Test Bank Daniels Nicoll Contemporary Medical Surgical Nursing 2e

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Chapter 3–Health Education and Promotion
1. A client is reviewing a videotape without the assistance of the nurse for instruction. The type of
teaching strategy this client is using is considered:
1. demonstration.
2. slides.
3. programmed instruction.
4. discussion.
ANS: 3
Programmed instruction is often referred to as “canned” presentation and is intended for use without
the nurse. Demonstration, slides, and discussion require a nurse to be present.
PTS: 1 DIF: Analyze REF: Teaching Strategies: Programmed Instruction
2. The nurse is instructing a client regarding food safety, injury prevention, and occupational health.
Which of the following Healthy People 2010objectives is the nurse instructing the client?
1. Promote healthy behaviors
2. Promote healthy and safe communities
3. Improve systems for personal health and public health
4. Prevent and reduce diseases and disorders
ANS: 2
This objective addresses instruction that focuses on the health and safety of communities such as food
safety, prevention of injury, and occupational health. Promoting healthy behaviors would include
weight reduction and smoking cessation. Improve systems for personal health and public health would
include immunization programs. Prevent and reduce diseases and disorders would include instruction
on screening programs, physician visits, and routine health maintenance care.
PTS: 1 DIF: Analyze REF: Health Promotion on a Global Level
3. A client has inadequate resources and impairment of personal support systems. Which nursing
diagnosis would apply to this patient?
1. Noncompliance
2. Deficient knowledge
3. Ineffective health maintenance
4. Health-seeking behavior
ANS: 3
Defining characteristics for ineffective health maintenance includes impairment of personal support
systems, observed inability to take responsibility for meeting basic health practices, demonstrated lack
of knowledge, failure to recognize important symptoms reflective to altered health status, lack of
health-seeking behaviors, and inadequate resources. Inadequate resources and impairment of personal
support systems would not support the nursing diagnoses of Noncompliance, Deficient Knowledge, or
Health-Seeking Behavior.
PTS: 1 DIF: Apply
REF: Box 3-3 Defining Characteristics for Ineffective Health Maintenance
4. While planning care for a client, the nurse identifies content that would address the client’s diagnosis
of Deficient Knowledge. The nurse will ensure time is allocated for client instruction because:
1. the client cannot be discharged without it.
2. it is a legal component of the nursing process.
3. it is a nice thing to do for a client.
4. the physician has written an order for instruction.
ANS: 2
Patient education is a legal component of the nursing process that was identified in the Patient’s Bill of
Rights. Patient education is a necessary function of nursing care. The client could be discharged
without receiving instructions. Education is not done because it is a nice thing to do for a client. Client
education does not necessitate a physician’s order.
PTS: 1 DIF: Apply REF: Patient Education
5. The nurse is engaged in an information teaching session with a client. Which of the following would
be appropriate to instruct during an informal teaching session?
1. Expected effects of a new medication
2. Instruction on leg exercises to be used after surgery
3. How to use an incentive spirometer
4. Diet and medications to manage a new diagnosis of diabetes mellitus
ANS: 1
Instruction can be either informal or formal. Informal instruction occurs intermittently and frequently
during the course of client care. These instructions are simple, relate to the disease process, and answer
client questions. Providing the expected effects of a new medication is a type of information
instruction. Formal instructions are deliberate with specific goals and an evaluation process.
Instructing on postoperative leg exercises, the use of an incentive spirometer, and diet and medications
to manage a new health diagnosis are all examples of formal instruction.
PTS: 1 DIF: Apply REF: Formal and Informal Patient Education
6. The nurse is planning a presentation to a group of senior citizens as part of a wellness program. Which
of the following topics would be appropriate for the nurse to instruct this client population?
1. Importance of taking medications as prescribed
2. Ways to follow a physician’s treatment plan
3. Ease of changing an abdominal dressing
4. Strategies to reduce salt in the diet and increase activity
ANS: 4
Some educational topics can be instructed in a group setting. Strategies to reduce salt intake and
increase activity are two topics that would be appropriate for a group instruction. The other choices are
appropriate for individual instruction.
PTS: 1 DIF: Apply REF: Individual and Group Patient Education

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