Chapter 04: Patient and Caregiver Teaching Harding: Lewis’s Medical-Surgical Nursing, 12th Edition

Chapter 04: Patient and Caregiver Teaching Harding: Lewis’s Medical-Surgical Nursing, 12th Edition MULTIPLE CHOICE 1. The nurse has assessed that a patient does not have basic knowledge about their newlydiagnosed colon cancer. Which learning goal would the nurse focus on initially for this patient? A. The patient will state ways of preventing cancer recurrence. B. The patient will explore and select an appropriate 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 2. After the nurse provides diet instructions for a patient with diabetes, the patient can restate the information but does not make the 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 is finished. D. The teaching methods were ineffective in helping the patient learn about the diet. ANS: B 3. 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 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 4. A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes is scheduled for discharge the second day after admission. Which action is the priority for the nurse? A. Provide detailed information about dietary control of glucose. B. Demonstrate blood glucose monitoring and insulin administration. C. Give information about the effects of exercise on glucose control. D. Instruct about the risk for cardiovascular disease with hyperglycemia.