Herzing University NU 216 FINAL EXAM Comprehensive Questions and Answers A+

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1. A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effect... ive? a. Assure the patient that the nurse is an expert on management of heart failure. b. Teach the patient at each meal about the amounts of sodium in various foods. c. Discuss the importance of medication control in maintenance of long-term health. d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions. ANS: B 2. A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, what is the priority action for the nurse? a. Instruct about the increased risk for cardiovascular disease. b. Provide detailed information about dietary control of glucose. c. Teach glucose self-monitoring and medication administration. d. Give information about the effects of exercise on glucose control. ANS: C 3. A patient states, “I told my husband I wouldn’t buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change? a. Preparation b. Termination c. Maintenance d. Contemplation ANS: A 4. While admitting a patient to the medical unit, the nurse determines that the patient is hard of hearing. How should the nurse use this information to plan teaching and learning strategies? a. Motivation and readiness to learn will be affected. b. The family must be included in the teaching process. c. The patient will have problems understanding information. d. Written materials should be provided with verbal instructions. ANS: D 5. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse, is the best initial response? a. “Although those are important, it is essential that you make other changes, too.” b. “Are you having any difficulty in maintaining the changes you have already made?” c. “Which additional changes in your lifestyle would you like to implement at this time?” d. “You have already accomplished changes that are important for the health of your heart.” ANS: D 6. The nurse is planning a teaching session with a patient newly diagnosed with migraine headaches. To assess a patient’s readiness to learn, which question should the nurse ask? a. “What kind of work and leisure activities do you do?” b. “What information do you think you need right now?” c. “Can you describe the types of activities that help you learn new information?” d. “Do you have any religious beliefs that are inconsistent with the planned treatment?” ANS: B 10. A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan? [Show More]

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