Nokea
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.
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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 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.
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.
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.
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.