Question 1

The nurse is preparing to teach a 5-year-old child postoperative care that will be anticipated after a tonsillectomy. The nurse should:

Accepted Answer

A)   use pictures and simple words to describe care to the patient.
B)   teach the parents alone to reduce fear in the patient.
C)   exclude the parents to reduce parental anxiety.
D)   use clear simple explanations to convey information. A

Question 2

The nurse is preparing to discharge a patient home. In providing instruction about the patients medications, the nurse should state:

Accepted Answer

A)   "Before taking Metoprolol, you need to take your BP and rate."
B)   "MS should be taken only when needed for pain."
C)   "Take 1 baby aspirin by mouth every morning."
D)   "Take your water pill bid and you should be fine." C

Question 3

During patient teaching led by the nurse with goals established through cooperation of the nurse and patient, the patient asks questions as needed and the nurse answers. This is known as:

Accepted Answer

A)   formal teaching.
B)   informal teaching.
C)   both formal and informal teaching.
D)   psychomotor teaching. C

Question 4

The unique ability of the patient to understand and integrate health-related knowledge is known as:

Accepted Answer

A)   health literacy.
B)   formal patient education.
C)   informal patient education.
D)   primary education.

Question 5

Ongoing evaluation of patient education occurs by:

Accepted Answer

A)   each member of the health care team who provides teaching.
B)   the nurse who evaluates the patient's physical abilities.
C)   the patient stating that he understands the instruction.
D)   not allowing review so the focus remains forward.

Question 6

The nurse is implementing a patient teaching plan regarding diabetes mellitus. One of the short-term goals of the plan is that the patient will be able to verbalize three symptoms of hypoglycemia. This is an example of:

Accepted Answer

A)   psychomotor teaching.
B)   cognitive teaching.
C)   affective teaching.
D)   VARK teaching.

Question 7

The patient is reportedly well educated and employed as an engineer, but is struggling to comprehend terms found in health-related literature given to explain his disease process. This is evidence of:

Accepted Answer

A)   low literacy.
B)   psychomotor dysfunction.
C)   affective domain deficiency.
D)   low health literacy.

Question 8

To teach effectively, nurses must recognize that:

Accepted Answer

A)   age and socioeconomic status play a large role in understanding.
B)   90% of Americans possess rudimentary literary skills.
C)   the ability to comprehend is a very new concept in health care.
D)   most health care teaching is effective and understood.

Question 9

When teaching children, the nurse should: (Select all that apply.)

Accepted Answer

A)   exclude the children from teaching.
B)   encourage parents or caregivers to be present.
C)   use age-specific strategies.
D)   consider the stages of development.
E)   remember that parents are not the targets of the teaching.

Question 10

According to the Healthy People 2020 initiative, health information and the associated access issues have become more complicated. There are many considerations when determining whether an individual has proficient health literacy. The patient should be able to: (Select all that apply.)

Accepted Answer

A)   read and identify credible health information.
B)   recognize abnormalities on an x-ray.
C)   navigate complex insurance programs.
D)   evaluate EKG findings.
E)   advocate for appropriate care.

Question 11

The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed with diabetes how to self-administer insulin. The patient has hearing and visual impairments. In order to be effective as a teacher, the nurse should: (Select all that apply.)

Accepted Answer

A)   assess reading level and learning style.
B)   determine readiness to learn.
C)   use family members as interpreters.
D)   provide written instruction in English.
E)   place the patient in group classes.

Question 12

The nurse is preparing to teach a patient for the first time and needs to evaluate the health literacy of the patient. She uses the VARK assessment to:

Accepted Answer

A)   assess the learning styles of the patient.
B)   find the one method that the patient uses to learn.
C)   be sure that the patient is a unimodal learner.
D)   reduce the need for creating a collaborative learning plan.

Question 13

The nurse is preparing to provide preoperative teaching to a patient who is deaf. To ensure proper learning, the nurse may:

Accepted Answer

A)   use printed materials.
B)   provide unamplified recorded materials.
C)   use a family member to interpret.
D)   place an interpreter behind the patient.

Question 14

The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient, the nurse realizes that:

Accepted Answer

A)   most elderly patients are highly literate.
B)   cognitive abilities always decline with age.
C)   sensory alterations often occur with aging.
D)   teaching methods are the same as for the middle aged.

Question 15

In preparing to teach the patient, the nurse must consider: (Select all that apply.)

Accepted Answer

A)   background.
B)   race.
C)   pain level.
D)   emotional status.
E)   readiness to learn.

Question 16

In determining patient goals, the nurse should:

Accepted Answer

A)   allow patients to identify what is most important to them.
B)   take the lead and determine what is best for the patient.
C)   should focus on health promotion and staying healthy.
D)   explain the importance of avoiding complications.

Question 17

The nurse has established a teaching plan including goals. This type of education is termed:

Accepted Answer

A)   formal teaching.
B)   informal teaching.
C)   psychomotor teaching.
D)   affective teaching.

Question 18

The nurse is working with a diabetic patient, and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient:

Accepted Answer

A)   verbally describe his feelings about diabetes.
B)   answer three of five true-or-false questions about diabetes.
C)   identify 3 positive lifestyle changes to manage blood sugar.
D)   draw up and self-inject insulin correctly.

Question 19

As the health care community explores the concept of health literacy, many organizations recognize that:

Accepted Answer

A)   consumers need to understand has no governmental support.
B)   improvements are dependent on developing operational definitions.
C)   low literacy and low health literacy are interchangeable terms.
D)   interest in effective patient education is unique to the United States.

Question 20

The nurse is admitting a patient who has cystic fibrosis. During the admission interview, it is apparent that the patient is well versed in most aspects of his illness. When asked about where he learned so much, the patient responds, "I learned most of it myself. I looked things up on the Internet and read books. You have to know what's wrong with you to be sure that you're being treated right." This is an example of:

Accepted Answer

A)   formal education.
B)   psychomotor learning.
C)   informal education.
D)   affective learning.

Exam 14: Health Literacy and Patient Education