Nurses who are providing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. When working with a 15-year-old boy who has diabetes, which of the following motivators is most likely to be effective?
- A. A learning contract
- B. A star chart
- C. A point system
- D. A food-reward system
Correct Answer: A
Rationale: Using a learning contract or agreement can also be a motivator for learning. Such a contract is based on assessment of patient needs; health care data; and specific, measurable goals. Young adults would not respond well to the use of star charts, point systems, or food as reward for behavioral change. These types of motivators would work better with children.
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A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness?
- A. The women demonstrate an understanding of the importance of a healthy diet.
- B. The women are able to describe the importance of vitamin supplements during pregnancy.
- C. The women can list the minerals nutrients that should be consumed daily.
- D. The women can interpret the nutrition facts listed on food packaging.
Correct Answer: A
Rationale: Nutritional awareness involves an understanding of the importance of a healthy diet that supplies all of the essential nutrients. The other options are incorrect because vitamin supplements are not necessary for a healthy diet, a certain amount of all minerals need to be eaten daily, and understanding what constitutes the recommended daily nutrients is not necessary for nutritional awareness.
The nurse is planning to teach a 75-year-old patient with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the patients ability to learn?
- A. Provide links to Web sites that contain evidence-based information.
- B. Exclude family members from the session to prevent distraction.
- C. Use color-coded materials that are succinct and engaging.
- D. Make the information directly relevant to the patients condition.
Correct Answer: D
Rationale: Studies have shown that older adults can learn and remember if the information is paced appropriately, relevant, and followed by appropriate feedback. Family members should be included in health education. The nurse should not assume that the patients color vision is intact or that the patient possesses adequate computer skills.
A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. What variable should the nurse prioritize when planning this event?
- A. Health-promotion needs of the group
- B. Relationships between participants and caregivers
- C. Wellness state of each individual
- D. Learning needs of caregivers
Correct Answer: A
Rationale: The nurse must be aware of the participants specific health-promotion needs when teaching specific groups of people with physical and mental disabilities. This is a priority over the relationships between participants and caregivers, each persons wellness state, or caregivers learning needs.
A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health?
- A. Health is an outcome systematically maximizing wellness.
- B. Health is a state that is characterized by a lack of disease.
- C. Health is a condition that enables people to function at their optimal potential.
- D. Health is deliberate attempt to mitigate the effects of disease.
Correct Answer: C
Rationale: Health is viewed as a dynamic, ever-changing condition that enables people to function at an optimal potential at any given time. Health does not necessarily denote the absence of disease, an effort to maximize wellness, or mitigate the effects of disease.
You are the nurse planning to teach tracheostomy care to a patient who will be discharged home following a spinal cord injury. When preparing your teaching, which of the following is the most important component of your teaching plan?
- A. Citing the evidence that underlies each of your teaching points
- B. Alleviating the patients guilt associated with not knowing appropriate self-care
- C. Determining the patients readiness to learn new information
- D. Including your nursing colleagues in the planning process
Correct Answer: C
Rationale: Assessment in the teaching-learning process is directed toward the systematic collection of data about the person and family's learning needs and readiness to learn. Patient readiness is critical to accepting and integrating new information. Unless the patient is ready to accept new information, patient teaching will be ineffective. Citing the evidence base will not likely enhance learning. Patient guilt cannot be alleviated until the patient understands the intricacies of the condition and his physiologic response to the disease. Inclusion of colleagues can be beneficial, but this does not determine the success or failure of teaching.
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