Nokea
A 60-year-old patient is on several new medications and expresses worry that she will forget to take her pills. Which action by the nurse would be most helpful in this situation?
- A. Teaching effective coping strategies
- B. Asking the patient's prescriber to reduce the number of drugs prescribed
- C. Assuring the patient that she will not forget once she is accustomed to the routine
- D. Assisting the patient with obtaining and learning to use a calendar or pill container
Correct Answer: D
Rationale: Calendars, pill containers, or diaries may be helpful to patients who may forget to take prescribed drugs as scheduled. The nurse must ensure that the patient knows how to use these reminder tools. Teaching coping strategies is a helpful suggestion but will not help with remembering to take medications. Asking the prescriber to reduce the number of drugs that are prescribed is not an appropriate action by the nurse. Assuring the patient that she will not forget is false reassurance by the nurse and inappropriate when education is needed.
You may also like to solve these questions
The nurse is teaching an older patient about the use of an incentive spirometer after surgery. Which of these age-related changes are appropriate for the nurse to consider when teaching older patients?
- A. Decreased sense of touch
- B. Increased conduction of sound
- C. Decreased cognitive function
- D. Decreased short-term memory
- E. Increased ability to concentrate
Correct Answer: A,C,D
Rationale: Age-related changes in older adults that may affect learning include a decreased sense of touch, decreased cognitive function, and decreased short-term memory. Sound conduction and ability to concentrate are also decreased.
The nurse is developing a care plan for a patient who will be self-administering a metered-dose inhaler. Which statement reflects a measurable outcome?
- A. The patient will know about self-administration of a metered-dose inhaler.
- B. The patient will understand the principles of self-administration of a metered-dose inhaler.
- C. The patient will demonstrate the proper technique of self-administering a metered-dose inhaler.
- D. The patient will comprehend the proper technique of self-administering a metered-dose inhaler.
Correct Answer: C
Rationale: The word demonstrate is a measurable verb, and measurable terms should be used when developing goals and outcome criteria statements. The other options are incorrect because the terms know, understand, and comprehend are not measurable terms.
When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best way to set up the teaching/learning session?
- A. Provide written pamphlets for instruction.
- B. Show a video, and allow the patient to practice as needed on his own.
- C. Verbally explain the procedure, and provide written handouts for reinforcement.
- D. After demonstrating the procedure, allow the patient to do several return demonstrations.
Correct Answer: D
Rationale: Return demonstration allows the nurse to evaluate the patient's newly learned skills. The techniques in the other options are incorrect because those suggestions do not allow for evaluation of the patient's technique.
A patient with a new prescription for a diuretic has just reviewed with the nurse how to include more potassium in her diet. This reflects learning in which domain?
- A. Cognitive
- B. Affective
- C. Physical
- D. Psychomotor
Correct Answer: A
Rationale: The cognitive domain refers to problem-solving abilities and may involve recall and knowledge of facts. The affective domain refers to values and beliefs. The term physical does not refer to one of the learning domains. The psychomotor domain involves behaviors such as learning how to perform a procedure.
During a nursing assessment, which question by the nurse allows for greater clarification and additional discussion with the patient?
- A. Are you allergic to iodine?
- B. What type of reaction did you have to penicillin?
- C. Have you had a reaction to this drug?
- D. Are you taking this medication with meals?
Correct Answer: B
Rationale: Asking 'What type of reaction did you have?' is an open-ended question that will encourage greater clarification and additional discussion with the patient. The other options are examples of closed-ended questions, which prompt only a 'yes' or 'no' answer and provide limited information.