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TESTBANK Chapter Title: Patient/Family Education
Chapter #: 4
1. Which of the following statements best describes patient education in the critical care setting?
1. All patients need to be educated about their disease.
2. Patients have the right to reject information provided in educational encounters.
3. Education about procedures and monitors is enough while the patient is in critical care.
4. Because of the length of stay of most critically ill patients, time for education is not a problem.
2. The primary assumption of adult learning theory is that adults:
1. are responsible for their own learning.
2. focus on current problem resolution.
3. are motivated from internal pressures.
4. must be ready to learn.
3. The first step of the teaching-learning process involves:
1. gathering data to assist in meeting learning needs.
2. identifying major learning needs for the patient.
3. identifying learning needs related to medical diagnosis.
4. evaluating the effects of prior teaching.
4. Which of the following content areas should be covered with all awake and alert patients?
1. Pathophysiology of their admitting diagnosis
2. Dietary modifications
3. Purpose of bedside equipment
4. Medication side effects
5. How should the nurse respond when a patient asks if he or she is going to die?
1. Avoid the question by leaving the room.
2. Defer the question to the physician.
3. Answer honestly and sensitively.
4. Speak with the family first before answering the patient.
6. Content and method of presentation in the critical care unit will vary because:
1. of the different admitting diagnoses.
2. of the patients' clinical and emotional status.
3. most patients are on the ventilator and cannot talk.
4. patients are heavily sedated and may not comprehend teaching.
7. Mr. M. is in the critical care unit with the onset of tuberculosis. He was diagnosed with HIV/AIDS 1 year ago. When talking to
Mr. M. about preventing the spread of tuberculosis, he told the nurse that he has not taken any precautions regarding HIV or
tuberculosis. Which educational objective below is best stated for Mr. M.?
1. Patient will know at least two ways to prevent the spread of tuberculosis within 1 week.
2. Patient will understand how HIV is spread within 3 days.
3. Patient will realize that improper precautions will spread his disease to others.
4. Patient will state two methods of transmission for tuberculosis within 2 days.
8. Which of the following teaching methods is inappropriate in the critical care unit?
1. Informal teaching sessions at the bedside
2. Lecture presentation on a topic
3. Individual discussion with the patient and family
4. Demonstration of a procedure or technique
Copyright © 2003, Elsevier Science (USA). All rights reserved.
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9. Group discussions for patients are most effective if the patients:
1. have a variety of medical diagnoses.
2. are in the acute phase of their illness.
3. are in the hospital only 3 days or less.
4. are at similar stages of adaptation.
10. According to Maslow’s hierarchy of needs, the need to know and understand information is considered:
1. a high level need.
2. a low level need.
3. a physiologic need.
4. not important.
11. According to nursing research, all of the following are needs for family members of critically ill patients except:
1. to get questions answered honestly.
2. to obtain a place to sleep.
3. to feel there is hope.
4. to feel helpless.
12. Which one of the following is not a domain of learning?
1. Attitude
2. Psychologic
3. Knowledge
4. Skill
13. Which of the following areas should be covered with unconscious patients?
1. Sensations
2. Pathophysiology
3. Rehabilitation
4. Attitudes
14. ______________often occurs during the initial ICU visit by the family.
1. Sensory deprivation
2. Discharge teaching
3. Repeated questioning
4. Information overload
15. Jake has been in the ICU for 20 days with a diagnosis of sepsis and ARDS. He is ready for transfer to the step-down unit but is
apprehensive. He has communicated to the nurse that he doesn’t want to leave the ICU for fear that his needs will not be met on the
step-down unit. Which educational objective below would be best to use in this situation?
1. Jake will state two reasons why he is being transferred by the end of the day.
2. Jake will confront his fears and deal with them within 1 day of transfer.
3. Jake will state the name of his “new” nurse by the end of the day.
4. Jake will be introduced to at least two of his “new” caregivers by time of transfer.
Copyright © 2003, Elsevier Science (USA). All rights reserved.
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16. Mr. G is a 79-year-old man who underwent a liver transplant 3 days ago. He is extubated and hemodynamically stable. His
wife is coming in at the next visit and you have some time to discuss his immune suppression drug therapy with both of them. Mr.
G is hearing and site impaired. His wife brought his hearing aids 2 days ago and is will bring his glasses today. You could use all
of the following teaching strategies except:
1. Patient education channel
2. Written materials
3. Lecture
4. Discussion
17. All of the following are barriers to the teaching-learning process except:
1. accurate assessment.
2. ICU environment.
3. good communication.
4. sedation, decreased level of consciousness.
18. All of the following are tips on keeping the learners attention except:
1. wait until the last minute.
2. involve the patient and family.
3. vary your tone of voice.
4. make points clear.
Copyright © 2003, Elsevier Science (USA). All rights reserved.