Chapter 06: Patient Education and Drug Therapy Lilley: Pharmacology
and the Nursing Process, 10th Edition
1. During an admission assessment, the nurse discovers that the patient does not
speak English. Which is considered the ideal resource for translation?
A. A family member of the patient
B. A close family friend of the patient
C. A translator who does not know the patient
D. Prewritten note cards with both English and the patient’s language
Answer: C
Explanation: A professional translator who is not personally acquainted with the patient
minimizes risks of bias, misinterpretation, and breaches of confidentiality, which can occur
when using family members or friends.
2. A patient with a new prescription for a diuretic has just reviewed with the nurse
how to include more potassium in her diet. This reflects learning in which
domain?
A. Cognitive
B. Affective
C. Physical
D. Psychomotor
Answer: A
Explanation: The cognitive domain involves knowledge and problem-solving, such as
learning and recalling dietary information. The affective domain relates to values and beliefs,
and the psychomotor domain involves physical skills. "Physical" is not a learning domain.
3. The nurse is reviewing the teaching plan for a clinic patient who was seen for a
sinus infection. Which of these outcomes reflect the affective domain of learning?
A. The patient will take the prescribed antibiotic for the full 14 days of the
prescription.
B. The patient will demonstrate correct nasal spray self-administration.
C. The patient will list signs and symptoms that need to be reported immediately if
they occur.
D. The patient will list measures to take to reduce allergy triggers at home.
Answer: A
Explanation: The affective domain involves conduct that expresses feelings, needs, beliefs,
values, and opinions. Adhering to a medication regimen reflects a value or commitment,
,which is part of the affective domain. Demonstrating a skill is psychomotor, and listing
information is cognitive.
4. A 60-year-old patient is on several new medications and expresses worry that she
will forget to take her pills. Which action by the nurse would be most helpful in
this situation?
A. Teaching effective coping strategies
B. Asking the patient’s prescriber to reduce the number of drugs prescribed
C. Assuring the patient that she will not forget once she is accustomed to the routine
D. Assisting the patient with obtaining and learning to use a calendar or pill container
Answer: D
Explanation: Providing practical tools like a calendar or pill container helps the patient
organize and remember her medication schedule. This is a direct and effective intervention.
The other options are either inappropriate or provide false reassurance.
5. When the nurse teaches a skill such as self-injection of insulin to the patient,
what is the best way to set up the teaching/learning session?
A. Provide written pamphlets for instruction.
B. Show a video, and allow the patient to practice as needed on his own.
C. Verbally explain the procedure, and provide written handouts for reinforcement.
D. After demonstrating the procedure, allow the patient to do several return
demonstrations.
Answer: D
Explanation: Return demonstration allows the nurse to observe the patient's technique,
provide immediate feedback, and evaluate the patient's competency in performing the
psychomotor skill. The other options do not allow for direct evaluation of the patient's ability.
6. During a nursing assessment, which question by the nurse allows for greater
clarification and additional discussion with the patient?
A. "Are you allergic to iodine?"
B. "What type of reaction did you have to penicillin?"
C. "Have you had a reaction to this drug?"
D. "Are you taking this medication with meals?"
Answer: B
Explanation: "What type of reaction did you have?" is an open-ended question that
encourages the patient to provide detailed information, facilitating further discussion. The
other options are closed-ended questions that typically yield only "yes" or "no" answers.
, 7. The nurse is developing a care plan for a patient who will be self-administering a
metered-dose inhaler. Which statement reflects a measurable outcome?
A. The patient will know about self-administration of a metered-dose inhaler.
B. The patient will understand the principles of self-administration of a metered-dose
inhaler.
C. The patient will demonstrate the proper technique of self-administering a metered-
dose inhaler.
D. The patient will comprehend the proper technique of self-administering a metered-
dose inhaler.
Answer: C
Explanation: The verb "demonstrate" is a measurable and observable action. Terms like
"know," "understand," and "comprehend" are not measurable because they represent internal
states that cannot be directly observed or evaluated.
8. The nurse is setting up a teaching session with an 85-year-old patient who will be
going home on anticoagulant therapy. Which educational strategy would reflect
consideration of the age-related changes that may exist with this patient?
A. Show a video about anticoagulation therapy.
B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.
D. Develop large-print handouts that reflect the verbal information presented.
Answer: D
Explanation: Large-print handouts address potential age-related decreases in visual acuity.
Reinforcing verbal instructions with written aids also helps compensate for possible hearing
loss. The other strategies do not adequately accommodate common age-related sensory or
cognitive changes.
9. Which are appropriate considerations when the nurse is assessing the learning
needs of a patient? (Select all that apply.)
A. Cultural background
B. Family history
C. Level of education
D. Readiness to learn
E. Health beliefs
Answer: A, C, D, E
Explanation: A patient's cultural background, level of education, readiness to learn, and
health beliefs directly influence how they receive and process educational information.
and the Nursing Process, 10th Edition
1. During an admission assessment, the nurse discovers that the patient does not
speak English. Which is considered the ideal resource for translation?
A. A family member of the patient
B. A close family friend of the patient
C. A translator who does not know the patient
D. Prewritten note cards with both English and the patient’s language
Answer: C
Explanation: A professional translator who is not personally acquainted with the patient
minimizes risks of bias, misinterpretation, and breaches of confidentiality, which can occur
when using family members or friends.
2. A patient with a new prescription for a diuretic has just reviewed with the nurse
how to include more potassium in her diet. This reflects learning in which
domain?
A. Cognitive
B. Affective
C. Physical
D. Psychomotor
Answer: A
Explanation: The cognitive domain involves knowledge and problem-solving, such as
learning and recalling dietary information. The affective domain relates to values and beliefs,
and the psychomotor domain involves physical skills. "Physical" is not a learning domain.
3. The nurse is reviewing the teaching plan for a clinic patient who was seen for a
sinus infection. Which of these outcomes reflect the affective domain of learning?
A. The patient will take the prescribed antibiotic for the full 14 days of the
prescription.
B. The patient will demonstrate correct nasal spray self-administration.
C. The patient will list signs and symptoms that need to be reported immediately if
they occur.
D. The patient will list measures to take to reduce allergy triggers at home.
Answer: A
Explanation: The affective domain involves conduct that expresses feelings, needs, beliefs,
values, and opinions. Adhering to a medication regimen reflects a value or commitment,
,which is part of the affective domain. Demonstrating a skill is psychomotor, and listing
information is cognitive.
4. A 60-year-old patient is on several new medications and expresses worry that she
will forget to take her pills. Which action by the nurse would be most helpful in
this situation?
A. Teaching effective coping strategies
B. Asking the patient’s prescriber to reduce the number of drugs prescribed
C. Assuring the patient that she will not forget once she is accustomed to the routine
D. Assisting the patient with obtaining and learning to use a calendar or pill container
Answer: D
Explanation: Providing practical tools like a calendar or pill container helps the patient
organize and remember her medication schedule. This is a direct and effective intervention.
The other options are either inappropriate or provide false reassurance.
5. When the nurse teaches a skill such as self-injection of insulin to the patient,
what is the best way to set up the teaching/learning session?
A. Provide written pamphlets for instruction.
B. Show a video, and allow the patient to practice as needed on his own.
C. Verbally explain the procedure, and provide written handouts for reinforcement.
D. After demonstrating the procedure, allow the patient to do several return
demonstrations.
Answer: D
Explanation: Return demonstration allows the nurse to observe the patient's technique,
provide immediate feedback, and evaluate the patient's competency in performing the
psychomotor skill. The other options do not allow for direct evaluation of the patient's ability.
6. During a nursing assessment, which question by the nurse allows for greater
clarification and additional discussion with the patient?
A. "Are you allergic to iodine?"
B. "What type of reaction did you have to penicillin?"
C. "Have you had a reaction to this drug?"
D. "Are you taking this medication with meals?"
Answer: B
Explanation: "What type of reaction did you have?" is an open-ended question that
encourages the patient to provide detailed information, facilitating further discussion. The
other options are closed-ended questions that typically yield only "yes" or "no" answers.
, 7. The nurse is developing a care plan for a patient who will be self-administering a
metered-dose inhaler. Which statement reflects a measurable outcome?
A. The patient will know about self-administration of a metered-dose inhaler.
B. The patient will understand the principles of self-administration of a metered-dose
inhaler.
C. The patient will demonstrate the proper technique of self-administering a metered-
dose inhaler.
D. The patient will comprehend the proper technique of self-administering a metered-
dose inhaler.
Answer: C
Explanation: The verb "demonstrate" is a measurable and observable action. Terms like
"know," "understand," and "comprehend" are not measurable because they represent internal
states that cannot be directly observed or evaluated.
8. The nurse is setting up a teaching session with an 85-year-old patient who will be
going home on anticoagulant therapy. Which educational strategy would reflect
consideration of the age-related changes that may exist with this patient?
A. Show a video about anticoagulation therapy.
B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.
D. Develop large-print handouts that reflect the verbal information presented.
Answer: D
Explanation: Large-print handouts address potential age-related decreases in visual acuity.
Reinforcing verbal instructions with written aids also helps compensate for possible hearing
loss. The other strategies do not adequately accommodate common age-related sensory or
cognitive changes.
9. Which are appropriate considerations when the nurse is assessing the learning
needs of a patient? (Select all that apply.)
A. Cultural background
B. Family history
C. Level of education
D. Readiness to learn
E. Health beliefs
Answer: A, C, D, E
Explanation: A patient's cultural background, level of education, readiness to learn, and
health beliefs directly influence how they receive and process educational information.
