HEALTH EDUCATION PERSPECTIVE reach that goal.

C. Five stages in the change process.

1. Any combination of planned experiences based on sound theories that provide individuals, groups, and D. Achievement, power, the need for affiliation, and avoidance motives influence individual behavior.
communities the opportunity to acquire the information and skills needed to make quality health decisions is known E. Satisfaction strategies provide extrinsic and intrinsic reinforcement for effort.
as: 11. A patient is being treated for tuberculosis (TB) with a standard four-drug regimen but continues to have positive
A. health promotion. sputum smears for acid-fast bacilli. Which actions should the nurse implement? (Select all that apply):
B. health counseling. A. Assist the patient with short-term goals and plan teaching according to these goals.
C. health education. B. Provide the patient with all the educational materials about drug-resistant TB.
D. health knowledge. C. Refer the patient to a pulmonary specialist, who can assist the patient with the treatment regimen.
2. Which assessment technique will elicit the best information on the quality of life from individuals and families in a D. Assist the patient in developing short-term goals that are realistic and attainable.
target population? E. Assist the patient with long-term goals and plan teaching according to these goals.
A. Collect information on infant mortality. F. Ask the patient whether medications have been taken as directed.
B. Involve the people in a self-study. Correct 12. What is the priority intervention when developing a teaching plan for a patient newly diagnosed with high blood
C. Analyze health care coverage statistics. pressure?
D. Review the epidemiological data of the people. A. Teach the caregiver how to take the patient's blood pressure using a manual blood pressure cuff.
3. The communication of health information in a manner which is clear and understandable is known as: B. Have the dietician meet with the patient and caregiver to discuss low-sodium dietary choices.
A. empowerment. C. Ask the patient and caregiver to select important information from a list of hypertension teaching topics.
B. health literacy. D. Provide written information about the treatment and complications of hypertension for the patient and caregiver.
C. health disparities. 13. A nurse is discharging a hospitalized patient to the home care setting. What is the priority intervention for
D. health education. increasing adherence to the plan of care?
4. A hospital creates a Facebook page for the bariatric surgery program. The owner of the site posts healthy recipes, A. Arrange a physical therapy visit before the patient is discharged from the hospital.
lifestyle information, and information about upcoming workshops. This is an example of: B. Assess the patient's ability to perform activities of daily living before discharge.
A. health literacy. C. Have the patient demonstrate the learned skills at the end of the teaching session.
B. coercive advertising. D. Determine whether the patient has had home visits before and, if so, whether the experience was positive
C. a teaching plan. 14. A nurse who is ethnocentric in interacting with a client of a different culture:
D. social marketing. A. Most likely has little previous experience with the client's culture and is uncomfortable with people from other
5. Nurses have a responsibility to ensure health literacy when providing health education. What are some strategies cultures.
that nurses can use to promote health literacy? (select all that apply) B. Is appreciative of the client's cultural beliefs.
A. Speak clearly and distinctly. C. Accommodates the client's cultural beliefs when planning care.
B. Speak louder than usual. D. Imposes the nurse's value system on the client. Incorrect
C. Use medical terminology. 15. A Public Health Service nurse employed by the Indian Health Service is working with a client diagnosed with
D. Face the person when speaking. cancer. The client uses sweat lodges to "cure the disease." The nurse understands the need for the client to use
E. Conclude with a summary of key points. traditional healing practices. The nurse is integrating her knowledge of the cultural organizing factor of:
6. What are some of the components of the health belief model that can assist nurses in determining the probability of A. Biological variations.
an individual to make change? (select all that apply) B. Communication.
A. External pressure to change C. Environmental control.
B. The value of health as determined by significant others D. Space.
C. Perceived susceptibility to a health problem, disease, or complications 16. A community-based hospice nurse has an Asian male client with terminal-stage cancer. The client complains that
D. Perceived seriousness of disease he is in continuous pain and receives no relief from the codeine prescribed by his primary care physician (PCP).
E. Risk factors of disease attributed to heredity, race, or culture Because this nurse is culturally competent with Asian clients, the nurse contacts the client's PCP to discuss
7. Which of the following statements accurately describe the five stages of health-related behavior change according replacing this medication with another pain-reducing drug. The nurse's action can best be described as an example
to the Transtheoretical Model (TTM)? Select all that apply. of:
A. Sustained change over time occurs in the contemplation phase. A. Cultural accommodation.
B. When a person is considering the adoption of a change within the next 6 months, she or he is said to be in the B. Cultural assessment.
precontemplation phase. C. Cultural brokering.
C. Small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a D. Cultural repatterning.
change within the next month. 17. The nurse is educating her Nigerian client regarding the prenatal services available through the maternal-child
D. In the action phase, the person has made behavior change which has persisted for 30 days. health clinic. The client is interested in confirming her pregnancy at this visit but does not see the need for ongoing
E. Maintenance begins 6 months after the action has started, and continues indefinitely. visits because childbirth is viewed as a natural process in her culture. The nurse negotiates with the client to
8. The nurse is assessing the extrinsic motivational levels of a patient following a knee replacement surgery. What structure a strategy to achieve a healthy pregnancy outcome that uses the clinic's resources in a manner that is
behaviors would indicate that the patient is extrinsically motivated? (Select all that apply): satisfactory to the client. This is an example of:
A. Agrees to take blood thinners as prescribed because that is what the doctor has ordered. A. Cultural accommodation.
B. Verbalizes an understanding of taking blood thinners postoperatively to reduce the risk of clotting. B. Cultural brokering.
C. Knows that exercise and physical therapy will help recovery to take place more quickly. C. Cultural preservation.
D. Enjoys exercise and physical therapy and asks for pamphlets to learn about rehabilitation techniques. D. Cultural repatterning.
9. The nurse is incorporating motivational factors into the plan of care for a patient who has recently been diagnosed 18. The nurse recommends Parents Without Partners to a colleague who is experiencing the challenges of single
with congestive heart failure and is in a skilled nursing facility. What interventions would the nurse implement with parenthood in raising a teenager. The nurse is demonstrating an understanding of the group elements of:
this patient? (Select all that apply): A. Cohesion and task functioning.
A. Schedule a visit by another resident who has had congestive heart failure. B. Leadership and role structure.
B. Review diet and food choices using the food pyramid poster. C. Member interaction and group purpose.
C. Discuss the signs and symptoms of congestive heart failure. D. Norms and maintenance.
D. Encourage the patient to have the family assist in reaching the patient's health goals.
E. Ask the patient about past experiences with lifestyle changes. 19. A nurse is teaching a postpartum mother how to breastfeed her infant. The nurse notes that the mother is alert and
F. Encourage the patient to keep a food diary and record weight losses and gains. agrees that breastfeeding is important to her and beneficial to her baby. The nurse outlines the expectations of
10. Which of the following would be considered appropriate phrases for motivational cognitive theories? (Select all that breastfeeding for the mother and the baby and presents the material. In terms of the sequencing of instruction,
apply): what should the nurse do next?
A. Theory of achievement motivation. A. Ask the mother about her previous experience with breastfeeding.
B. Positively or negatively motivated to achieve a goal based upon one's perception of the ability or lack of ability to B. Demonstrate how to position the baby for breastfeeding.
 C. Have the mother demonstrate breastfeeding. 1. the number of deaths d/t adverse events and medical errors has risen
D. Show the mother a video about breastfeeding 2. the number of deaths d/t adverse events has decreased
3. number of deaths have stayed the same
ISSUES AND TRENDS IN HEALTH EDUCATION
4. number of deaths have decreased
1. Marla, a medical surgical nurse for 10 years, is giving Jerome, a new grad RN, advice on self-care behaviors he
12. in 2001, the IOM identified six aims for improving healthcare. Which of the following are NOT
can use to prevent burnout. Which statement by Jerome indicates that he has understood?
1. I will decompress after a difficult shift by having a few beers characterisitics the IOM identified?
2. I will get all the exercise I need during a busy shift 1. affordable 2. safe 3. effective 4. local 5. pt centered
3. I will make sure to get 8 hrs of sleep 6. timely 7. efficient 8. Equitable
4. i can postpone my annual wellness exam because im healthy 13. which of the following best defines quality as it relates to healthcare?
2. Khadija, a nursing student, wants to improve her time mngmnt skills. which is the FIRST step she must take to 1. extend to which pts are satisfied with their health outcomes and care received.
better manage her time> 2. provision of as much safe, effective care as pt can afford
1. learn how to multitask
3. degree to which health services increase the likelihood of desired outcomes and reflect current
2. set priorities
3. delegate to roomates professional knowledge
4. overcome tendency to procrastinate 4. outcomes can be quantified and compared to industry standards
3. Brians unit manager suspects that he may be starting to experience burnout. What factors would lead his manager 14. the clinical instructor asks darla to explain to a post-op client to importance of using an IS to inhale
to this conclusion? deeply. What Quality and Safety Education for Nurses competency is the instructor assessing?
SATA 1. pt centered care
1. they work in a neonatal intensive care unit
2. teamwork and collaboration
2. brian has always been a hard worker and perfectionist
3. brian is a teamplayer and assists other staff when needed
3. evidence-based practce
4. the manager overhears him asking another nurses advice 4. quality improvements
5. the hospital had to freeze staff salaries and cancel bonuses d/t financial problems 5. safety
6. brian requests additional training to improve his skill 6. Informatics
4. _ reality shock______ is the transition from nursing student to RN 15. which of the following statements about how education relates to quality and safety in nursing care
5. which elements of a job search can you work on while in nursing school? SATA is true? SATA
1. resume 1. education in quality and safety begins in nursing school
2. portfolio
2. continuing education allows nurses to update their knowledge and skills to improve quality and
3. cover letter
4.arranging an interview safety
5. following up 3. increasing nursing education levels has been shown to improve pt outcome
6. Carli wants to include evidence based people skills in her nursing portfolio. which of the follow is 4. the type of quality and safety education receives depends on the hospital in which the nurse
BEST for her to include? works
1. Powerpoint presentation she gave on importance of ppl skills 5. hospitals are unwilling to spend money on safety education
2. certificate showing completion of continuing education 16. Richard, an RN , is preparing to receive Mr. Rocha, an elderly pt who had a stoke two days ago,
3. positive performance review from past supervisors from the ICU. From report, he learns the pt is alert and awake , is NPO because of swallowing
4. Thank-you letters from former clients or family members praising Carlis ability to care for and problems, weakness on R side. Which of the following is most important thing the RN should do to
communicate with them prepare for the pts arrival?
7. Sue, a charge nurse on a mother baby unit goes to see her primary care physician. She reports that she feels 1. wipe down the room with strong disinfectants
exhausted all the time & has diff sleeping, freq HAs, and anxious. Which Q would help assess if sue is feeling 2. alert the aide that the pt is on the way
burnout? 3. make sure the room is properly stocked
1. How are things going at work? at home? 4. be sure there are signs indicating the pt is NPO & fall risk
2. what have you tried doing to feel better?
17. root-cause analysis, an essential part of risk mangmt is conducted after an adverse event. What
3. what do you think is going on?
4. are you feeling burned out at work? are the components of root-cause analysis? SATA
8. Chief nursing officer at a large hospital is concerned about burnout. The CNO announces that a new hospital wide 2. tracking the events that led to error
initiative, the Stamp Out Burnout Campaign will be developed. Which of the following would help be effective? 3. identifying any faulty systems
SATA 4. developing a plan to prevent errors
1. include nurses in campaign committee 18. which of the following best describes Leapfrog Groups approach to improving the quality and
2. make safe, adq staffing levels a priority
safety of healthcare and make it more affordable?
3. update hospital policy and procedure documents to clarify roles
4. extend preceptor ship program
2. financially rewarding hospitals that implement sig improvement in quality and safety and offering
5. ensure communication from management is clear incentives for consumers who choose high performing hospitals
6. make sure staff knows they can share concerns with management 19. A nursing is in charge of a team consisting of a RN, LPN, and a nurses aide. Which tasks should
9. A nursing instructor has just finished lecturing on the topic of the job-search process and is taking questions from the nurse delegate to the LPN? SATA
the class. Which comment by a student needs clarification? 1. take VS on a post op pt one day after surgery
employers cant see what i post on social media as long as i use privacy settings 2. do a bed bath for pt on contact precautions
10. in what way does improving ones time management help to prevent burnout? 3. obtain a blood glucose on a pt with DM
1. effective time mgmt. allows nurses to complete necessary activities of pt care and have time to relax too. 4. provide education regarding a dressing change
2. it allows the nurse to do less work by delegating to LPN or UAP
5. D/C tubing used to administer blood
3. allows nurses to do what must be done and use remaining time to do nursing activities that bring the most
professional and personal satisfaction. 20. a charge nurse is making assignments to staff members working on a surg unit. Which client
11. In 2000, the IOM report to Err is Human recommended the system changes to reduce the high should be assigned to a recently RN rather than an experienced RN?
number of deaths each year. What has been the overall effect on pt mortality? 2. A middle aged client who had elective surgery for repair of an abd hernia
21. a nurse in charge of a client care unit is considering staff member assignments. What criterion is 38. Thalia, a nurse at a community health clinic needs to teach a client who speaks only Spanish
most sig for the nurse to consider when delegating a task to another nurse? about the medication that has been prescribed , which must be taken with food q6h. Thalia took 2
2. is the activity within the persons job description yrs of Spanish in high school. what should the nurse do to ensure her teaching is as effective as it
22. DELEGATION_____ is the transfer of responsibility for the perfomance of an activity from one can be?
individual to another while retaining accountability for the outcome 4. use a med interpreter to communicate her teaching and realy questions from the pt
23. the nurse is managing care of a school age child with new onset insulin dependent diabetes. which 39. in report, sue a new grad RN learns that one of the clients she and her nurse trainer will care for
task must be performed by only the RN. SATA tofay is an elderly man from south korea. sue has never met anyone from korea and she is eager
1. teaching how to give insulin to do so. which action by sue indicates the nee for more training in culturally competent care?
3. evaluating response to insulin dose 2. sue quickly explains that they are there to assess the pt and begins to untie his gown
4. determining the educational goals for the day 40. a community clinic wants to show that it welcomes all clients. which of the following actions can the
5. teach the child signs on hypoglycemia clinic take to show that it is inclusive and welcoming? SATA
24. assigning the right task to the right person is a principle of nursing delegation and assignment. 2. asking pt what they prefer to be called
which of the following scenarios meets this principle? 3. using pt preferred pronoun'
3. a child newly diagnosed with acute leukemia is assigned to an experienced pediatric oncology 4. not assuming that a transgender visit relates to his/her transition
nurse who floated to the general peds unit 5. having gender neutral restrooms
25. the RN is assigning tasks for the care of a pt after surgery for colon cancer. which of the following 41. Tayesha,a triage nurse in the ED is assessing a client who presents with a fever of 101, nausea,
assignments should the RN reconsider? sharp pain in lower quad, and abd swelling. The pt is transgender man who is scheduled to have
1. the UAP is to check to pt new stoma for redness when assisting the client with a bed bath bottom surgery in 2 mos. What priority action should Tayesha take?
26. when caring for the pt in pain, which activity is appropriate to delegate to the UAP? report to pts symptoms to the physician on duty
bathing the pt and performing hygiene measure 42. after an explosion at a chemical plant, the local ED is preparing to receive eight victims with
27. when making assignments for the oncoming shift, the charge nurse assigns a float RN from chemical injuries. no other details are available at this time. which of the following should the
another unit to care for a pt with complex needs. what is the legal responsibility of the charge nursing staff do immed. to prepare for the pts with chemical injuries? SATA
nurse in this situation? 1. set up decontam area
duty to orient, educate, and evaluate 3. ensure everyone who will be in contact dons ppe
28. Mr. Mason a 54 yr old evangelical Christian is in the CVICU after experiencing a massive MI. The 4. gather intubation and o2 devices
pt angrily questions why god allowed him to have a heart attack. Nursing DX for Mr. Masons 5. locate CDC decision tree on chem exposure and tx
anger? 43. natural disasters r/t weather appear to be increasing in freq and intensity. what do scientists think
Spiritual distress is the major reason for these increases?
29. nursing students are making a list of the health benefits of spiritual practice to hospitalized clients. climate change AMB warming of the planet, rise of sea levels, and rise of CO2
which items belongs on the list. SATA 44. a terrorist organization threatened to release biological weapon in the city today. at 9 am EMT are
1 reduced pain 3. reduced anxiety 5. lower BP called to subway station. there they find an otherwise healthy 25 yr old man in severe resp
6. faster wound healing depression. witnesses report that the mans s/s began suddenly after he exited the train. what
30. what distinguishes spirituality from religion? actions should the EMT take FIRST?
spirituality does not necessarily have a religion component
31. a component of some alternative healing modalities is spirituality. what best describes the Don PPE - EMT need to protect themselves first
relationship between spirituality and therapeutic touch?
an individuals energy field and that of his or her environment are mobilized through touch to bring 45. which statement about postimpact of a disaster is true? SATA
about relief or healing 1. it is the longest of three disaster phases
32. which of the following would you expect to observe in a pt diagnosed with spiritual distress? 3. it is when a scam artist prey on victims of a disaster
statements indicating the pt feels abandoned by God. 5. it is a time for evaluating the effectiveness of a disaster preparations
33. which area of research supports the idea that spirituality may be a unviersal human experience? 46. prof Velazquez asked for volunteers to list ways ppl can protect themselves from scams.
near-death experience 1. verify that the contractor or agent has a business card that indicates that he or she is
34. what is the relationship between spirituality and the negative placebo effect? approved by BBB
the power of belief can lead to negative effects if the clients believe strongly that these effects will 47. brittany, a nursing student in Oklahoma decides that her family needs a disaster preparedness
happen plan. which of the following elements should her plan include? SATA
35. Richard a nursing student thinks the nursing diagnosis "spiritual distress" applies to a client he saw 1. a disaster supply kit that has nonperishables
in clinical today. what evidence would support the diagnosis? SATA 2. floatation devices
2. the pt tearfully states that "he is going the Hell" when he dies 4. evacuation plan that include their cat
3. the pt is the only local practitioner of his faith 5. locating escape routes from the home and agreeing on a place to meet
4. the pt states that he fears God is punishing him for sins 48. which of the following best describes disaster?
36. which of the following statements about the melting pot and salad bowl theories of acculturation is a catastrophic event that leads to major property damage, large number of injuries, displaced
TRUE? individuals, and major loss of life
3. the salad bowel allows members of different groups the opportunity to learn about one anothers 49. after a devastating hurricane in a neighboring state, Cedric and RN wants to help. How can she
unique contributions to society legally practice in that state?
37. arcus, and RN is assessing his new pt Mr. Hassan a 68 yr old Syrian immigrant admitted to the 1. Join Medical Reserve Corps
hospital with pneumonia. Marcus asks his pt "what do you think caused this illness? what is the RN 2. get a waiver from the neighboring states board of nursing
trying to elicit from his pt? 3. fully disclose to the coworkers and pts she is helping that she is not licensed in that state
Mr. Hassans cultural health beliefs
50. a group of nursing students is having a study session on the 2nd floor of the library when they hear
gunshots erupt form the first floor lobby. What action should the members of the study group take
immediately? Nerve agent treatment
3. get out of the building as quickly as possible The most common treatment is the Mark 1 Nerve Agent Antidote Kit (NAAK).
51. What is a sentinel event? -Contains atropine, pralidoxime chloride, and Diazepam
unexpected occurrence involving death or serious injury Multiple doses may need to be administered
52. What are the five rights of delegation? 65. Nerve agent S/S
A. Right task N/V, diarrhea, bradycardia, bronchoconstriction, insomnia, forgetfull, irritable
B. Right circumstance 66. Respiratory Agents
C. Right person most dangerous: phosgene.
D. Right direction or communication s/s: coughing, choking, tightness in chest, excessive tear production
E. Right supervision Use osmostic diuretics d/t pulm edema
53. protective levels of biohazard (Hazmat) suits May be on PEEP
Level A: resistant to all types of chemicals and biological and radioactive substances and is used 67. Level A PPE
in situations in which splashing or exposure to agents is possible. Totally encapsulates personnel Level A protection should be worn when the highest level of respiratory, skin, eye and mucous
and has its own internal air supply. membrane protection is needed.
Level B: has a hood but does not totally encapsulate personnel. Is splash resistant to most -self contained breathing appartus (SCBA)
chemicals. Has its own air supply -vapor tight chemically resistant suit, chem resistant boots and gloves
Level C: has a hood but does not totally encapsulate personnel. Less resistant to chemical 68. Level C PPE
penetration than previous levels. Equipped with a respirator that can filter out most chemical Level C protection should be selected when the type of airborne substance is known,
contaminants concentration measured, criteria for using air-purifying respirators met, and skin and eye exposure
54. tag includes is unlikely. Periodic monitoring of the air must be performed.
identification info, triage priority, and tx/meds given -Air purified respirator, chemically resistant coverall, boots, gloves
69. Level B PPE
SCBA with lesser level of skin and eye protection. chem resistant suit.
55. Red Tag (Immediate) 70. active shooter (ALICE)
Pt's who need immediate care and transport. Typical Injuries: Airway and breathing difficulties, Alert
uncontrolled or severe bleeding, AMS, shock, severe burns, open chest/abd injuries. Lockdown
56. Yellow Tag (Delayed) Inform
Pt's whose treatment and transport can be temporarily delayed. Burns w/o airway probs, major or Counter
multiple bone/joint injuries, back injuries w/ or w/o spinal cord damage. Evacuate
57. Green Tag (MCI)
Minimal Injury (walking wounded) THEORIES IN HEALTH EDUCATION
58. Black Tag (Expectant)
1. A nurse is evaluating a patient's learning regarding nutrition. Which behavior reflects
the highest level of learning in the cognitive domain?
Pt's who are already dead or have little chance for survival. Treat salvageable pt's before these. Obvious
death, obviously non-survivable injury like open head trauma, resp arrest (if limited resources), & cardiac 1. Modifies favorite recipes by eliminating foods that have to be avoided
arrest. 2. Evaluates the benefits associated with avoidance of certain foods
3. States why a mother's diet may affect breast-feeding
59. Anthrax 4. Identifies a list of foods to be avoided
Inhalation form is most severe - incubation period up to 60 days. 2. What is the primary reason why nurses attend continuing education programs?
stage one has flu symptoms followed by recovery 1. Update professional knowledge
stage 2 - resp distress
2. Network within the nursing profession
60. treatment of anthrax
3. Fulfill requirements for an advanced degree
Ciprofloxacin and doxycycline as well as PCN, erythromycin
61. Smallpox (Variola) 4. Graduate from an accredited nursing program
-First signs are high fever and general weakness, soon followed by tell-tale pink-red spots 3. A nurse is designing a teaching-learning program for a patient who is to be discharged
(macules). from the hospital. What should the nurse do first?
These become papules, then fluid-filled vesicles which develop into deep pustules. When pustules 1. Identify the patient's locus of control
break open, they emit infectious pus - when they are most infectiouS 2. Use a variety of teaching methods appropriate for the patient
62. small pox treatment
3. Formulate an achievable, measurable, and realistic patient goal
supportive care while body fights - alleviating sx - antibiotics, vaccine within 4 days after exposure
4. Assess the patient's current understanding of the content to be taught
cremation preferred
63. Nerve Agents 4. A nurse is to provide nutritional counseling for an older adult. What should the nurse
colorless, odorless. bonds with acetylcholinerterase so acetylcholine is not removed (continous do first?
stim of nerve endings)
64. 1. Plan educational sessions in the late afternoon
2. Speak louder when talking
 3. Provide large-print books 3. Use educational aids to reinforce teaching
4. Assess for readiness 4. Establish why the client is not following the regimen
5. A nurse is teaching an older adult how to perform a dressing change. Which nursing 13. A nurse is teaching a patient with a hearing impairment. What should the nurse do?
action is most important to address a developmental stress of aging? 1. Limit educational sessions to 10 minutes
1. Speak louder when talking to the patient 2. Provide information in written format
2. Use terminology understandable to the patient 3. Use at least 2 teaching methods
3. Have the patient provide a return demonstration 4. Teach in group setting
4. Allow more time for the patient to process information 14. A nurse is assessing the results of dietary teaching for a patient with diabetes mellitus.
6. A nursing instructor is evaluating a student nurse's knowledge. Which student What patient behavior indicates that learning occurred in the affective domain?
behavior indicates that learning has occurred in the highest level of learning in the 1. Discusses which food on the ordered diet must be avoided
cognitive domain? 2. Eats the food on the special diet ordered by the physician
1. Identifies the expected properties of urine 3. Compiles a list of foods that are permitted on the diet
2. Explains the importance of producing urine 4. Asks about which foods can be eaten
3. Recognizes when something is contaminated 15. A nurse educator designed various educational programs that employ role-playing as
4. Interprets laboratory results of diagnostic urine testing a teaching strategy. Which group of people should the nurse anticipate will benefit the
7. A patient asks the nurse, "What does 96 indicate when my blood pressure is 140 over most from role-playing?
96?" What is the best response by the nurse? 1. Older adults preparing to retire from the workforce
1. "The 96 is the pressure within an artery when the heart is resting between beats." 2. Men unwilling to admit that they have a drinking problem
2. "The 96 reflects the lowest pressure within a vein when blood moves through it." 3. Adolescents learning to abstain from recreational drug use
3. "Everyone is different so it's really relative to each individual what it means." 4. Middle-aged adults preparing for total-knee replacement surgery
4. "Let's talk about the concerns you may have about your blood pressure." 16. To be most effective, at what grade reading level should the nurse prepare
8. A nurse is planning a weight reduction program with an obese patient. What should educational medical material?
the nurse anticipate will be the most important component that will determine the
success or failure of this plan? 1. Fourth-grade
1. Rewarding compliant behavior with favorite foods 2. Eighth-grade
2. Encouraging at least 1 hour of exercise daily 3. Tenth-grade
3. Using an 800-calorie daily dietary regimen 4. Sixth-grade
4. Setting realistic goals 17. A nurse uses computer-assisted instruction as a strategy when providing preoperative
9. A nurse is providing health teaching for a patient with a comprehension deficit. teaching. The nurse explains to preoperative patients that the greatest advantage of
Which is the best intervention by the nurse that will support this patient's learning? computer-assisted instruction is that:
1. Establishing a structured environment 1. Learners can progress at their own rate
2. Asking that unclear words be repeated 2. It is the least expensive teaching strategy
3. Speaking directly in front of the patient 3. There are opportunities for pre- and post-testing
4. Making a referral for a hearing evaluation 4. Information is presented in a well-organized format
10. A nurse is teaching a patient recently diagnosed with diabetes mellitus the step-by 18. Which behavior identified by the nurse indicates the highest level of learning in the psychomotor domain?
step procedure of administering an insulin injection. However, after two sessions the 1. Demonstrating a well-balanced stance with crutches
2. Identifying the correct equipment that is needed for a colostomy irrigation
patient is still reluctant to self-administer the insulin. What should the nurse do? 3. Performing a dry sterile dressing change without contaminating the equipment
1. Have the patient administer the injection to an orange 4. Recognizing the difference between systolic and diastolic blood pressure sounds
2. Keep reinforcing the principles that have been presented 19. A nurse is assessing a patient's readiness to learn about smoking cessation. Which
3. Give the patient an opportunity to explore concerns about the injection patient factor does the nurse consider is most important when determining if a
4. Determine if a member of the family is willing to administer the insulin teaching program is needed by the patient?
11. Every person who attended a smoking cessation educational program completed a 1. Previous experience
questionnaire. What is this type of evaluation called? 2. Perceived need
1. Survey 3. Expectations
2. Post-test 4. Flexibility
3. Case study 20. A nurse is teaching a preschool-age child. What teaching method is most appropriate
4. Focus group for the nurse to use when teaching a child in this age group?
12. A patient is readmitted to the hospital because of complications resulting from 1. Demonstrations
nonadherence to the prescribed health-care regimen. What should the nurse do first? 2. Coloring books
1. Encourage healthy behaviors 3. Small groups
2. Develop a trusting relationship 4. Videos
21. A nurse is attending a class about a new intravenous pump presented by the hospital using role-playing?
staff education department. What is this type of educational program? 1. Provides more fun than other methods
1. Continuing education program 2. Eliminates the need for media equipment
2. Inservice education program 3. Requires active participation by the learner
3. Certification program 4. Gives the learner the opportunity to be another person
4. Orientation program 30. A culturally competent nurse is planning to teach a patient about a new regimen of
22. A nurse is planning teaching about weight reduction strategies to an obese patient. self-care. What must the nurse assess first about the patient before implementing the
Before implementing the teaching plan the nurse first should assess the patient's: teaching plan?
1. Intelligence 1. Religious affiliation
2. Experience 2. Support system
3. Motivation 3. National origin
4. Strengths 4. Health beliefs
23. A nurse is planning to engage a patient in a program to learn about a newly 31. A nurse is assessing a patient to determine educational needs. Which is most
diagnosed illness. Which psychosocial response to the illness will have the important for the nurse to consider?
greatest impact on the patient's future success with learning? 1. Make no assumptions about the patient
1. Fear 2. Teaching may be informal or formal in nature
2. Denial 3. The teaching plan should be documented on appropriate records
3. Fatigue 4. A copy of the teaching/learning contract should be given to the patient
4. Anxiety 32. A nurse is preparing a patient with a colostomy for discharge. What patient outcome
24. A nurse must implement a teaching plan for a patient recently diagnosed with heart indicates that learning has occurred in the psychomotor domain?
failure. What should the nurse do first? 1. accepts the need to have a colostomy
2. Understands why certain foods should be avoided
1. Identify the patient's level of recognition of the need for learning 3. Verbalizes the rationale for daily colostomy irrigations
2. Frame the goal within the patient's value system 4. Changes a colostomy bag without contaminating the hands
3. Determine the patient's preferred learning style 33. Which word best describes the nurse's role when functioning as a teacher?
4. Assess the patient's personal support system 1. Provide
25. A teaching-learning concept basic to all teaching plans is to present content from the: 2. Comfort
1. Cognitive to the affective domain 3. Empower
2. Formal to the informal 4. Collaborate
3. Simple to the complex 34. The unit secretary tells the nurse that the practitioner has just ordered a low-calorie
4. Broad to the specific diet for a patient who is overweight. Place these nursing interventions in the order in
26. A nurse is planning a teaching plan for an older adult. Which common factor among which they should be implemented.
older adult patients must be considered by the nurse? 1. Verify the dietary order
1. Learning may require more energy 2. Determine food preferences
2. Intelligence decreases as people age 3. Teach specifics about a low-calorie diet
3. Older adults rely more on visual rather than auditory learning 4. Review a meal plan designed by the patient
4. Older adult patients are more resistant to change that accompanies new learning 5. Assess the patient's motivation to follow the diet
27. A nurse is teaching a postoperative patient deep breathing and coughing exercises. 35. Which best describes a patient with an external locus of control? Select all that apply.
Which method of instruction is most appropriate in this situation? 1. Behaving appropriately to obtain the right to watch a television program
2. Is self-motivated when implementing health promotion behaviors
1. Explanation 3. Wants to please family members with efforts to get well
2. Demonstration 4. Understands the expected outcome of therapy
3. Video presentation 5. Is a self-actualized adult

4. Brochure with pictures 36. The nurse is teaching a patient newly diagnosed with type 1 diabetes mellitus about
28. A nurse is teaching a patient colostomy care in relation to the affective domain. Which how to best manage his blood sugar. Which outcome in the patient's plan of care is
teaching method is most effective for this situation? associated with the cognitive domain of learning? The patient:
1. Discussing a pamphlet about colostomy care from the American Cancer Society 1) identifies signs and symptoms of hypoglycemia.
2. Exploring how the patient feels about having a colostomy 2) nods affirmatively with direct eye contact.
3. Providing a demonstration on how to do colostomy care 3) demonstrates finger stick glucose monitoring.
4. Showing a videotape demonstrating colostomy care 4) independently self-administers insulin.
29. A school nurse is teaching a class of adolescents about avoiding smoking and 37. When teaching students about how to provide culturally sensitive care to a diverse
includes role-playing as a creative learning activity. What is the primary reason for group of patients, which teaching strategy should the nurse use?
 1) Demonstration conflict.
2) Lecture 3) Nurses don't use the rehearsal technique because it's an inefficient use of time for
3) Online sources of information participants.
4) Role modeling 4) This type of interactive teaching strategy is not as effective as dispersing
38. A nurse strives to teach a spouse how to monitor a patient's blood pressure. Which information verbally or in print.
teaching method is best?
1) Provide the patient and spouse with written instruction about how to obtain a blood
pressure reading.
2) Demonstrate the technique for taking a blood pressure reading, and then request a
return demonstration.
3) Schedule the spouse for a class about high blood pressure, including monitoring
technique.
4) Provide the spouse with a patient education brochure about blood pressure
monitoring.
39. How might the nurse improve patients' health literacy when communicating with
healthcare providers?
1) Ask patients simple yes or no questions.
2) Speak with passive voice instead of active.
3) Avoid medical jargon and technical terms.
4) Provide information printed in English.
40. Why is patient education important in today's healthcare environment?
1) Primarily it is offered to increase patient confidence for self-care.
2) Nurses do patient teaching to transfer responsibility for care to patients.
3) Patient education contributes to rising healthcare costs.
4) More healthcare is delivered in the home and outpatient settings.
41. The nurse working in a hospital with a diverse population strives to offer culturally
sensitive care. What nursing action would be most appropriate?
1) Act as if familiar with cultural practices or values even if uncertain.
2) Allow patient to include cultural practices in plan of care unless harmful.
3) Use common slang phrases, as they are familiar to many people.
4) Incorporate humor into interactions with patients to put them at ease.
42. What are some ways that the nurse may reinforce patient teaching? Select all that
apply.
1) Respond by saying, "What questions do you have?"
2) Ask, "Do you understand the instructions?"
3) Say, "Show me how you would change your ostomy bag."
4) Verbally repeat steps the patient has questions about.
5) Provide a printed pamphlet for the patient to take home.
43. The nurse providing discharge teaching to a patient whose primary language is not
English would most likely use which teaching strategies? Select all that apply.
1. Present 10 to 12 short, simple instructions at a time.
2. Send forms home with the patient for family members to help complete.
3. Use drawings and photographs to illustrate the information.
4. Ask an interpreter to help translate the discharge instructions.
5. Use an active voice with simple words when speaking to the patient.
44. During family therapy, to improve communication skills the nurse teaches family
members to rehearse responses to situations involving interpersonal conflict. What is
the primary drawback of using this teaching strategy?
1) Some people might have difficulty with an interactive approach when there is
conflict among participants.
2) Nurses might rehearse responses that are not effective for resolving interpersonal