Which method is appropriate to teach a patient how to self-administer insulin Quizlet

1 The right to receive unnecessary medications
Correct 2 The right to know the name and purpose of medications
Correct 3 The right to refuse a medication regardless of the consequences
4 The right to receive unlabeled medications safely without discomfort
5 The right to order the medication himself

In accordance with The Client Care Partnership and because of the potential risks related to medication administration, a client has the right to know the name, purpose, action, and potential undesired effects of a medication, and can refuse a medication. The client has the right not to receive unnecessary and unlabeled medications. The client does not have the right to administer the medication himself, unless ordered so.

The nurse is developing a developing a discharge plan regarding a patients medication. Which of these statements about the discharge plan is true?

A. It will be developed right before, the patient leaves the hospital
B. It will be developed only after the patient is comfortable pr after pain medications are administered
C. It will include videos, demonstrations, and instructions written at least at the fifth-grade level
D. It will be individualized and based on the patient's level of cognitive development

Medication
Intervention for chest pain

Rationale: The nurse should set priorities for patient education based on the patient's needs.
When the patient has deficient knowledge about the illness and its implications, the nurse teaches the patient how to take medication and interventions for chest pain, because these are immediate needs. Teaching about exercises, dietary changes, and home care can be performed after teaching about the illness and the medication.

A patient presents to the clinic with elevated blood pressure. While assessing the patient's health status, the nurse learns that the patient has not been taking his blood pressure medications because he is confused about the medication dosing schedule. Which nursing diagnosis is most appropriate for this patient?

-Problem with medication procurement [ICNP]
-Adverse medication interaction [ICNP]
-Medication side effect [ICNP]
-Lack of knowledge of medication regime [ICNP]

-Lack of knowledge of medication regime [ICNP]

Rationale:
The most appropriate nursing diagnosis for this patient is lack of knowledge of medication regime [ICNP]. The patient reports confusion about the medication dosing schedule, not inability to procure medication. No adverse medication interactions are observed in this patient. There is no evidence of medication side effects in this situation.
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A nurse is planning a teaching session about healthy nutrition with a group of first-graders. The nurse determines that after the teaching session, the children will be able to name three examples of foods that are fruits. Which phrase is this an example of?

-A teaching plan
-A learning objective
-Reinforcement of content
-Enhancing self-efficacy

-A learning objective

Rationale:
A learning objective describes what the learner will do after the teaching session. A teaching plan is an educational tool that a nurse may use to teach a patient. Nurses may need to reinforce content that was previously taught. This is done by determining what the patient learned or understood from the last educational session. Self-efficacy is an individual's belief in his or her innate ability to achieve goals.
p. 189

A patient is scheduled to undergo magnetic resonance imaging [MRI] of the head and neck. Which preparatory information would the nurse give to this patient?
select all that apply:

-"You will be alone in the MRI room for a brief period."
-"You will be placed in a confined space for a brief period."
-"Your MRI results will be back the same day."
-"You need to drink fluids before and after the MRI."
-"You may continue to wear your earrings and necklace."

-"You will be alone in the MRI room for a brief period."
-"You will be placed in a confined space for a brief period."

Rationale:
Preparatory instructions include those that lessen a patient's anxiety level for a given procedure. Informing a patient that he or she will be alone in the room and in a confined space for a brief period may make the patient less anxious during the actual MRI. Informing about the results and fluid intake are not preparatory instructions. Because of the strong magnetic field, patients should not wear anything metallic when undergoing an MRI.
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A nurse is teaching a young adult patient how to adjust insulin dosages based on the blood sugar results. This is an example of which type of learning?

-Cognitive
-Affective
-Adaptation
-Psychomotor

-Cognitive

Rationale:
Cognitive learning requires thinking. Learners in the cognitive domain integrate knowledge through first learning then recalling the information. They then categorize and evaluate, making comparisons with previous knowledge resulting in a conclusion. Affective learning recognizes the emotional component of integrating new knowledge. This domain takes the patient's feelings, values, motivations, and attitudes into account. Adaptation occurs once the patient accepts the changes made and incorporates them into everyday life. The psychomotor domain incorporates physical movement and the use of motor skills in learning.
p. 189

Which actions would the nurse perform when educating patients?
select all that apply:

-Clarify the patient's health-related doubts.
-Teach the patient how to cope with a disease.
-Provide treatment instructions to the patient.
-Explain cellular pathophysiology to the patient.
-Provide numerous medical terms to the patient.

-Clarify the patient's health-related doubts.
-Teach the patient how to cope with a disease.
-Provide treatment instructions to the patient.

Rationale:
Effective patient education is an important step in improving the patient's health condition and health literacy. The nurse should clarify any doubts concerning the patient's health. Preventing disease, promoting health, providing treatment instructions, clarifying information, and teaching patients to cope with limitations are all components of patient education. Knowledge about cellular pathophysiology and numerous medical terms is usually too complex and inappropriate for the average patient. The nurse should teach on the patient's educational level. Therefore the nurse need not give complicated information to the patient.
p. 190

A nurse is preparing to teach a patient how to change dressings at home. Which qualities will enable the patient to perform such a task at home?
select all that apply:

-Adequate strength
-Sensory acuity
-Coordination
-Caregiver attitude
-Self-esteem

-Adequate strength
-Sensory acuity
-Coordination

Rationale:
Patients with physical impairments may not be able to perform skills requiring psychomotor learning. The patient should have enough strength to perform the dressing changes. The patient should also possess sensory acuity and proper coordination to perform and learn the required tasks. There is no indication that the patient has a caregiver. Self-esteem does not determine whether a patient can learn how to change a dressing at home.
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Which three A's of the National Action Plan to Improve Health Literacy should the nurse consider when planning patient education?
select all that apply:

-Accurate
-Accessible
-Actionable
-Assessment
-Affective

-Accurate
-Accessible
-Actionable

Rationale:
The National Action Plan to Improve Health Literacy was designed in order to improve patients' quality of health. The three A's of this plan include Accurate, Accessible, and Actionable. The health information provided to the patient should be accurate. The health information provided should be accessible, so that even a patient with a disability is able to access it. The health information provided should be actionable and have practical value. Assessment and affective are not terms included in this plan to promote health literacy. Assessment is the first step in the nursing process. Affective is one of the three domains of learning.
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Which statements made by the patient indicate inadequate health literacy?
select all that apply:

-"I'm very particular about being on time for all of my appointments."
-"I take my medication regularly, but I can't tell if my health has changed."
-"I read the information given to me by my primary health care provider."
-"I'm unable to understand the questions asked on the hospital admission forms."
-"I need you to read this instructions paper to me since I forgot my glasses."

-"I take my medication regularly, but I can't tell if my health has changed."
-"I'm unable to understand the questions asked on the hospital admission forms."
-"I need you to read this instructions paper to me since I forgot my glasses."

Rationale:
Patients who have inadequate health literacy may not take proper measures to maintain good health. When the patient states that his or her health does not improve despite taking medications, the patient's statement is suggestive of inadequate health literacy. The patient who has inadequate health literacy may not provide all of the information needed to complete the hospital admission forms. They may not understand the information asked for in the registration forms. Another example of inadequate health literacy occurs when the patient asks health care providers to read information aloud, stating, "I forgot my glasses." Patients who state that they arrive on time to all medical appointments show good health literacy because they take charge of their health. When the patients say that they read information given by the primary health care provider, it indicates that they wish to remain informed about their health.
p. 191

A nurse is educating a diabetic patient on how to self-administer insulin. Which methods used by the nurse to educate this patient are appropriate?
select all that apply:

-Lecture
-Demonstration
-Return demonstration
-Role play
-Question-and-answer session

-Demonstration
-Return demonstration

Rationale:
Learning how to self-administer insulin requires handling a needle and syringe and occurs in the psychomotor domain. Demonstration and return demonstration are the appropriate methods of teaching this patient. A demonstration of the procedure by the nurse helps the patient observe the nurse's behavior and allows the nurse to control questioning. A return demonstration allows the patient to perform the procedure as the nurse observes and provides excellent feedback. A lecture is a teaching method involving the cognitive domain. A role play focuses on the cognitive and affective domains of learning. A question-and-answer session is appropriate when addressing a patient's particular concerns in the cognitive domain.
p. 189

The nurse wants to implement a teaching plan that targets the affective learning domain. Which patient attribute would the nurse consider before starting the teaching session?
select all that apply:

-Values
-Motivations
-Education level
-Learning ability
-Motor skills

-Values
-Motivations

Rationale:
The affective learning domain is the third style of learning described by Bloom. Taking into account the patient's feelings, values, motivations, and attitudes is imperative to successful patient education in this domain. While facilitating cognitive learning, the nurse should consider the patient's education and learning ability. While facilitating psychomotor learning, the nurse should assess the patient's motor abilities.
p. 189

The nurse is planning a training workshop for the nursing staff about different types of primary education that can be provided to patients. Which topics can be considered primary education?
select all that apply:

-The importance of good handwashing
-The importance of balanced nutrition
-The importance of proper dental care
-The effects of drug abuse on health
-The effects of alcohol abuse on health

-The importance of good handwashing
-The importance of balanced nutrition
-The importance of proper dental care

Rationale:
It is the nurse's responsibility to educate patients about the necessity of handwashing, a well-balanced diet, and proper dental care. These are considered primary education, as they are examples of early-instruction topics. Providing information about the adverse effects of drugs and alcohol abuse is considered secondary education.
p. 188

A nurse is facilitating a discussion about depression with a group of patients. Which aspects of affective learning will help these patients?
select all that apply:

-It will allow patients to receive support from other patients in the group.
-It will allow patients to express concerns.
-It will allow patients to discuss personal and sensitive things.
-It will help patients learn from other's experiences.
-It will help promote responsiveness, value, and organization.

-It will allow patients to receive support from other patients in the group.
-It will help patients learn from other's experiences.
-It will help promote responsiveness, value, and organization.

Rationale:
Affective learning recognizes the emotional component of integrating new knowledge. If patients with depression sit in a group and interact with other patients who have similar symptoms, they receive support from other patients in the group. The group discussion helps them learn from the experiences of others and also promotes responsiveness, value, and organization. Affective learning does not address patients' concerns. Many patients may not open up about their concerns, much less talk about sensitive topics within a group setting. The nurse may need to schedule a one-on-one conversation at a later date.
p. 189

The nurse is caring for a patient who has diabetes mellitus. During the assessment, the patient says, "I feel really drowsy lately." The nurse notes that the patient's blood glucose level is 305 mg/dL. Which information would the nurse teach the patient?

-"If this happens at home, you should rest 1 to 2 hours every day."
-"To prevent this from happening at home, you should eat a diet low in carbohydrates."
-"If this happens at home, you should increase the dose of the hypoglycemic medication."
-"If this happens at home, you should call your health care provider immediately."

-"If this happens at home, you should call your health care provider immediately."

Rationale:
When a patient has diabetes mellitus, his or her blood glucose levels should be checked frequently. The primary health care provider should be notified if the patient feels sleepy [drowsy] and/or the blood glucose level is above 300 mg/dL. The primary goal is to reduce the patient's glucose levels immediately. A low-carbohydrate diet would not correct the patient's elevated blood glucose level immediately. However, the patient may benefit from dietary diabetic teaching, which may prevent recurrent episodes of hyperglycemia. Allowing the patient to rest would not be helpful in normalizing the patient's blood glucose level. Increasing the dose of the hypoglycemic medications requires a prescription from the health care provider. Thus the nurse should not tell the caregiver to increase the dose of the drug.
p. 188

A nurse is teaching a patient with newly diagnosed congestive heart failure about behavioral and lifestyle modifications. Which domains of learning would the nurse focus on while teaching this patient?
select all that apply:

-Cognitive
-Affective
-Psychomotor
-Attentive
-Psychosocial

-Cognitive
-Affective

Rationale:
The cognitive domain involves acquisition of knowledge, comprehension, and application of the acquired knowledge. The affective domain involves expressing feelings and accepting attitudes, opinions, and values. The nurse would focus on these two domains while educating the patient on behavioral modifications. The psychomotor domain involves the use of mental and muscular activity. Attentive and psychosocial are not domains of learning.
p. 189

A nurse is preparing to teach a patient about coughing and deep breathing exercises prior to surgery. In order to assess the patient's attentiveness, which questions would the nurse ask prior to teaching?
select all that apply:

-"Are you able to hear me properly?"
-"Is there any history of heart disease in your family?"
-"Do you have any pain now?"
-"Are you comfortable?"
-"Do you want to listen to music to relax yourself?"

-"Do you have any pain now?"
-"Are you comfortable?"

Rationale:
Physical discomfort, anxiety, and environmental distractions are known to influence an individual's attention. The presence of pain will interfere with the patient's ability to concentrate and may hinder learning. By asking whether the patient is comfortable, the nurse determines whether the patient is anxious or if any environmental factor is a distracting factor. The ability to hear properly is not a factor that determines a person's attention. However, it may be important for the patient who has a hearing impairment. Asking questions about the patient's family history of heart disease and the need for relaxation does not help in assessing attentiveness.
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