Chapter 04: Patient and Caregiver
Teaching
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
MULTIPLE CHOICE
1. A patient with newly diagnosed 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
Adults learn best when given information that can be used immediately. The first
action the patient will need to take after a cancer diagnosis is to choose a
treatment option. The other goals may be appropriate as treatment progresses.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
2. A patient is 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
Principles of adult education indicate that readiness and motivation to learn are
high when facing new tasks (such as learning about the sodium amounts in
various food items) and when demonstration and practice of skills are available.
Although a home health referral may be needed for this patient, teaching should
not be postponed until discharge. Adult learners are independent. The nurse
should act as a facilitator for learning, rather than as the expert. Adults learn best
when the topic is of immediate usefulness. Long-term goals may not be very
, motivating.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
3. After the 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 patients situation?
a. Learning did not occur because the patients 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
Although the patient behavior has not changed, the patients ability to explain the
information indicates that learning has occurred and the patient is choosing at this
time not to change the diet. The patient may be in the contemplation or
preparation stage in the Transtheoretical Model. The nurse should reinforce the
need for change and continue to provide information and assistance with planning
for change.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and
Maintenance
4. A patient 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
When time is limited, the nurse should focus on the priorities of teaching. In this
situation, the patient should know how to test blood glucose and administer
medications to control glucose levels. The patient will need further teaching about
the role of diet, exercise, various medications, and the many potential
complications of diabetes, but these topics can be addressed through planning for
appropriate referrals.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
Teaching
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
MULTIPLE CHOICE
1. A patient with newly diagnosed 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
Adults learn best when given information that can be used immediately. The first
action the patient will need to take after a cancer diagnosis is to choose a
treatment option. The other goals may be appropriate as treatment progresses.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
2. A patient is 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
Principles of adult education indicate that readiness and motivation to learn are
high when facing new tasks (such as learning about the sodium amounts in
various food items) and when demonstration and practice of skills are available.
Although a home health referral may be needed for this patient, teaching should
not be postponed until discharge. Adult learners are independent. The nurse
should act as a facilitator for learning, rather than as the expert. Adults learn best
when the topic is of immediate usefulness. Long-term goals may not be very
, motivating.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
3. After the 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 patients situation?
a. Learning did not occur because the patients 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
Although the patient behavior has not changed, the patients ability to explain the
information indicates that learning has occurred and the patient is choosing at this
time not to change the diet. The patient may be in the contemplation or
preparation stage in the Transtheoretical Model. The nurse should reinforce the
need for change and continue to provide information and assistance with planning
for change.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and
Maintenance
4. A patient 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
When time is limited, the nurse should focus on the priorities of teaching. In this
situation, the patient should know how to test blood glucose and administer
medications to control glucose levels. The patient will need further teaching about
the role of diet, exercise, various medications, and the many potential
complications of diabetes, but these topics can be addressed through planning for
appropriate referrals.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
