3. 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
effective?
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
4. Apatient 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.
1
, NU 216 Adult health one FINAL FINAL(1)
ANS: C
2
, NU 216 Adult health one FINAL FINAL(1)
5. 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
6. 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.
3
, NU 216 Adult health one FINAL FINAL(1)
ANS: D
7. 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?
4
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