Ambulatory nurse certification
exam/38 Questions and Answers.
The nursing process is foundational to the process of patient education.
Which of the following describes the evaluation phase of patient education?
a. Tailoring teaching, learning strategies, and interventions.
b. Measuring learning attained and level of self-efficacy.
c. Determining readiness to learn and learning needs?
d. Mutually setting goals and outcomes expected. - -B. Measuring learning
attained and level of self-efficacy
-For patients with chronic pain, educational interventions should include:
a. Masking nonverbal indications of pain to reduce the anxiety of their family
and other caregivers.
b. Learning to tolerate mild to moderate pain without interventions to avoid
addiction to pain medications.
c. Recognizing distraction and relaxation techniques are rarely helpful in
reducing pain significantly.
d. Understanding the length of action of various medications and which can
be taken together or alternately. - -D. Understanding the length of action of
various medications and which can be taken together or alternately.
-Patients with chronic illnesses need to develop the ability to deal with all
the disease and its treatment entail. Core skills for chronic disease self-
management include:
a. Understanding the evidence-based guidelines.
b. Becoming familiar with community and Internet resources.
c. Problem solving, decision making, and taking actions.
d. Focusing on the health issues that contribute to emergency department
visits or hospitalizations. - -C. Problem-solving, decision making and taking
actions.
-The Patient Protection and Affordable Care Act of 2010 (PPACA) encourages
health care providers to focus on efforts such as implementing evidence-
based educational programs and encourage patient self-efficacy. What is the
best definition of patient self-efficacy?
a. The patient plays a central role in preventing and managing his or her
illness.
b. Health plans cover preventive services and wellness care, making them
more affordable to patients.
c. Nurses and other providers of health care are responsible for reinforcing
patients' and families' responsibility for health care.
, d. The patient's perception of his or her own ability to attain health care
goals. - -d. The patients perception of his or her own ability to attain health
care goals.
-The Centers for Disease Control recently set a goal to reduce the number of
unintended pregnancies in the United States by 30% in the next few years.
Nurses providing counseling should consider for the following:
a. Unintended pregnancies are most common in women in their 20's.
b. All contraceptive methods also protect against sexually transmitted
diseases.
c. Cultural and ethnic beliefs may affect family planning options.
d. With sufficient education about the contraceptive method chosen, follow-
up may not be necessary. - -c. Cultural and ethnic beliefs may affect family
planning options.
-In counseling about childhood or adolescent drinking, which of the following
should be considered?
a. The physical and psychological effects of alcohol use.
b. Consumption of alcohol during pregnancy can lead to severe physical and
mental problems for the infant.
c. Risky drinking has been defined as more than four drinks per occasion for
males and more than three drinks per occasion for females.
d. Speaking frequently with a child about drinking is likely to alienate him or
her and may have a negative rather than positive effect on behavior. - -a.
The physical and psychological effects of alcohol use.
-Childhood obesity has become a national health problem in the United
States. Topics important to include in counseling for the parents of school-
aged children include:
a. Diets high in energy are also high in nutritional value.
b. Provide a variety of foods, including grains, fruits, and vegetables.
c. School-aged children will automatically choose the right nutrients for
themselves if they see their parents and other role models doing so.
d. A multivitamin is important to supplement a child's diet at this age. - -b.
Provide a variety of foods, including grains, fruits, and vegetables.
-Mr. McIntire is a 37 year old patient who has a 25 pack a year history of
smoking. Today, he has told his physician he is ready to quit. Ryan, the
ambulatory care nurse, has been asked to assist Mr. McIntire. Which of the
following describes a potential method to assist this patient to quit smoking?
a. Explain that relapsing is part of the process.
b. Advise Mr. McIntire about the harms of smoking, which impact nearly
every organ in the body.
c. Set specific goals and a quit date.
d. Use motivational interviewing to help him understand his ambivalence
about quitting. - -c. Set specific goals and a quit date.
exam/38 Questions and Answers.
The nursing process is foundational to the process of patient education.
Which of the following describes the evaluation phase of patient education?
a. Tailoring teaching, learning strategies, and interventions.
b. Measuring learning attained and level of self-efficacy.
c. Determining readiness to learn and learning needs?
d. Mutually setting goals and outcomes expected. - -B. Measuring learning
attained and level of self-efficacy
-For patients with chronic pain, educational interventions should include:
a. Masking nonverbal indications of pain to reduce the anxiety of their family
and other caregivers.
b. Learning to tolerate mild to moderate pain without interventions to avoid
addiction to pain medications.
c. Recognizing distraction and relaxation techniques are rarely helpful in
reducing pain significantly.
d. Understanding the length of action of various medications and which can
be taken together or alternately. - -D. Understanding the length of action of
various medications and which can be taken together or alternately.
-Patients with chronic illnesses need to develop the ability to deal with all
the disease and its treatment entail. Core skills for chronic disease self-
management include:
a. Understanding the evidence-based guidelines.
b. Becoming familiar with community and Internet resources.
c. Problem solving, decision making, and taking actions.
d. Focusing on the health issues that contribute to emergency department
visits or hospitalizations. - -C. Problem-solving, decision making and taking
actions.
-The Patient Protection and Affordable Care Act of 2010 (PPACA) encourages
health care providers to focus on efforts such as implementing evidence-
based educational programs and encourage patient self-efficacy. What is the
best definition of patient self-efficacy?
a. The patient plays a central role in preventing and managing his or her
illness.
b. Health plans cover preventive services and wellness care, making them
more affordable to patients.
c. Nurses and other providers of health care are responsible for reinforcing
patients' and families' responsibility for health care.
, d. The patient's perception of his or her own ability to attain health care
goals. - -d. The patients perception of his or her own ability to attain health
care goals.
-The Centers for Disease Control recently set a goal to reduce the number of
unintended pregnancies in the United States by 30% in the next few years.
Nurses providing counseling should consider for the following:
a. Unintended pregnancies are most common in women in their 20's.
b. All contraceptive methods also protect against sexually transmitted
diseases.
c. Cultural and ethnic beliefs may affect family planning options.
d. With sufficient education about the contraceptive method chosen, follow-
up may not be necessary. - -c. Cultural and ethnic beliefs may affect family
planning options.
-In counseling about childhood or adolescent drinking, which of the following
should be considered?
a. The physical and psychological effects of alcohol use.
b. Consumption of alcohol during pregnancy can lead to severe physical and
mental problems for the infant.
c. Risky drinking has been defined as more than four drinks per occasion for
males and more than three drinks per occasion for females.
d. Speaking frequently with a child about drinking is likely to alienate him or
her and may have a negative rather than positive effect on behavior. - -a.
The physical and psychological effects of alcohol use.
-Childhood obesity has become a national health problem in the United
States. Topics important to include in counseling for the parents of school-
aged children include:
a. Diets high in energy are also high in nutritional value.
b. Provide a variety of foods, including grains, fruits, and vegetables.
c. School-aged children will automatically choose the right nutrients for
themselves if they see their parents and other role models doing so.
d. A multivitamin is important to supplement a child's diet at this age. - -b.
Provide a variety of foods, including grains, fruits, and vegetables.
-Mr. McIntire is a 37 year old patient who has a 25 pack a year history of
smoking. Today, he has told his physician he is ready to quit. Ryan, the
ambulatory care nurse, has been asked to assist Mr. McIntire. Which of the
following describes a potential method to assist this patient to quit smoking?
a. Explain that relapsing is part of the process.
b. Advise Mr. McIntire about the harms of smoking, which impact nearly
every organ in the body.
c. Set specific goals and a quit date.
d. Use motivational interviewing to help him understand his ambivalence
about quitting. - -c. Set specific goals and a quit date.
