Medical-Surgical Nursing Lewis Chapter 4
Exam Questions with correct Answers
2025/2026 A+ Graded 100% Verified
What are the general goals of patient teaching? - ANS-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? - ANS-- need to
know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
Stages of change in Transtheoretical Model - ANS-- pre contemplation
- contemplation
- preparation
- action
- maintenance
- termination
Stage 1: Pre-contemplation - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-• 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 - ANS-• 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?
Exam Questions with correct Answers
2025/2026 A+ Graded 100% Verified
What are the general goals of patient teaching? - ANS-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? - ANS-- need to
know
- readiness to learn
- prior experience
- motivation to learn
- orientation to learning
- self concept
Stages of change in Transtheoretical Model - ANS-- pre contemplation
- contemplation
- preparation
- action
- maintenance
- termination
Stage 1: Pre-contemplation - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-• 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 - ANS-• 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?
