Test Bank For Lewis's Medical-Surgical Nursing:
Assessment and Management of Clinical Problems 12th
Edition By Marianne M. Harding, Jeffrey Kwong, Debra
Hagler
What are the general goals of patient teaching? - ANSWER: include health
promotion, disease prevention, management of illness, and appropriate selection
and use of treatment options
What are some of the adult learning principles applied to patient teaching? -
ANSWER: - need to know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
Stages of change in Transtheoretical Model - ANSWER: - pre contemplation
- contemplation
- preparation
- action
- maintenance
- termination
Stage 1: Pre-contemplation - ANSWER: Patient Behavior: Is not considering a change.
Is not ready to learn.
Nursing Implication: Provide support, increase awareness of condition. Describe
benefits of change and risks of not changing.
Stage 2: Contemplation - ANSWER: Patient Behavior: Thinks about a change. May
verbalize recognition of need to change. Says "I know I should," but identifies barrier
Nursing Implication: Introduce what is involved in changing the behavior. Reinforce
the stated need to change.
Stage 3: Preparation - ANSWER: Patient Behavior: Starts planning the change,
gathers information, sets a date to initiate change, shares decision to change with
others.
Nursing Implication: Reinforce the positive outcomes of change, provide information
and encouragement, develop a plan, help set priorities, and identify sources of
support.
, Stage 4: Action - ANSWER: Patient Behavior: Begins to change behavior through
practice. Tentative and may experience relapses.
Nursing Implication: Reinforce behavior with reward, encourage self-reward, discuss
choices to help minimize relapses and regain focus. Help patient plan to deal with
potential relapses.
Stage 5: Maintenance - ANSWER: Patient Behavior: Practices the behavior regularly.
Able to sustain the change.
Nursing Implication: Continue to reinforce behavior. Provide additional teaching on
the need to maintain change.
Stage 6: Termination - ANSWER: Patient Behavior: Change has become part of
lifestyle. Behavior no longer considered a change.
Nursing Implication: Evaluate effectiveness of the new behavior. No further
intervention needed.
Assessment of Caregiver Needs - ANSWER: 1. How are you coping with your
caregiver role?
2. Do you have any difficulties performing your caregiver responsibilities?
3. How much support do you get from outside sources (e.g., other family members,
friends)?
4. Are you aware of and do you use community resources (e.g., disease-specific
professional organizations [such as Alzheimer's Association, American Heart
Association], adult day care centers, church, synagogue)?
5. Do you know about resources that are available for respite (someone caring for
your loved one while you have time to yourself)?
6. What kind of help or services do you need now and in the near future?
7. How can I or other health care providers help you in your caregiving role?
Physical factors affecting patient teaching - ANSWER: • What is the patient's age?
• Is the patient acutely ill?
• Is the patient fatigued or in pain?
• What is the primary diagnosis?
• Are there additional medical problems?
• What is the patient's current mental status?
• What is the patient's hearing ability? Visual ability? Motor ability?
• What drugs does the patient take that may affect learning?
Psychologic factors affecting patient teaching - ANSWER: • Does the patient appear
anxious, afraid, depressed, defensive?
• Is the patient in a state of denial?
• What is the patient's level of motivation? Self-efficacy?
Assessment and Management of Clinical Problems 12th
Edition By Marianne M. Harding, Jeffrey Kwong, Debra
Hagler
What are the general goals of patient teaching? - ANSWER: include health
promotion, disease prevention, management of illness, and appropriate selection
and use of treatment options
What are some of the adult learning principles applied to patient teaching? -
ANSWER: - need to know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
Stages of change in Transtheoretical Model - ANSWER: - pre contemplation
- contemplation
- preparation
- action
- maintenance
- termination
Stage 1: Pre-contemplation - ANSWER: Patient Behavior: Is not considering a change.
Is not ready to learn.
Nursing Implication: Provide support, increase awareness of condition. Describe
benefits of change and risks of not changing.
Stage 2: Contemplation - ANSWER: Patient Behavior: Thinks about a change. May
verbalize recognition of need to change. Says "I know I should," but identifies barrier
Nursing Implication: Introduce what is involved in changing the behavior. Reinforce
the stated need to change.
Stage 3: Preparation - ANSWER: Patient Behavior: Starts planning the change,
gathers information, sets a date to initiate change, shares decision to change with
others.
Nursing Implication: Reinforce the positive outcomes of change, provide information
and encouragement, develop a plan, help set priorities, and identify sources of
support.
, Stage 4: Action - ANSWER: Patient Behavior: Begins to change behavior through
practice. Tentative and may experience relapses.
Nursing Implication: Reinforce behavior with reward, encourage self-reward, discuss
choices to help minimize relapses and regain focus. Help patient plan to deal with
potential relapses.
Stage 5: Maintenance - ANSWER: Patient Behavior: Practices the behavior regularly.
Able to sustain the change.
Nursing Implication: Continue to reinforce behavior. Provide additional teaching on
the need to maintain change.
Stage 6: Termination - ANSWER: Patient Behavior: Change has become part of
lifestyle. Behavior no longer considered a change.
Nursing Implication: Evaluate effectiveness of the new behavior. No further
intervention needed.
Assessment of Caregiver Needs - ANSWER: 1. How are you coping with your
caregiver role?
2. Do you have any difficulties performing your caregiver responsibilities?
3. How much support do you get from outside sources (e.g., other family members,
friends)?
4. Are you aware of and do you use community resources (e.g., disease-specific
professional organizations [such as Alzheimer's Association, American Heart
Association], adult day care centers, church, synagogue)?
5. Do you know about resources that are available for respite (someone caring for
your loved one while you have time to yourself)?
6. What kind of help or services do you need now and in the near future?
7. How can I or other health care providers help you in your caregiving role?
Physical factors affecting patient teaching - ANSWER: • What is the patient's age?
• Is the patient acutely ill?
• Is the patient fatigued or in pain?
• What is the primary diagnosis?
• Are there additional medical problems?
• What is the patient's current mental status?
• What is the patient's hearing ability? Visual ability? Motor ability?
• What drugs does the patient take that may affect learning?
Psychologic factors affecting patient teaching - ANSWER: • Does the patient appear
anxious, afraid, depressed, defensive?
• Is the patient in a state of denial?
• What is the patient's level of motivation? Self-efficacy?
