Chapter 03: Patient and Family Education

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The main principle assumption of adult learning theory is that adults:

a.	are responsible for their own learning.
b.	focus on current problem resolution.
c.	are motivated from internal pressures.
d.	must be ready to learn.

 

ANS:   D

Even with unlimited inventive teaching methods, well thought-out education materials, and time, learning will not take place if the patient or family is not ready, willing, and able to learn.

 

DIF:    Cognitive Level: Comprehension       REF:    20

OBJ:    Nursing Process: Assessment TOP:    Patient and Family Education

MSC:   NCLEX: Health Promotion and Maintenance

 

2. The first step of the teaching-learning process involves:

a.	gathering data to assist in the assessment of learning needs.
b.	identifying major learning needs for the patient.
c.	identifying learning needs related to medical diagnosis.
d.	evaluating the effects of prior teaching.

 

ANS:   A

The first step of the teaching-learning process is assessment, which involves gathering data to assist the nurse in meeting the patient’s and family’s needs.

 

DIF:    Cognitive Level: Comprehension       REF:    20

OBJ:    Nursing Process: Assessment TOP:    Patient and Family Education

MSC:   NCLEX: Health Promotion and Maintenance

 

3. Which of the following educational content areas is appropriate during the first hours of hospitalization?

a.	Pathophysiology of the admitting diagnosis
b.	Dietary modifications
c.	Purpose of bedside equipment
d.	Medication side effects

 

ANS:   C

Initial interventions are targeted to promote comfort and familiarity with the environment and surroundings. The plan should focus on survival skills, orientation to the environment and equipment, communication of prognosis, procedure explanations, and the immediate plan of care.

 

DIF:    Cognitive Level: Analysis      REF:    Table 3-1

OBJ:    Nursing Process: Planning

TOP:    Patient and Family Education MSC:   NCLEX: Health Promotion and Maintenance

 

4. How should the nurse respond when a patient asks if he or she is going to die?

a.	Avoid the question by leaving the room.
b.	Defer the question to the physician.
c.	Answer honestly and sensitively in simple terms with information that is understandable.
d.	Speak with the family first before answering the patient.

 

ANS:   C

During this time of elevated stress, the nurse may have to refocus the patient/family to help concentrate efforts on coping with the present instead of dwelling on possibilities of the future. Not addressing these immediate concerns could result in further anxiety, affect ability to cope, and prevent open and honest communication.

 

DIF:    Cognitive Level: Application REF:    21

OBJ:    Nursing Process: Intervention TOP:    Patient and Family Education

MSC:   NCLEX: Psychosocial Integrity

 

5. Content and method of presentation in the critical care unit will vary because:

a.	of the different admitting diagnoses.
b.	of the uniqueness of each patient’s clinical and emotional status.
c.	most patients are on the ventilator and cannot talk.
d.	patients are heavily sedated and may not comprehend teaching.

 

ANS:   B

Determination of the content taught in the critical care unit depends on the patient’s clinical and emotional status and varies with each patient.

 

DIF:    Cognitive Level: Comprehension       REF:    23

OBJ:    Nursing Process: Planning

TOP:    Patient and Family Education MSC:   NCLEX: Health Promotion and Maintenance