NUR390 / NUR 390 EXAM 2 Questions and Answers | Nursing Care of Adult I | Latest Updated 2026/2027 | Graded A+ (Concordia, St. Paul )

NUR390 / NUR 390 EXAM 2 Questions and Answers | Nursing Care of Adult I | Latest Updated 2026/2027 | GradA patient states, "I told my husband I will go the grocery store to buy fresh fruit, vegetables, and whole grains instead of prepared food snacks." Which stage of the Transtheoretical Model of Health Behavior Change would the nurse identify based on this statement? a. Preparation b. Termination c. Maintenance d. Contemplation Answer a. Preparation A patient who is obese states, "I've recently decreased my fat intake, and I've stopped smoking." Which initial response would the nurse make? a. "Although those are important, it is essential that you make other changes." b. "You have accomplished changes that are important for the health of your heart." c. "Are you having any difficulty in maintaining the changes you have already made?" d. "Which additional changes in your lifestyle would you like to implement at this time?" Answer b. "You have accomplished changes that are important for the health of your heart." The nurse is planning a teaching session with a patient who is newly diagnosed with migraine headaches. To assess the patient's readiness to learn, which question should the nurse ask first? a. "What kind of work and leisure activities do you do?" b. "What information do you think you need right now?" c. "Can you describe the types of activities that help you learn new information?" d. "Do you have any cultural beliefs that are inconsistent with the planned treatment?" b. "What information do you think you need right now?" A patient with diabetic neuropathy requires teaching about foot care. Which learning goal would the nurse include in the teaching plan? a. The nurse will demonstrate the proper technique for trimming toenails b. The patient will list three ways to protect the feet from injury by discharge c. The nurse will instruct the patient on appropriate foot care before discharge d. The patient will understand the rationale for proper foot care after instruction Answer b. The patient will list three ways to protect the feet from injury by discharge While admitting a patient to the medical unit, the nurse determines that the patient has a hearing impairment. How would the nurse use this information to plan teaching and learning strategies? a. Expect that motivation and readiness to learn will be impaired b. Determine that the family must be included in the teaching process c. Expect that the patient will have problems understanding information d. Arrange that written materials will be provided with verbal instructions Answer d. Arrange that written materials will be provided with verbal instructions Which teaching strategy would be most effective for a patient who needs to learn how to instill eyedrops? a. Peer teaching b. Lecture-discussion c. Printed instructions d. Return demonstration Answer d. Return demonstration The nurse has assessed that a patient does not have basic knowledge about their newly diagnosed 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. Answer b. The patient will explore and select an appropriate cancer therapy. The nurse and the patient who is diagnosed with hypertension developed this goal: "The patient will select a 2-g sodium diet from the hospital menu for 3 days." Which evaluation method will the nurse use to determine whether teaching was effective? a. Have the patient list substitutes for favorite foods that are high in sodium. b. Check the sodium content of the patient's menu choices over the next 3 days. c. Compare the patient's sodium intake before and after the teaching was implemented. d. Ask the patient to identify which foods on the hospital menus are high ni sodium for 3 days in a row. Answer b. Check the sodium content of the patient's menu choices over the next 3 days. The nurse is preparing written handouts as part of the standardized teaching plan for patients newly diagnosed with diabetes. Which statement is written at a level appropriate to include in the handouts? a. Polyphagia, polydipsia, and polyuria are common symptoms of diabetes. b. Eating the right foods can help keep blood glucose at a near-normal level. c. Some patients with diabetes control blood glucose with oral medications, injections, or dietary interventions. d. Diabetes is characterized by chronic hyperglycemia and the associated symptoms that can lead to long-term complications. Answer b. Eating the right foods can help keep blood glucose at a near-normal level. The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities. How would the nurse evaluate the patient's long-term response to the teaching? a. Make a referral to the home health nursing agency for home visit assessments. b. Have the patient demonstrate the learned skills at the end of the teaching session. c. Arrange a physical therapy visit before the patient is discharged from the hospital. d. Check the patient's ability to bathe and get dressed without assistance the next day. Answer a. Make a referral to the home health nursing agency for home visit assessments. A patient who smokes a pack of cigarettes per day tells the nurse, "I enjoy smoking and have no plans to quit." Which stage of the Transtheoretical Model of Health Behavior Change would the nurse identify based on this statement? a. Precontemplation b. Contemplation c. Maintenance d. Termination Answer a. Precontemplation 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. Answer b. Choosing not to follow the diet is the behavior that resulted from learninged A+ (Concordia, St. Paul )