CDN Patient Education and Psychosocial Care

Question 1

Which dietary restriction is MOST critical for end-stage renal disease (ESRD) patients on hemodialysis to prevent life-threatening complications?

Accepted Answer

Restricting potassium and phosphorus intake

Answer

Limiting vitamin C intake

Answer

Avoiding all dairy products

Answer

Eliminating all dietary protein

Question 2

What is the recommended fluid intake guideline for a hemodialysis patient with minimal residual urine output?

Accepted Answer

Limit to 1000–1500 mL/day

Answer

Unrestricted — drink as much as desired

Answer

Limit to 500 mL/day plus output

Answer

No fluid restriction needed if on dialysis 3×/week

Question 3

When educating a dialysis patient about phosphorus restriction, which food group should be emphasized most strongly?

Accepted Answer

Processed foods, dairy, and dark colas containing phosphate additives

Answer

Fresh fruits and vegetables

Answer

Whole grain breads

Answer

Fresh lean meats in all quantities

Question 4

A dialysis patient reports feeling hopeless and states 'I don't see the point in continuing treatment.' What is the nurse's priority action?

Accepted Answer

Conduct a suicide risk assessment and notify the physician and social worker

Answer

Remind the patient of the importance of dialysis adherence

Answer

Ask family members to monitor the patient at home

Answer

Document the statement and continue with treatment

Question 5

Which teaching method is most effective for dialysis patients with low health literacy?

Accepted Answer

Using teach-back method with simple language and visual aids

Answer

Providing detailed written pamphlets with medical terminology

Answer

One-time group education sessions

Answer

Online video modules only

Question 6

What is the role of the dialysis social worker in the care of ESRD patients?

Accepted Answer

Provide psychosocial assessment, counseling, and help with financial/transportation barriers

Answer

Adjust dialysis prescriptions

Answer

Perform monthly lab draws

Answer

Manage dialysis equipment maintenance