Concept 39: Patient Education My Nursing Test Banks

Concept 39: Patient Education

Test Bank

MULTIPLE CHOICE

1. The most appropriate resources to include when planning to provide patient education related to a goal in the psychomotor domain would be

a.

diagnosis-related support groups.

b.

Internet resources.

c.

manikin practice sessions.

d.

self-directed learning modules.

ANS: C

A teaching goal in the psychomotor domain should be matched with teaching strategies in the psychomotor domain, such as demonstration, practice sessions with a manikin, and return demonstrations. Diagnosis-related support groups would be most effective with goals in the affective domain. Internet resources would be most effective for goals in the cognitive domain. Self-directed learning modules would be most effective for goals in the cognitive domain.

REF: 398

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

2. The nurse educator would identify a need for further teaching when the student lists the types of learning as

a.

affective.

b.

cognitive.

c.

psychomotor.

d.

self-directed.

ANS: D

Self-directed is one approach to learning but is not considered a type or domain of learning. Self-directed would be a cognitive way of learning. Affective (feelings/attitude), cognitive (knowledge), and psychomotor (skills/performance) are the main domains of learning.

REF: 397

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

3. When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that

a.

addresses group needs.

b.

follows formalized plans.

c.

has standardized content.

d.

often occurs one-to-one.

ANS: D

Informal teaching is individualized one-on-one teaching which represents the majority of patient education done by nurses that occurs when an intervention is explained or a question is answered. Group needs are often the focus of formal patient education courses or classes. Informal teaching does not necessarily follow a specific formalized plan. It may be planned with specific content, but it is individualized responses to patient needs. Formal teaching involves the use of a curriculum/course plan with standardized content.

REF: 397

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

4. Barriers to patient education the nurse considers in implementing a teaching plan include

a.

family resources.

b.

high school education.

c.

hunger and pain.

d.

need perceived by patient.

ANS: C

A patient who is hungry or in pain has limited ability to concentrate or learn. Family resources would be considered in developing a plan of care and could be an asset or a barrier to patient education. The patients educational level would be considered in planning teaching strategies but would not be a barrier to education. A need perceived by a patient would provide motivation for learning and would not be a barrier.

REF: 400 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance

5. Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include

a.

individualized handout.

b.

instructional videos.

c.

Internet resources.

d.

self-help books.

ANS: B

An instructional video would provide a visual/auditory approach for discharge instructions. Repeatedly not following written instructions is a clue that the patient may not be able to read or understand the information. While assessing the literacy level of an adult patient can be challenging, the information that they have not been able to follow previous written instructions would suggest that the nurse use an alternate strategy that does not require a high degree of literacy. An individualized handout would be written, very similar to previous instructions, and would not address a concern about literacy. Internet resources generally require an individual to be able to read, and although videos are available through the Internet, this is not the best response. Self-help books would be appropriate for an individual who reads. There is a question about whether this patient is literate, so these would not be the best choice.

REF: 401 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance

6. When planning to evaluate a patients satisfaction with a teaching activity, the most appropriate strategy would be to

a.

include a survey instrument.

b.

observe for level of skill mastery.

c.

present information more than one time.

d.

provide for a return demonstration.

ANS: A

A survey or questionnaires can be used to measure affective behavior change as well as patient satisfaction with the teaching experience. Observing for level of skill mastery would evaluate achievement of a psychomotor goal rather than satisfaction with the experience. Repeating information more than one time or in more than one way may be appropriate strategies to include in the teaching plan but would provide no evaluation data. Providing for a return demonstration would help in evaluating achievement of a psychomotor goal, not satisfaction with the activity.

REF: 401 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

7. Interrelated concepts to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include

a.

adherence.

b.

developmental level.

c.

motivation.

d.

technology.

ANS: D

The interrelated concepts to the professional role of a nurse include health promotion, leadership, technology/informatics, quality, collaboration, and communication. Adherence, culture, developmental level, family dynamics, and motivation are considered interrelated concepts to patient attributes and preference.

REF: 402

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

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