Which resource would the nurse use to create written instructions for a patient to provide knowledge about the treatment plan quizlet?

Obtain frequent feedback.

Involve the patient and caregiver in the process.

Emphasize relevance of the information to the patient's life.

Rationale:
Asking for frequent feedback, involving the patient and caregiver, and emphasizing relevancy of the information to the patient's lifestyle are all appropriate techniques. The nurse would want to avoid giving great detail to patients. Starting simple is best. Use learning materials in multiple formats based on patient preference.

ANS: Patient D (Teaching tool - Models)

Nurses may use actual equipment, objects, or models to teach concepts or skills. Models are useful when real objects are too small, large, complicated, or unavailable. Computer instruction uses programmed instruction in which the computer stores response patterns for learners and selects further lessons on the basis of these patterns. Computer instruction is not a substitute for a demonstration using real equipment. Printed and online materials are written teaching tools available in print or online as pamphlets, booklets, or brochures. This method is ideal for understanding complex concepts and relationships but is not a substitute for a demonstration using real equipment. Graphs are visual presentations of numeric data. They are represented as bar, circle, or line graphs. Graphs help learners quickly grasp the information about a single concept, but they are not a substitute for a demonstration using real equipment.

1, 2, 4, 5

There are many factors that affect patients' health literacy, such as age, culture, language, environment, nature of the content, and current situation, including level of pain, timing of instruction, and economic resources. The cognitive level depends on the patient's age, so the nurse should ask about the patient's age. The patient's support system should be taken into consideration when the nurse plans patient education. Therefore asking about marital status would be appropriate. Information about the patient's economic resources is helpful for the nurse to develop affordable interventions. There are many culture-based biases and restrictions, so in order to provide culturally competent care, the nurse should be aware of the patient's cultural background. The patient's insurance status is not a prerequisite in determining the instructions given to the patient.

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4. Precontemplation

The precontemplation stage in the Transtheoretical Model of Health Behavior Change is when the nurse provides patient support, increases awareness of the condition, and describes the benefits of change and the risk of not changing. In the action stage, the nurse reinforces the behavior with rewards, encourages self-reward, and discusses choices to minimize relapses and regain focus. The termination stage entails the evaluation of the effectiveness of the new behavior, no further intervention is needed at this stage. During the preparation phase, the nurse reinforces the positive outcomes of change, provides encouragement, develops a plan, helps set priorities and identifies sources of support.

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Terms in this set (61)

Which domain will teaching address when discussing brushing teeth as part of a healthy lifestyle with a group of preschool-aged children?

1. Health literacy
2. Affective domain
3. Cognitive domain
4. Psychomotor domain

Affective domain.

--The need or importance of a healthy lifestyle.
--Also includes: The observation of nonverbal communication by the patients.

P. 74

Which reason would a group of older patients have if many of them pause before responding to questions?

1. Impaired reaction time
2. Impaired short-term memory
3. Impaired cognitive functioning
4. Impaired ability to concentrate

Impaired reaction time.

--Require a sufficient time for the teaching methodology and for receiving feedback.

P. 78

The nurse is providing medication education to a non-English-speaking patient. Which resources would assist with translation in this situation? Select all that apply.

1. A certified translator
2. Computer-/web-based translator system
3. A family member who does speak English
4. A layperson versed in the person's language
5. Another health care provider who speaks the language.

1, 2, 4, 5

-A certified translator
-Computer-/web-based translator system
-A layperson versed in the person's language
-Another health care provider who speaks the language.

--Try to avoid using a family member as a translator if possible, due to the issues with bias, misinterpretation, and potential confidentiality issues.

P. 80

The nurse teaches a group of adolescent girls from a low socioeconomic background that contraceptives are not an effective treatment for sexually transmitted disease. Which educational strategy would the nurse use to support the teaching process?

1. Pictures
2. Pamphlets
3. Written instructions
4. Educational materials

Pictures.

--Due to possibility of minimal knowledge and limited educational status, visual aids enhance the quality of teaching.

P. 75

Which process of patient education helps patients to make appropriate health care decisions?

1. Health literacy
2. Affective domain
3. Cognitive domain
4. Psychomotor domain

Health literacy.

--Provides basic knowledge of the treatment plan.

P. 74

Which nursing intervention would be appropriate when developing a therapeutic relationship between a Hispanic patient with limited English skills and the nurse?

1. Always using a translator
2. Playing audiovisuals in Spanish
3. Completing medication calendar
4. Speaking Spanish when possible

Speaking Spanish when possible.

--Helps to build trust and to establish a therapeutic relationship.

P. 76

The nurse is caring for a Mexican-American patient who is concerned about a high-risk surgery. Which intervention would the nurse consider to put this patient at ease and provide more individualized care?

1. Arrange for a translator.
2. Provide an English dictionary
3. Provide written instructions in Spanish
4. Ask if the patient would like a clergy visit.

Ask if the patient would like a clergy visit.

--Individualized nursing can include incorporating the patient's culture, religion, and language in addition to medical needs.

P. 80

Utilizing the cognitive domain of learning the nurse would ask the patient which questions about drug therapy patient education? Select all that apply.

1. "Do you expect the pain medication to be effective?"
2. "Are you taking the medication as your doctor ordered it?"
3. "What do you remember about the risks of the medication?"
4. "Do you understand how often to take the pain medication?"
5. "Have you ever taken pain medication and, if so, how was the experience?"

3, 4, 5

-"What do you remember about the risks of the medication?"
-"Do you understand how often to take the pain medication?"
-"Have you ever taken pain medication and, if so, how was the experience?"

--The answer to these questions will help the nurse determine the patient's understanding of the prescribed pain medication and further refine the teaching plan.

P. 74

Which necessary measure would the nurse implement for a better teaching-learning interaction with an adolescent who has a neurological disorder?

1. Palpating for prominent pulse sites.
2. Performing baseline hearing assessment
3. Using examples for explaining information
4. Keeping the teaching materials within the visual field

Using examples for explaining information.

--Neurological disorders can result in an impaired ability to think and understand the teaching-learning interaction.

P. 78

Which is the appropriate educational strategy for the nurse to use with a patient who has thickening and yellowing of the lenses of the eyes?

1. Decrease external stimuli as much as possible
2. Use nonglare lighting and avoid contrast of light
3. Ensure the patient's glasses are clean and in place and that the prescription is current.
4. Slow the pace of the presentation and attend to verbal and nonverbal patient cues to verify understanding.

Use nonglare lighting and avoid contrast of light

--Thickening and yellowing of the lenses of the eyes are often indicative of early cataracts, use of bright lighting refracts from the thick lenses and worsens vision.

P. 78

Which conditions would the nurse identify as possible barriers to English speaking patients learning about medications? Select all that apply.

1. Poor socioeconomic status of the patients
2. Presence of learning disabilities in patients
3. Lack of formal education in patients and caregivers
4. Minimal previous exposure to the medication regimen

2, 3, 4

-Presence of learning disabilities in patients
-Lack of formal education in patients and caregivers
-Minimal previous exposure to the medication regimen

P. 74-75

Which precaution would the nurse take to obtain the informed consent of an older adult patient who will be undergoing retinal surgery?

1. Provide written instructions.
2. Print the material in bright colors.
3. Use interactive methods like audiovisuals.
4. Provide the instructions in an easy-to-read format.

Print the material in bright colors.

--The lesson should be brief and concise so that it can be easily understood by the patient.
--The material should have large font size and be printed in bright colors.

P. 78

A patient with a mental illness has been taking a medication for several months without improvement in symptoms. The nurse suspects the patient is noncompliant with the drug therapy. How would the nurse improve the patient's compliance with the drug therapy?

1. By educating the patient's caregiver
2. By recommending over-the-counter drugs
3. By asking the provider to change the drug
4. By suggesting alternative forms of medication

By educating the patient's caregiver.

--Noncompliance is a common problem and is due to the patient's inability to follow the administration of the prescribed medication.

P. 80

Which educational method would the nurse use for a hearing-impaired adolescent to enhance self-medication?

1. Playing audiovisuals
2. Reinforcing the instructions
3. Using nonverbal communication
4. Administering a baseline hearing assessment

Reinforcing the instructions.

--Identity-versus-role confusion is a common perspective for the adolescent patient. -->The nurse would reinforce and reemphasize every instruction to make the patient understand self-medication.

P. 78

Which interventions would the nurse take to enhance compliance for an older adult patient with memory impairment?

1. Provide weekly pill containers
2. Provide medication containers with built-in alarms
3. Provide audiovisual materials for education
4. Provide computerized educational materials.

Provide medication containers with built-in alarms.

--The alarms remind the patients of the time and the date of medication dosage.

P. 77

How would the nurse identify that the education is effective after teaching a group of patients about drug administration?

1. Gaining trust
2. Sharing knowledge
3. Observing changes in behavior
4. Incorporating the previous experience.

Observing changes in behavior.

--There would be marked changes in the behavior of the patients.

P. 81

Which assessment does the nurse report to the primary health care provider with an osteoarthritis patient?

1. Financial status
2. Self-care ability
3. Learning needs
4. Mobility and motor skills

Learning needs.

--This is the first step in administration of drugs to the patient.

P. 74

Which situation is the cause of health illiteracy in school-age individuals?

1. Sensorial abilities
2. Limited educational level
3. Poor socioeconomic status
4. Multiple disease processes

Limited educational level.

--School-age children may not have the maturity to understand the administration of meds.

P. 75

Which statement would the nurse include when teaching about the importance of written material for an effective teaching session?

1. It should have larger fonts.
2. It should contain illustrations
3. It should avoid blue and green colors
4. It should be targeted at lower than an eight-grade reading level.

It should be targeted at lower than an eighth-grade reading level.

--This includes pamphlets and handbooks, and is written at an eighth-grade reading level due to it being understood by most of the target population.

P. 78

The nurse supports which learning domain when the newly diagnosed patient with diabetes performs a return demonstration of insulin injections that will be self-administered?

1. Affective
2. Cognitive
3. Compliance
4. Psychomotor

Psychomotor.

--This domain involves the learning of a new procedure or skill that is generally accomplished by demonstration of the procedure or task using a step-by-step approach with return demonstrations by the learner to verify whether the procedure or skill has been mastered, such a diabetic return demonstration.

P. 74

The result of effective patient education about drug therapy is a change in behavior that is identified as which?

1. Learning
2. Teaching
3. Evaluation
4. Compliance

Learning.

--Defined as a change in behavior.

**Teaching: A sharing of knowledge.
**Evaluation: The critical appraisal of a change in behavior, not the actual change itself.
**Compliance: conforming to a drug therapy plan.

P. 74

Which would the nurse include in the teaching about the safe administration of drugs?

1. Reinforcement
2. Self-care ability
3. Emotional status
4. Drug-food interaction

Drug-food interaction.

P. 82

Which phase of the nursing process would be performed initially by the nurse when providing education on a new medication to a patient and family?

1. Evaluation
2. Assessment
3. Outcome planning
4. Goal identification

Assessment.

--The nurse must assess the learning needs of the patient and family.

P. 74

Which rationale does the nurse utilize by using a closed room to teach a group of older diabetic patients about self-administration of insulin?

1. Older patients have poor short-term memory.
2. Older patients have diminished concentration
3. Older patients have slowed cognitive functioning
4. Older patients have decreased ability to read fine details.

Older patients have diminished concentration.

--This will decrease the external stimuli that could disturb the patient.

P. 78

Which information would a nurse gather while performing an assessment of a patient's family support system for effective patient teaching? Select all that apply.

1. The family's eating habits
2. The family's financial status
3. The disease that run in the family
4. The roles of the various family members
5. The family's communication patterns

2, 4, 5

-The family's financial status
-The roles of the various family members
-The family's communication patterns

--This is done while performing assessment of the family support system --> This information will help the nurse to plan out effective teaching to the patient.

P. 75-76

Which method would the nurse use to evaluate the patient's understanding of the info when the nurse completes teaching on a new medication?

1. Observe the patient taking the medication.
2. Ask specific questions to evaluate understanding.
3. Assess the patient for response to the medication
4. Document the education session in the patient chart.

Ask specific questions to evaluate understanding.

--Very specific questions would be asked to verify that the patient has a true understanding of the medication.

P. 81

Which assessment would the nurse perform for effective management of the patient whose body mass index is low?

1. Sensory status
2. Nutritional status
3. Cognitive abilities
4. Mobility and motor skills

Nutritional status.

--That may be contributing to the disease condition.

P. 75

Which common symptom of drug toxicity would the nurse teach a patient who is being treated with an oral antidiabetic?

1. Headache
2. Hypoglycemia
3. Muscle spasms
4. Impaired memory

Hypoglycemia.

--A common health complication resulting from aon OD of diabetic medication.

P. 76

How can the nurse ensure an effective teaching-learning interaction with a Spanish-speaking patient who is visually impaired?

1. By taking help from a translator
2. By providing written instructions
3. By using printed materials with a larger font
4. By performing a baseline hearing assessment

By taking help from a translator.

--Communication in the patient's language helps to build rapport between the nurse and the patient.

P. 77

Which strategy would the nurse use to educate the child with cancer regarding chemotherapeutic drug administration?

1. Readability tools
2. Verbal instructions
3. Audiovisual materials
4. Nonverbal instructions

Audiovisual materials.

--Interactive strategies such as providing instructions through audiovisuals help educate children about treatment plans.

P. 75, 77

The nurse asks what strategy will be implemented when educating patients who are incapable of differentiating colors. Which answer describes effective learning technique?

1. Videotapes
2. Nonglare light
3. Reading glasses
4. Red and black colors

Red and black colors.

--Teaching strategies for these types of patients include the use of print materials, pamphlets, pictures, and handbooks with high-contract colors such as black and red on white background.

P. 78

A patient tells the nurse that she has been taking oral contraceptive pills to prevent HIV infection. Which would the nurse document in the report?

1. The patient lacks self-care ability.
2. The patient has defective cognitive abilities
3. The patient has deficient knowledge of the drug
4. The patient is taking complementary medication.

The patient has deficient knowledge of the drug.

--This creates a barrier for effective management of illness.

P. 75

Which domain of learning is the nurse using to facilitate the learning process when using effective communication skills to gain the trust of a patient?

1. Affective domain
2. Cognitive domain
3. Behavioral domain
4. Psychomotor domain

Affective domain.

--Refers to the conduct that expresses feelings, needs, beliefs, values, and opinions.

P. 74

For a patient who often forgets to take their medicines on time, which interventions would help improve the patient's compliance with the treatment?

1. Using pill reminder stickers
2. Providing instructions by readability tools
3. Employing a translator for directing instructions
4. Educating the patient about administration skills

Using pill reminder stickers.

P. 77

Which symptom may the nurse observe in a patient as a result of noncompliance with warfarin?

1. Hypoglycemia
2. Sleep deprivation
3. Partial loss of hearing
4. Defective blood coagulation

Defective blood coagulation.

--Warfarin is an anticoagulant drug, so noncompliance increases the chances of pulmonary embolism and stroke.

P. 81

Which is the first action that the nurse would take before a patient begins drug therapy?

1. Creating a plan of care
2. Assessment of learning needs
3. Planning outcome identification
4. Identifying human need statements

Assessment of learning needs.

--Then identification of outcomes, development of human need statements occur.

P. 74

The nurse is teaching a group of patients about the causes of heart disease and includes a lecture on the structure of the heart. Which domain of learning would the nurse address for effective learning?

1. Health literacy
2. Affective domain
3. Cognitive domain
4. Psychomotor domain

Cognitive domain.

--This domain involves basic knowledge of the medication, treatment, or diagnostic procedure.

P. 74

Which teaching-and-learning aid does the nurse use when educating a visually impaired adolescent about oral contraceptive administration?

1. Pictures
2. Videotapes
3. Audiotapes
4. Readability tools

Audiotapes.

P. 75

Which assessment would the nurse include to ensure effective drug administration with an older adult who receives insulin?

1. Financial status
2. Self-care ability
3. Family relationships
4. Cultural background

Self-care ability.

P. 75

When the nurse has the patient demonstrate how to perform self-injections of insulin, which domain of learning is the nurse assessing?

1. Physical domain
2. Affective domain
3. Cognitive domain
4. Psychomotor domain

Psychomotor domain.

--Involves the learning of a new procedure or skill and is referred to as the "Doing domain."

P. 74

The nurse is teaching a patient about drug therapy and the patient says, "My sister, who has been on this therapy for the past 2 months, showed a good response to the treatment." Which domain of the learning process relates to the patient's statement?

1. Doing domain
2. Affective domain
3. Cognitive domain
4. Psychomotor domain

Affective domain.

--Involves behavior that expresses beliefs, feelings, and values.

P. 74

Which statement does the nurse include in the lecture when explaining about the psychomotor domain?

1. Learning the new procedure
2. Learning the basic knowledge
3. Expressing feelings and opinions
4. Understanding the basic health information

Learning the new procedure.

--This domain deals with providing knowledge of the treatment procedure. --> It can be done by demonstrating the procedure by following a proper sequence.

P. 74

When planning care for an assigned patient, the nurse identifies the outcome of "Patient will be able to safely self-administer enoxaparin subcutaneously upon discharge." Which method evaluates the patient's achievement of this outcome?

1. Visually demonstrate the correct procedure to the patient
2. Have the patient verbalize the correct procedure step by step.
3. Have the patient perform a return demonstration of the procedure.
4. Give the patient detailed written instructions illustrating the procedure.

Have the patient perform a return demonstration of the procedure.

P. 81

Which strategies would the nurse use in discharge teaching with an older adult patient who has short-term memory problems? Select all that apply.

1. Repeat information frequently.
2. Provide written instructions for home use
3. Perform several short teaching-learning sessions
4. Instruct patient to take all medications in the morning
5. Encourage use of daily medication containers with alarms

1, 2, 3, 5

-Repeat information frequently.
-Provide written instructions for home use
-Perform several short teaching-learning sessions
-Encourage use of daily medication containers with alarms

P. 78

Which is the chief purpose of the program Micromedex?

1. To provide articles citing the latest health care research
2. To provide detailed drug information in different languages
3. To collect and store the patient's health-related information
4. To provide information about various diseases and their symptoms

To provide detailed drug information in different languages.

--Details such as: dosage, side effects, and adverse effects.

P. 75

The patient has difficulty reading without reading glasses, which are not at the hospital with the patient. Which intervention promotes an effective teaching session?

1. Repeat the instructions as many times as possible.
2. Avoid contrast lighting when providing instructions.
3. Observe the verbal and nonverbal cues of the patient.
4. Place the instructional materials within the patient's visual field.

Place the instructional materials within the patient's visual field.

P. 78

The nurse is caring for an older adult who is noncompliant with drug therapy. How would the nurse evaluate the effectiveness of the teaching session?

1. By self-care ability
2. By change in behavior
3. By level of knowledge
4. By change in cognitive abilities

By change in behavior.

P. 81

Which strategy for education would the nurse use with a patient who is illiterate and visually impaired who is receiving chemotherapy?

1. Audiotapes
2. Readability tools
3. Nonverbal communication
4. Written instructions given to a caregiver

Audiotapes.

P. 78

The nurse is assessing a diabetic patient who also has dementia. The nurse finds that the patient did not take a prescribed oral antidiabetic drug in the morning and now has elevated blood sugar levels. Which is the possible reason for the patient not taking the drug in the morning?

1. Emotional status of the patient
2. Impaired memory of the patient
3. Noncompliant attitude of the patient
4. Restrictive religious beliefs of the patient

Impaired memory of the patient.

P. 78

Which is an important characteristic to remember when giving toddlers medications?

1. The need to develop trust
2. The need to be with peers
3. The need to solve problems
4. The need to develop independence

The need to develop independence.

--Toddlers are learning to be autonomous and need to express their independence.

P. 76

Which strategy used by the nurse suggests that the nurse is using psychomotor domain to facilitate better learning in the patient when teaching about safe administration of drugs?

1. The nurse asks the patient to repeat the steps of medication administration.
2. The nurse asks the patient about the type of drugs the patient has been taking.
3. The nurse develops a good rapport with the patient before the teaching session.
4. The nurse assesses the understanding of safe drug administration before the teaching session.

The nurse asks the patient to repeat the steps of medication administration.

--Learning is facilitated by step-by-step demonstration of the procedure that has been explained.

P. 74

Which strategy would the nurse implement in an effective teaching-learning interaction of drug administration for an illiterate patient?

1. Pictures
2. Pamphlets
3. Readability tools
4. Written instructions

Pictures.

--Illiterate patients are incapable of reading written materials so they are educated by pictures.

P. 76

Which precaution would the nurse take to increase the effectiveness of the teaching with a patient who has difficulty concentrating?

1. Allow time for feedback.
2. Minimize distractions
3. Implement the teaching aids
4. Document the instructions provided

Minimize distractions.

P. 78

Which strategy would the nurse implement to provide effective discharge teaching with an older adult patient with low vision and who has trouble reading fine print?

1. Playing audiotapes
2. Minimizing distracters
3. Using contrasting colors
4. Providing reading glasses

Using contrasting colors.

--Such as black and red against a white background.

P. 78

When would the nurse teach patients about drug therapy?

1. As soon as the discharge is planned
2. As soon as the patient undergoes surgery
3. As soon as the patient is admitted to hospital
4. As soon as the patient's treatment is decided on

As soon as the patient's treatment is decided on.

--Patient education that is started early may lead to fewer complications and better patient adherence.

P. 74

Which method would the nurse use to provide instructions to a group of visually impaired patients for effective learning?

1. Readability tools
2. Verbal communication
3. Nonverbal communication
4. Pictures on an electronic screen

Verbal communication.

--To include an active interaction session between the patient and the nurse.

P. 75

Which assessment is needed for a patient who develops symptoms of hypoglycemia after taking vitamin supplements?

1. Over-the-counter medication received
2. Psychosocial growth and development
3. Misinformation of treatment procedure
4. Alternative and complementary therapies

Over-the-counter medication received.

--Dietary supplements may interact with over-the-counter medications to produce adverse reactions.
--OTC meds are assessed for drug-drug interactions in patients.

P. 75

Which location would the nurse teach the older adult with impaired vibration sense to palpate when assessing the pulse?

1. Radial artery
2. Fibular artery
3. Femoral artery
4. Brachial artery

Radial artery.

--Palpate pulses that are very prominent, such as the radial and carotid arteries.

**Fibular, femoral, and brachial arteries are comparatively deep-seated arteries.

P. 78

Which interventions is needed for a patient from a Mexican-American community who has defective short-term memory to ensure effective drug administration?

1. Seeking assistance of family members
2. Teaching the patient with interactive aids
3. Communicating with the patient in their native language
4. Providing readability tools in the patients native language

Seeking assistance of family members.

--It is common for people from Hispanic backgrounds often live with extended family and therefore seeking assistance from the family members may help with gaining their trust and confidence.

P. 76

What is the time to begin patient education and the teaching-learning process?

1. At the time discharge planning is begun
2. Once the medical diagnosis is established
3. When there are written orders for teaching
4. Upon the patient's admission to the health care setting

Upon the patient's admission to the health care setting.

P. 80

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What are three ways in which a patient information packet can be helpful to patients?

Patient referral or appointment scheduling. Collection of patient health history. Checking of health payer coverage.

What is the first step in developing a teaching plan for patient education?

The first step is to assess the patient's current knowledge about their condition and what they want to know. Some patients need time to adjust to new information, master new skills, or make short- or long-term lifestyle changes.

Which method would the nurse use to evaluate the patients understanding of the information when the nurse completes teaching on a new medication?

The teach-back method, a technique for verifying patients' understanding of their health information, has been recommended by the Agency for Healthcare Research and Quality (AHRQ) and the Institute for Healthcare Improvement (IHI) as a strategy for taking universal precautions for health literacy.

How can the nurse ensure an effective teaching learning?

Nurses can do this by answering the patient's questions and asking them questions to understand them better. Using this information, the nurse can individualize teaching to include important patient goals and preferences to address the patient's concerns and help them take ownership of their health and/or recovery.