of skills are available. Al
referral may be needed for this patient, teaching should not be postponed until discharge. Adult learner
should act as a facilitator for learning, rather than as the expert. Adults learn best when the topic is of i
Long-term goals may not be very motivating.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
4. A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes is sched
day after admission. When implementing patient teaching, what is the priority action for the nurse?
a. Provide detailed information about dietary control of glucose.
b. Teach glucose self-monitoring and medication administration.
c. Give information about the effects of exercise on glucose control.
