©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Harding/Lewis Ch. 4 Exam Practice Questions and
Answers Guaranteed Success
The nurse has assessed that a patient with newly diagnosed colon cancer does not have basic
knowledge about colon cancer. The 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:✔✔-ANS: B
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 explore and choose a treatment option.
The other goals may be appropriate as treatment progresses
After the nurse provides diet instructions for a patient with diabetes, the patient can restate the
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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 has been
fulfilled.
d. The teaching methods were ineffective in helping the patient learn about the
necessary diet changes - Ans:✔✔-ANS: B
Although the patient behavior has not changed, the patient's ability to restate 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.
The nurse plans to provide instructions about diabetes to a patient who has a low literacy
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
level. Which teaching strategies should the nurse use? (Select all that apply.)
a. Discourage use of the Internet as a source of health information.
b. Avoid asking the patient about reading abilities and level of education.
c. Provide illustrations and photographs showing various types of insulin.
d. Schedule one-to-one teaching sessions to practice insulin administration.
e. Obtain CDs and DVDs that illustrate how to perform blood glucose testing. - Ans:✔✔-ANS: C, D, E
For patients with low literacy, visual and hands-on learning techniques are most appropriate.
The nurse will need to obtain as much information as possible about the patient's reading
level in order to provide appropriate learning materials. The nurse should guide the patient to
Internet sites established by reputable heath care organizations such as the American Diabetes
Association.
A postoperative patient and caregiver need discharge teaching. Which actions included in the
teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Evaluate whether the patient and caregiver understand the teaching.
Page 3/17
FIRST PUBLISH OCTOBER 2024
Harding/Lewis Ch. 4 Exam Practice Questions and
Answers Guaranteed Success
The nurse has assessed that a patient with newly diagnosed colon cancer does not have basic
knowledge about colon cancer. The 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:✔✔-ANS: B
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 explore and choose a treatment option.
The other goals may be appropriate as treatment progresses
After the nurse provides diet instructions for a patient with diabetes, the patient can restate the
Page 1/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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 has been
fulfilled.
d. The teaching methods were ineffective in helping the patient learn about the
necessary diet changes - Ans:✔✔-ANS: B
Although the patient behavior has not changed, the patient's ability to restate 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.
The nurse plans to provide instructions about diabetes to a patient who has a low literacy
Page 2/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
level. Which teaching strategies should the nurse use? (Select all that apply.)
a. Discourage use of the Internet as a source of health information.
b. Avoid asking the patient about reading abilities and level of education.
c. Provide illustrations and photographs showing various types of insulin.
d. Schedule one-to-one teaching sessions to practice insulin administration.
e. Obtain CDs and DVDs that illustrate how to perform blood glucose testing. - Ans:✔✔-ANS: C, D, E
For patients with low literacy, visual and hands-on learning techniques are most appropriate.
The nurse will need to obtain as much information as possible about the patient's reading
level in order to provide appropriate learning materials. The nurse should guide the patient to
Internet sites established by reputable heath care organizations such as the American Diabetes
Association.
A postoperative patient and caregiver need discharge teaching. Which actions included in the
teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Evaluate whether the patient and caregiver understand the teaching.
Page 3/17
