PERFECT EXAM QUESTIONS WITH YELLOW HIGHLIGHTED ANSWERS 2020

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PERFECT EXAM QUESTIONS WITH YELLOW HIGHLIGHTED ANSWERS 2020 Chapter 09: Cultural Awareness 1. A nurse is working at a health fair screening people for liver cancer. Which population group should t... he nurse monitor most closely for liver cancer? a. Hispanic b. Asian Americans c. Non-Hispanic Caucasians d. Non-Hispanic African-Americans 2. A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient? a. There is a decreased frequency of morbidity. b. There is an increased incidence of disease. c. There is an increased level of health. d. There is a decreased mortality rate. 3. A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring? a. Accessibility of health care services b. Outcomes of health conditions c. Prevalence of complications d. Incidence of diseases 4. A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence? a. Communicates effectively in a multicultural context b. Functions effectively in a multicultural context c. Visits a foreign country d. Speaks a different language 5. The nurse learns about cultural issues involved in the patient’s health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating? a. Marginalized groups b. Health care disparity c. Transcultural nursing d. Culturally congruent care 6. A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first? a. Assessing own biases and attitude b. Learning about the world view of others c. Understanding organizational forces d. Developing cultural skills 7. A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the “H”? a. Health b. Healers c. History d. Homeland 8. The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take? a. Use long sentences when talking. b. Look at the patient when talking. c. Use breaks in sentences when talking. d. Look at only nonverbal behaviors when talking. 9. Which action indicates the nurse is meeting a primary goal of cultural competent care for patients? a. Provides care to transgender patients b. Provides care to restore relationships c. Provides care to patients that is individualized d. Provides care to surgical patients 10. The nurse is caring for a Chinese patient using the Teach-Back technique. Which action by the nurse indicates successful implementation of this technique? a. Asks, “Does this make sense?” b. Asks, “Do you think you can do this at home?” c. Asks, “What will you tell your spouse about changing the dressing?” d. Asks, “Would you tell me if you don’t understand something so we can go over it?” 11. A nurse is using core measures to reduce health disparities. Which group should the nurse focus on to cause the most improvement in core measures? a. Caucasians b. Poor people c. Alaska Natives d. American Indians 12. A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which design should the nurse use? a. Use partnered rather than married. b. Use mother rather than father. c. Use parents rather than guardian. d. Use wife/husband rather than significant other. 13. A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor most closely? a. Young bisexuals b. Young caucasians c. Asian Americans d. African-Americans 14. A nurse is assessing a patient’s ethno history. Which question should the nurse ask? a. What language do you speak at home? b. How different is your life here from back home? c. Which caregivers do you seek when you are sick? d. How different is what we do from what your family does when you are sick? 15. A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy? a. A patient 35 years old b. A patient 68 years old c. A patient with a college degree d. A patient with a high-school diploma 16. A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using? a. Document staff satisfaction. b. Focus on the family. c. Implement change on a grand scale. d. Reduce disparities. 17. A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care? a. Provides care that fits the patient’s valued life patterns and set of meanings b. Provides care that is based on meanings generated by predetermined criteria c. Provides care that makes the nurse the leader in determining what is needed d. Provides care that is the same as the values of the professional health care system 18. A nurse is assessing the patient’s meaning of illness. Which area of focus by the nurse is priority? a. On the way a patient reacts to disease b. On the malfunctioning of biological processes c. On the malfunctioning of psychological processes d. On the way a patient reacts to family/social interactions 1. A nurse is using Campinha-Bacote’s model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply.) a. Cultural skills b. Cultural desire c. Cultural transition d. Cultural knowledge e. Cultural encounters 2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in RESPECT. Which actions should the nurse take? (Select all that apply.) a. Connect on a social level. b. Help the patient overcome barriers. c. Consciously attempt to suspend judgment. d. Stress that they will be working together to address problems. e. Know limitations in addressing medical issues across cultures. 3. A nurse is using the explanatory model to determine the etiology of an illness. Which questions should the nurse ask? (Select all that apply.) a. How should your sickness be treated? b. What do you call your problem? c. How does this illness work inside your body? d. What do you fear most about your sickness? e. What name does it have? Chapter 10: Caring for Families 1. A nurse is assessing the family unit to determine the family’s ability to adapt to the change of a member having surgery. Which area is the nurse monitoring? a. Family durability b. Family resiliency c. Family diversity d. Family forms 2. A nurse reviews the current trends affecting the family. Which trend will the nurse find? a. Mothers are staying at home. b. Adolescent mothers usually live on their own. c. More grandparents are raising their grandchildren. d. Teenage fathers usually have stronger support systems. 3. A spouse brings the children in to visit their mother in the hospital. The nurse asks how the family is doing. The husband states, “None of her jobs are getting done, and I don’t do those jobs, so the house and the kids are falling apart.” How will the nurse interpret this finding? a. The family structure is resilient. b. The family structure is flexible. c. The family structure is hardy. d. The family structure is rigid. 4. A nurse cares for the family’s as well as the patient’s needs using available resources. Which approach is the nurse using? a. Family as context b. Family as patient c. Family as system d. Family as caregivers 5. A nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient’s family. Which action should the nurse take to help relieve stress? a. Encourage caregiver to do as much as possible. b. Focus primarily on the patient. c. Point out weaknesses. d. Provide education. 6. A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family? a. Nuclear b. Blended c. Extended d. Alternative 7. A nurse is assessing a child that lives in a car with family members who presents to the emergency department. Which area should the nurse assess closely? a. Ears b. Eyes c. Head d. Hands 8. The nurse is interviewing a patient who is being admitted to the hospital. The patient’s family went home before the nurse’s interview. The nurse asks the patient, “Who decides when to come to the hospital?” What is the rationale for the nurse’s action? a. To assess the family form b. To assess the family function c. To assess the family structure d. To assess the family generalization 9. A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene? a. Tells the family not to leave the bedside b. Offers the family a sandwich c. Gives the family a blanket d. Sits with the family 10. A nurse is using the family as context approach to provide care to a patient. What should the nurse do next? a. Assess family patterns versus individual characteristics. b. Assess how much the family provides the patient’s basic needs. c. Use “family as patient” and “family as context” approaches simultaneously. d. Plan care to meet not only the patient’s needs but those of the family as well. 11. The nurse is caring for a patient in hospice. The nurse notes that the patient is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the patient and family and develops a plan of care with them using community resources. Which approach is the nurse using? a. Family as context b. Family as patient c. Family as system d. Family as caregiver 12. The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, “I have no family. They’re all gone.” When asked, “Who prepares your meals?” the patient states, “I do, or I go out.” Which approach should the nurse use for this patient? a. Family as context b. Family as patient c. Family as system d. Family as caregiver 13. The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing. Which statement by the nurse will most likely elicit a positive response from the patient and family? a. “You’re doing that all wrong. Let me show you how to do it.” b“I don’t know who showed you how to change a dressing, but you’re not doing it right. Let me show you c“You’re hesitant about changing the dressing like I was before I was shown an easier way; would you lik d“I used to change the dressing the same way you are doing it: the wrong way. I’ll show you the right way 14. The nurse is providing discharge teaching for an older-adult patient who will need tube feedings at home. The spouse is the only source of care and states “I will not be able to perform the feedings due to arthritis.” Which action should the nurse take? a. Obtain extra feeding supplies. b. Arrange for home care. c. Cancel the discharge. d. Teach the spouse. 1. A nurse is assessing threats concerning the family. Which areas will the nurse include in the assessment? (Select all that apply.) a. Homelessness b. Domestic violence c. Presence of illness d. Changing economic status e. Rise of homosexual families 2. A nurse is assessing the realms of family life. Which processes will the nurse assess? (Select all that apply.) a. Developmental b. Interactive c. Integrity d. Coping e. Life Chapter 11: Developmental Theories 1. When caring for a middle-aged adult exhibiting maladaptive coping skills, the nurse is trying todetermine the cause of the patient’s behavior. Which information from a growth anddevelopmentperspective should the nurse consider when planning care? a. Individuals have uniform patterns of growth and development. b. Culture usually has no effect on predictable patterns of growth and development. c. Health is promoted based on how many developmental failures a patient experiences. d. When individuals experience repeated developmental failures, inadequacies sometimes result. 2. A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing? a. Moral development b. Cognitive development c. Biophysical development d. Psychosocial development 3. Which question will be most appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays? a. “How many times per week do you exercise?” b. “Are you able to stand on one foot for 5 seconds?” c. “Would you please describe your usual activities during the day?” d. “How many hours a day do you spend watching television or sitting in front of a computer?” 4. A nurse is using the proximodistal pattern to assess an infant’s growth and development as normal. Which assessment finding will the nurse determine as normal? a. Bangs objects before turns b. Lifts head before grasps c. Walks before crawls d. Laughs before coos 5. A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell’s theory of development. Which information will the nurse consider? a. Growth in humans is determined solely by heredity. b. Environmental influence does not influence development. c. The cephalocaudal pattern describes the sequence in which growth is fastest at the top. d. Gene activity influences development but does not affect the sequence of development. 6. A nurse is working with a patient who wants needs to be met and is impatient and demanding when these needs are not met immediately. How should the nurse interpret this finding according to Freud? a. The id is functioning. b. The ego is functioning. c. The superego is functioning. d. The Oedipus complex is functioning. 7. The nurse is teaching a young-adult couple about promoting the health and psychosocial development of their 8-year-old child. Which information from the parent indicates a correct understanding of the teaching? a. “We will provide consistent, devoted relationships to meet needs.” b. “We will limit choices and provide punishment for mistakes.” c. “We will provide proper support for learning new skills.” d. “We will instill a strong identity of who our child is.” 8. A nurse is using Jean Piaget’s developmental theory to focus on cognitive development. Which area will the nurse assess in this patient? a. Latency b. Formal operations c. Intimacy versus isolation d. The postconventional level 9. A nurse is assessing a 17-year-old adolescent’s cognitive development. Which behavior indicates the adolescent has reached formal operations? a. Uses play to understand surroundings b. Discusses the topic of justice in society c. Hits other students to deal with environmental change d. Questions where the ice is hiding when ice has melted in a drink 10. A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development? a. The pump administering intravenous fluids b. A book to read alone in a quiet place c. The blood pressure cuff d. A baseball bat 11. A patient follows all the instructions a nurse provides because the patient wants to be perceived as a “good” patient. How should the nurse interpret this information according to moral development? a. The patient is in postformal thought reasoning. b. The patient is in postconventional reasoning. c. The patient is in preconventional reasoning. d. The patient is in conventional reasoning. 12. An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned. The 18-month-old child hits siblings and says only “No” when communicating verbally. Which recommendation by the nurse will bebest for this situation? a. Assure the mother that the child is developmentally within specified norms. b. Encourage the mother to seek psychological counseling for the child. c. Consult the social worker because the child is hitting other children. d. Remove all toys from the child’s room until this behavior ceases. 13. A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take first? a. Offer a reward to the patient for participation in all events. b. Encourage the patient to eat meals in the dining room with others. c. Allow the patient to incorporate personal belongings into the room. d. Advise the patient of the importance of attending mandatory activities. 14. The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority? a. Maintain industry b. Maintain identity c. Maintain intimacy d. Maintain initiative 15. The nurse is teaching the parents of a 3-year-old child who is at risk for developmental delays. Which instruction will the nurse include in the teaching plan? a. Insist that your child discuss various points of view. b. Encourage play as your child is exploring the surroundings. c. Discuss world events with your child to foster language development. d. Actively encourage your child to read lengthy books to foster reading abilities. 16. A nurse is caring for a young adult after surgery. Which action by the nurse will be priority? a. Allow involvement of peers b. Allow involvement of partner c. Allow involvement of volunteer activities d. Allow involvement of consistent schedule 17. A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity? a. Married for 30 years b. Teaches preschoolers c. Has no regrets with life choices d. Cares for aging parents after work 18. Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery? a. Do not discuss the procedure with the child to decrease anxiety. b. Let the child know the surgery will be at 9:00 AM in the morning. c. Insist that the parents wait outside the room to ensure privacy of the child. d. Allow the child to touch and hold medical equipment such as thermometers. 1. A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.) a. Apply developmental theories when making observations of the adolescent’s patterns ofgrowth and deve b. Compare the adolescent’s assessment findings versus normal findings. c. Recognize her own (the nurse’s) moral developmental level. d. Stick with one developmental theory for consistency. e. Apply a unidimensional life span perspective. 2. A nurse is assessing temperaments of children. Which terms should the nurse use to Describefindings? The easy child The defiant child The difficult child The slow-to-warm up child The momma’s boy or daddy’s girl Chapter 12: Conception Through Adolescence 1. A mother has delivered a healthy newborn. Which action is priority? a. Encourage close physical contact as soon as possible after birth. b. Isolate the newborn in the nursery during the first hour after delivery. c. Never leave the newborn alone with the mother during the first 8 hours after delivery. d. Do not allow the newborn to remain with parents until the second hour after delivery. 2. A nurse teaches a new mother about the associated health risks to the infant. Which statement by the mother indicates a correct understanding of the teaching? a. “I will feed my baby every 4 hours around-the-clock.” b. “I need to leave the blankets off my baby to prevent smothering.” c. “I need to remind friends who want to hold my baby to wash their hands.” d. “I will throw away the bulb syringe now because my baby is breathing fine.” 3. A nurse is working in the delivery room. Which action is priority immediately after birth? a. Open the airway. b. Determine gestational age. c. Monitor infant-parent interactions. d. Promote parent-newborn physical contact. 4. A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately? a. Molding b. A lack of reflexes c. Cyanotic hands and feet d. A soft, protuberant abdomen 5. A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal? a. Cyanosis of the feet and hands for the first 48 hours b. Triangle-shaped anterior fontanel c. Sporadic motor movements d. Weight of 4800 grams 6. A nurse is teaching the staff about development. Which information indicates the nurse needs to follow up? a. “Development proceeds in a cephalocaudal pattern.” b. “Development proceeds in a proximal-distal pattern.” c. “Development proceeds at a slower rate during the embryonic stage.” d. “Development proceeds at a predictive rate from the moment of conception.” 7. A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider? a. Physical growth usually slows during the adolescent period. b. Secondary sex characteristics usually develop during the adolescent years. c. Boys usually exceed girls in height and weight by the end of the school years. d. The distribution of muscle and fat remains constant during the adolescent years. 8. The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 pounds 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene? a. Height of 30 inches b. Weight of 16 pounds c. Is not yet potty-trained d. Is not yet walking up stairs 9. A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal? a. The ability to think abstractly and deal effectively with hypothetical problems b. The ability to think in a logical manner about the here and now c. The ability to assume the view of another person d. The ability to classify objects by size or color 10. The nurse is teaching a parenting class. One of the topics is development. Which statement from a parent indicates more teaching is needed? a. “The toddler may use parallel play.” b. “The preschooler has the ability to play in small groups.” c. “The school-aged child still needs total assistance in all safety activities.” d. “The toddler may have temper tantrums from parent’s acting on safety rules.” 11. The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse most likely observe? a. Seeking out same sex children to play with b. Participating as the leader of a small group activity c. Sitting beside another child while playing with blocks d. Separating building blocks into groups by size and color 12. A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take? a.Avoid questioning the patient about cigarette use when the nurse observes a cigarette lighter lying on the table. b. Complete the admission database as quickly as possible by asking yes and no questions. c. Look for meaning behind the patient’s words and actions. d. Ignore the patient’s withdrawn behavior. 13. A nurse is caring for a preschooler. Which fear should the nurse most plan to minimize? a. Fear of bodily harm b. Fear of weight gain c. Fear of separation d. Fear of strangers 14. A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient? a. About 10 to 20 pounds b. About 15 to 25 pounds c. About 20 to 30 pounds d. About 25 to 35 pounds 15. The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant? a. Set of cards to organize and separate into groups b. Set of sock puppets with movable eyes c. Set of plastic stacking rings d. Set of paperback book 16. A mother expresses concern because her 5-year-old child frequently talks about friends who don’t exist. What is the nurse’s best response to this mother’s concern? a. “Have you considered a child psychological evaluation?” b. “You should stop your child from playing electronic games.” c. “Pretend play is a sign your child watches too much television.” d. “It’s very normal for a child this age to have imaginary playmates.” 17. A school nurse is encouraging children to play a game of kickball. Which group of children is the nurse most likely addressing? a. Infant b. Toddler c. Preschool d. School-aged 18. Which assessment finding of a school-aged patient should alert the nurse to a possible developmental delay? a. Verbalization of “I have no friends” b. Absence of secondary sex characteristics c. Curiosity about sexuality d. Lack of group identity 19. The nurse is teaching a parent about developmental needs of a 9-month-old infant. Which statement from the parent indicates a correct understanding of the teaching? a. “My child will begin to speak in sentences by 1 year of age.” b. “My child will probably enjoy playing peek-a-boo.” c. “My child will sleep about 7 to 8 hours a night.” d. “My child will be ready to try low-fat milk.” 20. A nurse is teaching the parents of a school-aged child about accidents most common in this age group. Which topic should the nurse address? a. Falls b. Fires c. Drownings d. Poisonings 21. Which information from the parent of an 8-month-old infant will cause the nurse to intervene? a. My baby rides in the front-facing car seat when I go to the grocery store. b. I made sure the slats on the crib were less than 2 inches apart. c. I removed the mobile after my baby could reach it. d. My baby cries every time he sees a new person. 22. The nurse is preparing to teach a group of parents with infants about growth and development. Which information should the nurse include in the teaching session? a. 3-month-old infants will be able to bang objects together. b. 4-month-old infants will be able to sit alone with support. c. 5-month-old infants will be able to creep on hands and knees. d. 6-month-old infants will be able to turn from back to abdomen. 23. Which statement, if made by a parent, will require further instruction from the nurse? a. “I should not be surprised that my teenage son has so many friends.” b. “I get worried because my teenage son thinks he’s indestructible.” c. “I should cover for my 10-year-old son when he makes mistakes until he learns the ropes.” d. “I usually have nutritious snacks available because my 10-year-old son is always hungry 24. A nurse is teaching parents about appropriate activities for different age groups. Which toy, if selected by the parent of a 12-month-old infant, will indicate a correct understanding of the teaching? a. Busy box b. Electronic games c. Game requiring two to four people d. Small, plastic alphabet letters and magnets 1. A nurse is teaching a parenting class for families with adolescents. Which health concerns will the nurse include in the teaching session? (Select all that apply.) a. Suicide b. Eating disorders c. Violence/Homicide d. Sexually transmitted infections e. Gonadotropic hormone stimulation Chapter 24: Communication 1. Which types of nurses make the best communicators with patients? a. Those who learn effective psychomotor skills b. Those who develop critical thinking skills c. Those who like different kinds of people d. Those who maintain perceptual biases 2. A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief? a. Critical thinking b. Authentic c. Mutuality d. Attend 3. A nurse wants to present information about flu immunizations to the older adults in the community. Which type of communication should the nurse use? a. Public b. Small group c. Interpersonal d. Intrapersonal 4. A nurse is using therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication? a. Interpersonal communication to change negative self-talk to positive self-talk b. Small group communication to present information to an audience c. Electronic communication to assess a patient in another city d. Intrapersonal communication to build strong teams 5. A nurse is standing beside the patient’s bed. Nurse: How are you doing? Patient: I don’t feel good. Which element will the nurse identify as feedback? a. Nurse b. Patient c. How are you doing? d. I don’t feel good. 6. A nurse is sitting at the patient’s bedside taking a nursing history. Which zone of personal space is the nurse using? a. Socio-consultative b. Personal c. Intimate d. Public 7. A smiling patient angrily states, “I will not cough and deep breathe.” How will the nurse interpret this finding? a. The patient’s denotative meaning is wrong. b. The patient’s personal space was violated. c. The patient’s affect is inappropriate. d. The patient’s vocabulary is poor. 8. The nurse asks a patient where the pain is, and the patient responds by pointing to the area of pain. Which form of communication did the patient use? a. Verbal b. Nonverbal c. Intonation d. Vocabulary 9. A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using? a. Nonjudgmental b. Socializing c. Narrative d. SBAR 10. Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient? a. Preinteraction b. Orientation c. Working d. Termination 11. During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient? a. Preinteraction b. Orientation c. Working d. Termination 12. A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient? a. Preinteraction b. Orientation c. Working d. Termination 13. A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse’s action? a. To promote autonomy b. To use common courtesy c. To establish trustworthiness d. To standardize communication 14. A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for “B” when using SBAR? a. Having chest pain b. Pulse rate of 108 c. History of angina d. Oxygen is needed 15. A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy? a. “Tomorrow will be better.” b. “This must be hard news to hear.” c. “What’s your biggest fear about this diagnosis?” d. “I believe you can overcome this because I’ve seen how strong you are.” 16. A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take? a. Obtain an interpreter. b. Refer to a speech therapist. c. Let a close family member talk. d. Find a mental health nurse specialist. 17. A nurse is using SOLER to facilitate active listening. Which technique should the nurse use for R? a. Relax b. Respect c. Reminisce d. Reassure 18. An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication? a. Chew gum. b. Turn off the television. c. Speak clearly and loudly. d. Use at least 14-point print. 19. When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate? a. “You will be okay. Your surgeon will talk to you in the morning.” b. “Why can’t you sleep? You have the best surgeon in the hospital.” c. “Don’t worry. The surgeon ordered a sleeping pill to help you sleep.” d. “It must be difficult not to know what the surgeon will find. What can I do to help?” 20. Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel’s (NAP) behavior? a. The nursing assistive personnel is calling the older-adult patient “honey.” b. The nursing assistive personnel is facing the older-adult patient when talking. c. The nursing assistive personnel cleans the older-adult patient’s glasses gently. d. The nursing assistive personnel allows time for the older-adult patient to respond. 21. A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication? a. Focus on tasks to be completed. b. Allow time for the patient to respond. c. Limit conversations with the patient. d. Use gestures and other nonverbal cues. 22. The staff is having a hard time getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use? a. Try changing topics often. b. Allow the patient to reminisce. c. Ask the patient for explanations. d. Involve only the patient in conversations. 23. A nurse is implementing nursing care measures for patients’ special communication needs. Which patient will need the most nursing care measures? a. The patient who is oriented, pain free, and blind b. The patient who is alert, hungry, and has strong self-esteem c. The patient who is cooperative, depressed, and hard of hearing d. The patient who is dyspneic, anxious, and has a tracheostomy 24. A patient is aphasic, and the nurse notices that the patient’s hands shake intermittently. Which nursing action ismost appropriate to facilitate communication? a. Use a picture board. b. Use pen and paper. c. Use an interpreter. d. Use a hearing aid. 25. Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients? a. Shows sympathy appropriately b. Uses automatic responses fluently c. Demonstrates passive remarks accurately d. Self-examines personal communication skills 26. A patient says, “You are the worst nurse I have ever had.” Which response by the nurse is most assertive? a. “I think you’ve had a hard day.” b. “I feel uncomfortable hearing that statement.” c. “I don’t think you should say things like that. It is not right.” d. “I have been checking on you regularly. How can you say that?” 1. Which behaviors indicate the nurse is using critical thinking standards when communicating with patients? (Select all that apply.) a. Instills faith b. Uses humility c. Portrays self-confidence d. Exhibits supportiveness e. Demonstrates independent attitude 2. A nurse is implementing nursing care measures for patients with challenging communication issues. Which types of patients will need these nursing care measures? (Select all that apply.) a. A child who is developmentally delayed b. An older-adult patient who is demanding c. A female patient who is outgoing and flirty d. A male patient who is cooperative with treatments e. An older-adult patient who can clearly see small print f. A teenager frightened by the prospect of impending surgery Chapter 25: Patient Education 1. A nurse is teaching a patient’s family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting? a. Health promotion b. Illness prevention c. Restoration of health d. Coping with impaired functions 2. A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing? a. Health analogies b. Restoration of health c. Coping with impaired functions d. Promotion of health and illness prevention 3. A nurse’s goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal? a. Teaching a family member to provide passive range of motion for a stroke patient b. Teaching a woman who recently had a hysterectomy about possible adoption c. Teaching expectant parents about changes in childbearing women d. Teaching a teenager with a broken leg how to use crutches 4. A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning? a. “Teaching and learning can be separated.” b. “Learning is an interactive process that promotes teaching.” c. “Teaching is most effective when it responds to the learner’s needs.” d. “Learning consists of a conscious, deliberate set of actions designed to help the teacher.” 5. A nurse is determining if teaching is effective. Which finding best indicates learning has occurred? a. A nurse presents information about diabetes. b. A patient demonstrates how to inject insulin. c. A family member listens to a lecture on diabetes. d. A primary care provider hands a diabetes pamphlet to the patient. 6. A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session? a. If you still do not understand, ask again. b. Ask a nurse to be your advocate or supporter. c. The nurse is the center of the health care team. d. Inappropriate medical tests are the most common mistakes. 7. A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback? a. The nurse b. The patient c. The nurse teaching about healthy food choices d. The patient stating that eating yogurt is better than eating cake 8. While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing? a. Developing learning objectives b. Providing positive reinforcement c. Presenting facts and knowledge d. Implementing interpersonal communication 9. A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place? a. Kinesthetic b. Cognitive c. Affective d. Psychomotor 10. A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? a. Lecture b. Role play c. Demonstration d. Question and answer sessions 11. A nurse is describing a patient’s perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute? a. Self-efficacy b. Motivation c. Attentional set d. Active participation 12. A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage? a. Encourage independent learning. b. Develop a problem-solving scenario. c. Wrap a bandage around a stuffed animal’s ear. d. Use discussion throughout the teaching session. 13. A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient’s ability to learn? a. Sociocultural background and motivation b. Stage of grieving and overall physical health c. Developmental capabilities and physical capabilities d. Psychosocial adaptation to illness and active participation 14. A nurse is teaching a patient about heart failure. Which environment will the nurse use? a. A darkened, quiet room b. A well-lit, ventilated room c. A private room at 85° F temperature d. A group room for 10 to 12 patients with heart failure 15. Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn? a. A patient has the ability to grasp and apply the elastic bandage. b. A patient has sufficient upper body strength to move from a bed to a wheelchair. c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe. 16. A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority? a. Assess laboratory results for high cholesterol and other data. b. Identify that teaching is the same as the nursing process. c. Perform nursing care therapies to address hypertension. d. Focus on a patient’s learning needs and objectives. 17. A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action ismost appropriate for assessing this patient’s learning needs? a. Assess the patient’s total health care needs. b. Assess the patient’s health literacy. c. Assess all sources of patient data. d. Assess the goals of patient care. 18. A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension. a. 1, 3, 2, 4 b. 2, 3, 1, 4 c. 3, 1, 2, 4 d. 3, 2, 1, 4 19. A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate for the nurse to include in the teaching plan? a. The patient will walk to the bathroom and back to bed using a cane. b. The patient will understand the importance of using a cane. c. The patient will know the correct use of a cane. d. The patient will learn how to use a cane. 20. Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)? a. The patient will identify the main ingredients in several foods. b. The patient will list the side effects of epinephrine. c. The patient will learn about food labels. d. The patient will administer epinephrine. 21. After a teaching session on taking blood pressures, the nurse tells the patient, “You took that blood pressure like an experienced nurse.” Which type of reinforcement did the nurse use? a. Social acknowledgment b. Pleasurable activity c. Tangible reward 22. A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic? a. At bedtime, while the patient is relaxed b. At bath time, when the nurse is cleaning the patient c. At lunchtime, while the nurse is preparing the food tray d. At medication time, when the nurse is administering patient medication 23. A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use? a. Use complex analogies to describe COPD. b. Ask for feedback to assess understanding of COPD at the end of the session. c. Offer pamphlets about COPD written at the eighth grade level with large type. d. Include the most important information on COPD at the beginning of the session. 24. A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session? a. Obtain pictures of food. b. Get an interpreter. c. Establish a rapport. d. Refer to a dietitian. 25. A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use? a. Speak in a high tone of voice to describe strokes. b. Use a pamphlet about strokes with large font in blues and greens. c. Provide specific information about strokes in short, small amounts. d. Begin the teaching session facing the teaching white board with stroke information. 26. A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use? a. Return demonstration b. Computer instruction c. Verbalization of steps d. Cloze test 27. A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse’s next action? a. Refer to a mental health specialist. b. Refer to a wound care specialist. c. Refer to an ostomy specialist. d. Refer to a dietitian. 28. A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan? a. The patient will state three facts about healthy eating. b. The patient will identify two foods for a healthy snack. c. The patient will verbalize the value of eating healthy. d. The patient will cook a meal with low-fat oil. 29. A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient’s ability to learn? a. “What do you want to know about strokes?” b. “Please read this handout and tell me what it means.” c. “Do you feel strong enough to perform the tasks I will teach you?” d. “On a scale from 1 to 10, tell me where you rank your desire to learn.” 30. A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use? a. Let the patient touch and use the exercise equipment. b. Provide the patient with pictures of the exercise equipment. c. Let the patient listen to a video about the exercise equipment. d. Provide the patient with a case study about the exercise equipment. 1. A nurse is asked by a co-worker why patient education/teaching is important. Which statements will the nurse share with the co-worker? (Select all that apply.) a. “Patient education is an essential component of safe, patient-centered care.” b. “Patient education is a standard for professional nursing practice.” c. “Patient teaching falls within the scope of nursing practice.” d. “Patient teaching is documented and part of the chart.” e. “Patient education is not effective with children.” f. “Patient teaching can increase health care costs.” 2. A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.) a. The patient is hurting. b. The patient is fatigued. c. The patient is mildly anxious. d. The patient is asking questions. e. The patient is febrile (high fever). f. The patient is in the acceptance phase. [Show More]

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