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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 may also like to solve these questions
To help the patient learn a task, ask him or her to try and perform it while you are explaining the correct method.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Demonstrating first, then allowing practice, ensures the patient learns the correct method.
A patient is started on a new medication that requires monthly blood tests, and you are teaching her about it. Which response by the patient would indicate the need for more teaching?
- A. I will have to go to the lab for blood work for as long as I take this medication.
- B. I can get too much of this medicine in my blood, so I need lab tests to check the levels.
- C. I may have side effects that I need to tell the doctor about.
- D. I will go to the lab for a blood test every 6 weeks.
Correct Answer: D
Rationale: The patient's statement about 6-week intervals is incorrect, indicating a need for further teaching on monthly testing.
After teaching your patient about his diagnosis of congestive heart failure, you ask him questions to be sure he understood the information. This is an example of which of the following?
- A. Assessment
- B. Evaluation
- C. Planning
- D. Implementation
Correct Answer: B
Rationale: Questioning after teaching evaluates the patient's understanding of the material.
Which is an example of appropriate documentation of patient teaching?
- A. Teaching done on diabetic foot care.
- B. Instructed on washing and drying feet, inspecting for open or reddened areas, and toenail care by a podiatrist.
- C. Instructed on washing and drying feet, inspecting for open or reddened areas, and toenail care by a podiatrist. Verbalized understanding and demonstrated correctly.
- D. Answered questions correctly on appropriate care of feet due to his diabetes. States he will go to a podiatrist to have his toenails clipped.
Correct Answer: C
Rationale: Detailed documentation, including patient understanding and demonstration, is appropriate for teaching records.
Your nurses' station has handouts about different diseases. What must you determine before giving the handout to a patient?
- A. Is the handout accurate?
- B. Is the handout in the patient's native language?
- C. Is the handout written at about a fifth-grade reading level?
- D. Does the handout have enough illustrations?
Correct Answer: A,B,C
Rationale: Ensuring accuracy, appropriate language, and readable level ensures the handout is effective and understandable for the patient.