ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 9 : Teaching and Counseling Questions
Question 1 of 5
A nurse develops a contractual agreement with a morbidly obese patient to achieve optimal weight goals. Which statement best describes the nature of this agreement?
Correct Answer: C
Rationale: A contractual agreement in a teaching plan helps to clarify and define the specific learning outcomes that both the nurse and patient aim to achieve, making the goals clear and measurable.
Question 2 of 5
A nurse in the diabetes clinic initiates education for a patient with a new diagnosis of diabetes. The nurse notes the patient has completed 2 years of college. What action does the nurse select for the initial teaching session?
Correct Answer: C
Rationale: Assessing the patient's baseline knowledge and health literacy is critical before initiating education, especially for a patient with some college education, to tailor the teaching to their needs and avoid redundant or overly simplistic information.
Question 3 of 5
The nurse coach at a cardiac rehabilitation office is meeting with a patient who has learned they have heart failure. Which nursing actions might the nurse coach include in coaching sessions for this patient? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A nurse coach focuses on patient-centered actions, such as providing education aligned with personal goals, assessing readiness for change, and helping evaluate progress. Directing daily exercise or setting goals for the patient without their input does not align with the collaborative nature of coaching.
Question 4 of 5
A nurse is teaching first aid to counselors of a summer camp for children with asthma. This is an example of what aim of health teaching?
Correct Answer: B
Rationale: Teaching first aid is a function of the goal to prevent illness. Promoting health involves helping patients to value health and develop specific health practices that promote and maintain wellness. Restoring health occurs once a patient is ill, and teaching focuses on developing self-care practices that promote recovery. When facilitating coping, nurses help patients come to terms with whatever lifestyle modification is needed for their recovery or to enable them to cope with permanent health alterations.
Question 5 of 5
A nurse is teaching patients of all ages in a hospital setting. Which teaching examples are appropriate for the patient's developmental level? Select all that apply.
Correct Answer: C,D,E
Rationale: Successful teaching plans for older adults incorporate extra time, short teaching sessions, accommodation for sensory deficits, and reduction of environmental distractions. Older adults also benefit from instruction that relates new information to familiar activities or information. School-aged children are capable of logical reasoning and should be included in the teaching-learning process whenever possible; they are also open to new learning experiences but need learning to be reinforced by either a parent or health care provider as they become more involved with their friends and school activities. Teaching strategies designed for an adolescent patient should recognize the adolescent's need for independence, as well as the need to establish a trusting relationship that demonstrates respect for the adolescent's opinions.