NU 216 FINAL EXAMS 1 & 2 Revised and Updated

A patient with newly diagnosed colon cancer has a nursing diagnosis of deficient knowledge about colon cancer. The nurse should initially focus on which learning goal for this patient? a. The patient will select the most appropri-ate colon cancer therapy. b. The patient will state ways of preventing the recurrence of the cancer. c. The patient will demonstrate coping skills needed to manage the disease. d. The patient will choose methods to mini-mize adverse effects of treatment. 2. After the nurse provides dietary instructions for a patient with diabetes, the patient can explain the information but fails to make the recommended dietary changes. How would the nurse eval-uate the patient’s situation? a. Learning did not occur because the pa-tient’s behavior did not change. b. Choosing not to follow the diet is the be-havior that resulted from learning. c. The nursing responsibility for helping the patient make dietary changes has been ful-filled. d. The teaching methods were ineffective in helping the patient learn the dietary in-structions. 3. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be ef-fective? a. Assure the patient that the nurse is an ex-pert on management of heart failure. b. Teach the patient at each meal about the amounts of sodium in various foods. c. Discuss the importance of medication control in maintenance of long-term health. d. Refer the patient to a home health nurse for instructions on diet and fluid re-strictions. 4. A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, what is the priority action for the nurse? a. Instruct about the increased risk for car-diovascular disease. b. Provide detailed information about dietary control of glucose. c. Teach glucose self-monitoring and medi-cation administration. d. Give information about the effects of ex-ercise on glucose control. 5. A patient states, “I told my husband I wouldn’t buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the Transtheoret-ical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change? a. Preparation b. Termination c. Maintenance d. Contemplation 6. While admitting a patient to the medical unit, the nurse determines that the patient is hard of hearing. How should the nurse use this information to plan teaching and learning strategies? a. Motivation and readiness to learn will be affected. b. The family must be included in the teach-ing process. c. The patient will have problems under-standing information. d. Written materials should be provided with verbal instructions. 7. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse, is the best initial response? a. “Although those are important, it is essen-tial that you make other changes, too.” b. “Are you having any difficulty in main-taining the changes you have already made?” c. “Which additional changes in your life-style would you like to implement at this time?” d. “You have already accomplished changes that are important for the health of your heart.”