ADN 451 EXAM 2 NEWEST ACTUAL
EXAM 2025 QUESTIONS AND DETAILED
CORRECT ANSWERS WITH
RATIONALES | A+ GRADE
A 51-year-old male patient will need to change a dressing
on an open leg wound after discharge. Which strategy
should the nurse use to evaluate if the patient is able to
perform the dressing change?
1 have the patient complete the dressing change on a
model
2 ask the patient to write down each step of the dressing
change
3 observe the patient completing the dressing change on
himself
4 provide printed instructions with pictures of how to do his
dressing change Correct Answer 3 observe the patient
completing the dressing change on himself
What would be the priority teaching goal for a middle-aged
Hispanic woman regarding methods to relieve symptoms
of menopause?
a. Prevent the development of future disease.
b. Maintain the patient's current state of health.
c. Change the patient's cultural belief regarding the use of
herbs.
d. Provide information for selection and use of treatment
options. Correct Answer d. Provide information for
selection and use of treatment options.
,When planning teaching with consideration of the diverse
learning needs of adults, the nurse's best approach would
include
a. presenting material in an efficient lecture format.
b. recognizing that adults enjoy learning regardless of the
relevance to their personal lives.
c. providing opportunities for the patient to learn from other
adults with similar experiences.
d. postponing practice of new skills until the patient can
independently practice the skill at home. Correct Answer
c. providing opportunities for the patient to learn from other
adults with similar experiences.
Which is the priority patient teaching strategy when limited
time is available?
a. Setting realistic goals that have high priority for the
patient
b. Referring the patient to a nurse educator in private
practice for teaching
c. Observing more experienced nurse-teachers to learn
how to teach faster and more efficiently
d. Providing reading materials for the patient instead of
discussing information the patient needs to learn Correct
Answer a. Setting realistic goals that have high priority for
the patient
The nurse needs to include caregivers in patient teaching
primarily because (select all that apply)
a. they provide most of the care for patients after
discharge.
,b. they might feel rejected if they are not included in the
teaching.
c. patients have better outcomes when their caregivers are
involved.
d. the patient may be too ill or too stressed to fully
understand the teaching.
e. caregivers are responsible for the overall management
of the patient's care. Correct Answer c. patients have
better outcomes when their caregivers are involved.
d. the patient may be too ill or too stressed to fully
understand the teaching.
Which technique is most appropriate when using
motivational interviewing with a patient who tells you that
he is ready to start a weight loss program?
a. Confirm that the patient is serious about losing weight
b. Insist that the patient consider an organized group
weight loss program.
c. Focus on the patient's strengths to support his optimism
that he can successfully lose weight.
d. Ask a prescribed set of questions to increase the
patient's awareness of his dietary behaviors. Correct
Answer c. Focus on the patient's strengths to support his
optimism that he can successfully lose weight.
Which patient characteristic enhances the teaching-
learning process?
a. Moderate anxiety
b. High self-efficacy
c. Being in the precontemplative stage of change
, d. Being able to laugh about the current health problem
Correct Answer b. High self-efficacy
A patient tells the nurse that she enjoys talking with others
and sharing experiences, but easily falls asleep when
reading. Which teaching strategy would be most effective
with this patient?
a. Role
b. Group teaching
c. Lecture-discussion
d. Discussion supplemented with computer programs
Correct Answer b. Group teaching
The nurse has taught a patient's caregiver how to
administer insulin to her husband. Evaluation of the
nurse's teaching effectiveness before discharge would
include
a. arranging for follow-up with a home care nurse.
b. monitoring the patient's glucose readings before
discharge.
c. asking the caregiver to "show back" her ability to
administer insulin.
d. asking the caregiver what she found helpful about the
teaching experience Correct Answer c. asking the
caregiver to "show back" her ability to administer insulin.
A patient needs to learn to use a walker. Which domain is
required for learning this skill?
1 Affective domain
2 Cognitive domain
3 Attentional domain
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