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Which of the following is the best rationale for nurses to perform patient teaching?
- A. Patients are more likely to comply with the treatment plan if they know the purpose and desired effects of the plan.
- B. It saves the doctor time.
- C. None of the other disciplines is responsible for patient teaching.
- D. Patients are less likely to have questions after they are discharged if they are taught everything before leaving the hospital.
Correct Answer: A
Rationale: Understanding the purpose and effects of a treatment plan empowers patients, increasing compliance, which is the primary goal of patient teaching.
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You are working as a home health nurse and you make a visit to Mr. Odell, who is recovering from open heart surgery. You are teaching him the signs and symptoms of infection in his chest and leg incisions today. What are the most important things to include in your documentation of the teaching?
- A. Focus on describing the chest and leg incisions and whether or not they are infected more than focusing on your teaching.
- B. Be clear and thorough because another nurse may come next time to see this patient.
- C. The only effective way to prove evidence of learning is through a return demonstration.
- D. Document in such a way that tells the next nurse exactly what was taught that needs to be reinforced.
- E. Include specific descriptions of your patient teaching and evaluation of patient learning in order for the agency to be paid for your visit.
Correct Answer: B,D,E
Rationale: Clear, thorough documentation of teaching content and evaluation ensures continuity of care and meets agency requirements.
You have identified a need to teach your patient who has had a skin cancer about limiting sun exposure. What is your next step?
- A. Begin telling the patient about the dangers of UV light.
- B. Ask the patient how much time he spends in the sun.
- C. Find resources that discuss his type of cancer and sun exposure.
- D. Tell him to use sunscreen with an SPF of 15.
Correct Answer: B
Rationale: Assessing the patient's current behavior (time spent in the sun) helps tailor the teaching plan to their specific needs.
Ensure that the patient is in a comfortable position and not experiencing pain or discomfort.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Comfort and pain-free status are essential for the patient to focus on learning.
Speak loudly if the patient wears hearing aids.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Speaking clearly, not loudly, ensures effective communication for patients with hearing aids.
After teaching a patient how to change the dressing on his abdomen, how can you best evaluate his understanding?
- A. Ask the patient to list the first several steps in the procedure.
- B. Ask the patient several questions about the procedure.
- C. Have the patient demonstrate the dressing change for you.
- D. Have the patient explain to his wife how to do the dressing change.
Correct Answer: C
Rationale: Demonstration confirms the patient can perform the task correctly, ensuring understanding.