Giving Patient Instructions Flashcards
7 cards from real CELBAN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Giving Patient Instructions flashcards as text
A patient refuses to listen to discharge instructions, saying 'I'll figure it out at home.' What is the nurse's best response?
Answer: Explore the patient's concerns before attempting to re-engage
Understanding the reason for refusal allows the nurse to address barriers and motivate the patient to engage.
Which environmental factor most interferes with effective patient instruction?
Answer: A noisy hallway with interruptions
Noise and interruptions distract both nurse and patient, reducing retention and comprehension of instructions.
A nurse must teach a diabetic patient about foot care. Which method best promotes retention?
Answer: Return demonstration with immediate feedback
Return demonstration with feedback actively engages the patient and confirms skill competency.
A patient with heart failure asks why they need to weigh themselves daily. What is the nurse's best teaching response?
Answer: 'Daily weights detect fluid retention early, which signals worsening heart failure.'
Explaining the rationale — detecting fluid retention early — motivates adherence and helps the patient act on significant weight changes.
When is the LEAST appropriate time to provide complex discharge instructions?
Answer: When the patient is in severe pain or heavily sedated
Pain and sedation impair cognition and memory, making it impossible for the patient to absorb and retain complex information.
A nurse notices a patient nodding throughout instruction but looking confused. What should the nurse do?
Answer: Stop and ask the patient to explain what was just covered
Pausing to check comprehension catches misunderstandings early and prevents nodding from masking confusion.
Which instruction format is MOST helpful for a visually impaired patient receiving new medication instructions?
Answer: Large-print materials combined with verbal explanation
Large-print materials paired with verbal explanation accommodate visual impairment and reinforce comprehension.