Chapter 5 Patient Education to Promote Health

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Chapter 5  Patient Education to Promote Health

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse is educating a 13-year-old boy newly diagnosed with diabetes and his parents about diet and glucose monitoring. Which domain of learning is represented when the patient expresses concern about feeling different from his peers?
a.
Cognitive
b.
Psychomotor
c.
Affective
d.
Learning style

ANS: C
The affective domain is characterized by conduct that expresses feelings, needs, beliefs, values, and opinions. The cognitive domain relates to basic factual knowledge. The psychomotor domain relates to kinesthetic knowledge, implemented in performance and skills requiring coordination. Learning style is not one of the three domains of learning.

DIF: Cognitive Level: Comprehension REF: p. 48 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment

2. The nurse has taught a patient’s spouse to administer an injectable medication. After the spouse completed a return demonstration of the injection in the hospital, the nurse does not feel confident that this can be carried out independently at home and requests referral for a home health nurse. The nurse is using which phase of the nursing process?
a.
Assessment
b.
Implementation
c.
Planning
d.
Evaluation

ANS: D
The nurse has evaluated the injection technique of the patient’s spouse and determines additional instruction is needed. The nurse is not assessing the situation because she is not at the beginning of the process. The nurse is past implementation in the timeline of the process. The nurse has already planned and implemented interventions.

DIF: Cognitive Level: Application REF: p. 46 OBJ: 6
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment

3. In preparing for health teaching with a patient who has an auditory learning style, which would be most appropriate?
a.
Pamphlets from a pharmaceutical company
b.
Models of equipment used in a procedure
c.
Verbal description of the steps of a procedure
d.
A workbook with space to record actions and results

ANS: C
Hearing the nurse present the information optimizes the patient’s perception of the data. Pamphlets from a pharmaceutical company or a workbook would be suitable for a patient who has a visual learning style. Models of equipment would be suitable for a patient with a psychomotor learning style.

DIF: Cognitive Level: Analysis REF: p. 49 | p. 53 OBJ: 3
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment

4. Which is the most intangible portion of the learning process?
a.
Cognitive
b.
Affective
c.
Psychomotor
d.
Eminent

ANS: B
The affective domain concerns feelings, needs, beliefs, values, and opinions. The cognitive domain is the level at which basic knowledge is learned and stored; it is the thinking portion of the learning process. The psychomotor domain involves learning new procedures or skills; it is often referred to as the “doing domain.” Eminent domain in common law legal systems is the lawful power of the state to expropriate private property without the owner’s consent, either for its own use or on behalf of a third party.

DIF: Cognitive Level: Knowledge REF: p. 48 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

5. Which would positively affect readiness to learn?
a.
Fear and denial
b.
Willingness to attain an optimal level of health
c.
Poor cognitive and motor development
d.
Lack of trust and confidence in the staff

ANS: B
Readiness or the ability to engage in learning depends on motive, relevant preparatory learning, and physiologic maturation. In fear and denial, the patient is neither prepared nor willing to accept the limitations imposed by the disease process and learn to manage lifestyle changes. Poor cognitive and motor development handicap the patient’s willingness and ability to learn. Trust is essential in the process of patient education. The patient must have confidence in the staff in order to be receptive to teaching efforts.

DIF: Cognitive Level: Comprehension REF: p. 50 OBJ: 2
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

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