CELBAN - Canadian English Language Benchmark Assessment for Nurses Giving Patient Instructions Questions and Answers 1

Question 1

A nurse is teaching a patient how to use an inhaler. After demonstrating the steps, which of the following is the most effective way for the nurse to assess the patient's understanding?

Accepted Answer

"Can you show me how you would use the inhaler?"

Answer

"Do you have any questions about the process?"

Answer

"Did you understand the instructions I just gave you?"

Answer

"It's important to follow these steps exactly, okay?"

Question 2

You are giving discharge instructions to an elderly patient who will be managing multiple medications at home. Which strategy is most likely to enhance their adherence to the medication schedule?

Accepted Answer

Creating a simple, large-print chart with the medication names, times, and doses.

Answer

Providing a detailed, multi-page booklet explaining the pharmacology of each drug.

Answer

Advising the patient to simply read the labels on the pharmacy bottles each day.

Answer

Verbally listing all the medications and their corresponding times just before they leave.

Question 3

A nurse is instructing a patient who has a new diagnosis of diabetes. Which statement is the clearest and most effective instruction regarding hypoglycemia?

Accepted Answer

"If you feel shaky, dizzy, or sweaty, check your blood sugar. If it's low, drink a small glass of juice or eat some hard candy."

Answer

"You need to be aware of the potential for hypoglycemic episodes and manage your glucose levels proactively."

Answer

"Low blood sugar, or hypoglycemia, is a serious risk. You must monitor your blood sugar to prevent a hyperglycemic rebound."

Answer

"Your diet and insulin must be balanced to avoid dysglycemia. Call your endocrinologist if you notice any abnormalities."

Question 4

A patient is being discharged with instructions for wound care. The patient seems anxious and repeatedly asks questions about topics the nurse has already covered. What is the nurse's most appropriate initial response?

Accepted Answer

Acknowledge their concern and ask, "What part of the process is worrying you the most?"

Answer

Tell the patient that all the information is in the printed handout.

Answer

Re-explain the entire process from the beginning more loudly.

Answer

Suggest that a family member perform the wound care instead.

Question 5

When preparing a patient for a colonoscopy, the nurse must explain the bowel preparation protocol. What is the most critical piece of information to emphasize?

Accepted Answer

The importance of drinking the entire preparation solution to ensure the colon is clean.

Answer

The procedure will help the doctor visualize the colon.

Answer

The patient may feel some cramping during the preparation.

Answer

The patient should arrange for transportation home after the procedure.

Question 6

A nurse is giving instructions to a patient who speaks a different language, and is using a hospital-approved interpreter. How should the nurse best deliver the instructions?

Accepted Answer

Speak in short, simple sentences and pause frequently, while looking at the patient.

Answer

Look at and speak directly to the interpreter, not the patient.

Answer

Use complex medical terminology so the interpreter can translate the exact terms.

Answer

Speak in long, detailed paragraphs to provide all the information at once.