Question 1

The first step of the teaching-learning process involves

Accepted Answer

A)  gathering data to assist in the assessment of learning needs. 
B)  identifying major learning needs for the patient. 
C)  identifying learning needs related to medical diagnosis. 
D)  evaluating the effects of prior teaching. 
A)  gathering data to assist in the assessment of learning needs. 
B)  identifying major learning needs for the patient. 
C)  identifying learning needs related to medical diagnosis. 
D)  evaluating the effects of prior teaching. A

Question 2

During which phase do HIPAA, advance directives, and visitation policies occur for the patient or family members?

Accepted Answer

A)  Transfer to a different level of care 
B)  End-of-life care 
C)  Initial contact or first visit 
D)  Continuous care 
A)  Transfer to a different level of care 
B)  End-of-life care 
C)  Initial contact or first visit 
D)  Continuous care C

Question 3

_____ often occur(s)during the initial ICU visit by the family.

Accepted Answer

A)  Sensory deprivation 
B)  Discharge teaching 
C)  Repeated questioning 
D)  Stress and anxiety 
A)  Sensory deprivation 
B)  Discharge teaching 
C)  Repeated questioning 
D)  Stress and anxiety D

Question 4

Sources of physiologic stress in the acutely ill include

Accepted Answer

A)  hypotension. 
B)  hypoxia. 
C)  fever. 
D)  neurologic deficits. 
E)  eupnea. 
A)  hypotension. 
B)  hypoxia. 
C)  fever. 
D)  neurologic deficits. 
E)  eupnea.

Question 5

Acute illness disrupts the patient's and family's normal routines.Coping mechanisms include

Accepted Answer

A)  denial. 
B)  adaptation. 
C)  values. 
D)  anger. 
E)  disbelief. 
A)  denial. 
B)  adaptation. 
C)  values. 
D)  anger. 
E)  disbelief.

Question 6

According to Maslow's hierarchy of needs, the need to know and understand information is considered

Accepted Answer

A)  a high-level need. 
B)  a low-level need. 
C)  a physiologic need. 
D)  not important in a critical care setting. 
A)  a high-level need. 
B)  a low-level need. 
C)  a physiologic need. 
D)  not important in a critical care setting.

Question 7

Which of the following statements BEST describes the teaching-learning process?

Accepted Answer

A)  It follows the distinct order of the nursing process, with each step of the process separate and without repetition. 
B)  It requires formal blocks of learning time that are planned during the shift. 
C)  It is a continuous activity that occurs during hospitalization and beyond. 
D)  It ends at the point of discharge. 
A)  It follows the distinct order of the nursing process, with each step of the process separate and without repetition. 
B)  It requires formal blocks of learning time that are planned during the shift. 
C)  It is a continuous activity that occurs during hospitalization and beyond. 
D)  It ends at the point of discharge.

Question 8

A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome.The patient is ready for transfer to the step-down unit but is apprehensive.The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit.Which educational objective would be best to use in this situation?

Accepted Answer

A)  The patient will state two reasons why he is being transferred by the end of the day. 
B)  The patient will confront his fears and deal with them within 1 day of transfer. 
C)  The patient will state the name of his "new" nurse by the end of the day. 
D)  The patient will be introduced to at least two of his "new" caregivers by the time of transfer. 
A)  The patient will state two reasons why he is being transferred by the end of the day. 
B)  The patient will confront his fears and deal with them within 1 day of transfer. 
C)  The patient will state the name of his "new" nurse by the end of the day. 
D)  The patient will be introduced to at least two of his "new" caregivers by the time of transfer.

Question 9

Group discussions for patients are most effective if the patients

Accepted Answer

A)  have a variety of medical diagnoses. 
B)  are in the acute phase of their illness. 
C)  are in the hospital only 3 days or less. 
D)  are at similar stages of adaptation. 
A)  have a variety of medical diagnoses. 
B)  are in the acute phase of their illness. 
C)  are in the hospital only 3 days or less. 
D)  are at similar stages of adaptation.

Question 10

A patient is scheduled for a cardiac catheterization this afternoon.The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure.Which teaching strategy is most appropriate for this situation?

Accepted Answer

A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written 
A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written

Question 11

Identify which of the following questions a nurse could use to obtain assessment information.

Accepted Answer

A)  "How can we help you today?" 
B)  "Can you tell me why you take each medication?" 
C)  "Are you in pain?" 
D)  "Are these people your main support system?" 
E)  "How well do you understand the directions?" 
A)  "How can we help you today?" 
B)  "Can you tell me why you take each medication?" 
C)  "Are you in pain?" 
D)  "Are these people your main support system?" 
E)  "How well do you understand the directions?"

Question 12

A nurse has been progressively working with a patient on the exercises he needs to do at home when he is discharged.The nurse wants to ensure he will remember what to do when he is at home.Which teaching strategy is most appropriate for this situation?

Accepted Answer

A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written 
A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written

Question 13

The patient is asked to complete an admission form.The patient hands the form to his spouse and asks her to complete the form, stating, "I forgot my glasses." The patient's actions demonstrate:

Accepted Answer

A)  functional health literacy. 
B)  word recognition test. 
C)  low health literacy. 
D)  reading comprehension test. 
A)  functional health literacy. 
B)  word recognition test. 
C)  low health literacy. 
D)  reading comprehension test.

Question 14

A lack of true understanding can often be misread by the nurse as noncompliance.Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?

Accepted Answer

A)  Do you take your heart medication every morning? 
B)  Can you tell me what you know about your different heart medications? 
C)  Do you take all your medications? 
D)  Do you ever miss taking your medication? 
A)  Do you take your heart medication every morning? 
B)  Can you tell me what you know about your different heart medications? 
C)  Do you take all your medications? 
D)  Do you ever miss taking your medication?

Question 15

Learning domains are identified as:

Accepted Answer

A)  knowledge, ability, and willingness to learn. 
B)  psychologic, skills, and knowledge. 
C)  knowledge, skills, and attitude. 
D)  skills, attitude, and psychologic. 
A)  knowledge, ability, and willingness to learn. 
B)  psychologic, skills, and knowledge. 
C)  knowledge, skills, and attitude. 
D)  skills, attitude, and psychologic.

Question 16

Which of the following educational content areas is appropriate during the first hours of hospitalization?

Accepted Answer

A)  Pathophysiology of the admitting diagnosis 
B)  Dietary modifications 
C)  Purpose of bedside equipment 
D)  Medication side effects 
A)  Pathophysiology of the admitting diagnosis 
B)  Dietary modifications 
C)  Purpose of bedside equipment 
D)  Medication side effects

Question 17

How should a nurse respond when a patient asks if he or she is going to die?

Accepted Answer

A)  Avoid the question by leaving the room. 
B)  Defer the question to the physician. 
C)  Answer honestly and sensitively with information that is understandable and in simple terms. 
D)  Speak with the family first before answering the patient. 
A)  Avoid the question by leaving the room. 
B)  Defer the question to the physician. 
C)  Answer honestly and sensitively with information that is understandable and in simple terms. 
D)  Speak with the family first before answering the patient.

Question 18

Which of the following issues should be addressed with patients who have been unconscious?

Accepted Answer

A)  Sensations 
B)  Pathophysiology 
C)  Rehabilitation 
D)  Attitudes 
A)  Sensations 
B)  Pathophysiology 
C)  Rehabilitation 
D)  Attitudes

Question 19

According to Malcolm Knowles' andragogy, which of the following are characteristics of the adult learner?

Accepted Answer

A)  Autonomy 
B)  Experience 
C)  Instructor-driven assessments 
D)  Peer-directed motivation 
E)  Individualism 
A)  Autonomy 
B)  Experience 
C)  Instructor-driven assessments 
D)  Peer-directed motivation 
E)  Individualism

Question 20

A 79-year-old patient received a liver transplant 3 days ago.The patient is extubated and hemodynamically stable.His spouse is coming for a visit, and the nurse has some time to discuss immune suppression drug therapy with both of them.The patient is hearing and sight impaired.The spouse brought the patient's hearing aids 2 days ago and will bring the patient's glasses today.Which of the following teaching strategies would be least effective in the ICU setting?

Accepted Answer

A)  Patient education channel 
B)  Written materials 
C)  Lecture 
D)  Discussion 
A)  Patient education channel 
B)  Written materials 
C)  Lecture 
D)  Discussion

Exam 3: Patient and Family Education

The first step of the teaching-learning process involves

During which phase do HIPAA, advance directives, and visitation policies occur for the patient or family members?

_____ often occur(s)during the initial ICU visit by the family.

Sources of physiologic stress in the acutely ill include

Acute illness disrupts the patient's and family's normal routines.Coping mechanisms include

According to Maslow's hierarchy of needs, the need to know and understand information is considered

Which of the following statements BEST describes the teaching-learning process?

Group discussions for patients are most effective if the patients

A patient is scheduled for a cardiac catheterization this afternoon.The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure.Which teaching strategy is most appropriate for this situation?

Identify which of the following questions a nurse could use to obtain assessment information.

A nurse has been progressively working with a patient on the exercises he needs to do at home when he is discharged.The nurse wants to ensure he will remember what to do when he is at home.Which teaching strategy is most appropriate for this situation?

The patient is asked to complete an admission form.The patient hands the form to his spouse and asks her to complete the form, stating, "I forgot my glasses." The patient's actions demonstrate:

A lack of true understanding can often be misread by the nurse as noncompliance.Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?

Learning domains are identified as:

Which of the following educational content areas is appropriate during the first hours of hospitalization?

How should a nurse respond when a patient asks if he or she is going to die?

Which of the following issues should be addressed with patients who have been unconscious?

According to Malcolm Knowles' andragogy, which of the following are characteristics of the adult learner?

Caring for the Critically Ill Patient

Ethical and Legal Issues

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

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