Nokea
A patient with no history of heart disease wants to keep his cholesterol at a healthy level. You will instruct him on foods high in cholesterol so that he can avoid them. Which purpose of patient teaching does this exemplify?
- A. Health promotion
- B. Wellness strategies
- C. Explaining the disease process
- D. Explaining treatment for disease
Correct Answer: A,B
Rationale: Teaching about avoiding high-cholesterol foods supports health promotion (A) and wellness strategies (B) by preventing disease.
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Which nursing intervention is LEAST appropriate for teaching a patient about a low-salt diet?
- A. Explain why the patient needs to restrict salt in her diet.
- B. Present a short lecture on the effects of excess salt in the body.
- C. Discuss information in a simple-to-complex format.
- D. Frequently praise the patient or give encouraging feedback.
Correct Answer: B
Rationale: A lecture (B) is less effective for patient teaching compared to explaining reasons (A), using a simple-to-complex approach (C), or providing encouragement (D), as it may not engage the patient or address their specific needs.
As you prepare to teach your patient how to take his pulse, which of the following will be of concern to you?
- A. The television is on, visitors are talking, and someone is vacuuming in the hallway.
- B. The patient's primary language is not English.
- C. The patient is not wearing his glasses or his hearing aid.
- D. The patient is experiencing a significant amount of discomfort.
- E. The patient does not believe he needs any heart medications.
- F. There is a large amount of clutter in the room.
Correct Answer: A,B,C,D,E
Rationale: Distractions (A), language barriers (B), sensory impairments (C), discomfort (D), and lack of motivation (E) can all hinder effective teaching.
Your patient says that he is a hands-on learner, not a book learner. You understand his primary learning style to be:
- A. auditory.
- B. visual.
- C. mixed.
- D. kinesthetic.
Correct Answer: D
Rationale: A hands-on learner prefers kinesthetic learning (D), which involves physical activity and touch to learn effectively.
Because you know the above patient's primary learning style, your teaching will be presented:
- A. verbally only; he will learn best if you just tell him what you want him to do.
- B. by video so that he can see and hear the information as it is presented.
- C. in a variety of ways; verbally explain, give written information and videos if available, and demonstrate as you explain.
- D. as a demonstration only; he will learn best if you just show him what you want him to do.
Correct Answer: C
Rationale: For a kinesthetic learner, teaching should include demonstrations but also incorporate other methods like verbal explanations and visuals (C) to reinforce learning.
Which is an example of reinforcing previous teaching about a heart attack?
- A. Explaining for a third time to the patient about heart damage after a heart attack.
- B. Introducing information about the cause of a heart attack for the first time and leaving handouts for him to read.
- C. Asking the patient to explain to you what he wants to know about his heart attack.
- D. None of the above
Correct Answer: A
Rationale: Repeating information about heart damage (A) reinforces previous teaching by reviewing key concepts.