CELBAN Giving Patient Instructions 2

Question 1

A patient with low health literacy needs discharge instructions. Which approach is most effective?

Accepted Answer

Use plain language and teach-back method

Answer

Use medical terminology for accuracy

Answer

Provide only written pamphlets

Answer

Ask family members to explain later

Question 2

When instructing a patient on wound care at home, what is the FIRST step a nurse should take?

Accepted Answer

Assess what the patient already knows

Answer

Demonstrate the dressing change

Answer

Provide written instructions only

Answer

Ask the physician to explain instead

Question 3

A patient says, 'I understand' after medication instructions but cannot demonstrate the correct technique. What should the nurse do?

Accepted Answer

Re-teach using a different method and reassess

Answer

Document that teaching was completed

Answer

Ask the patient to sign the teaching form

Answer

Refer the patient to a pharmacist only

Question 4

Which phrase best confirms a patient understands insulin injection instructions?

Accepted Answer

'Can you tell me in your own words how you will give yourself insulin?'

Answer

'Do you have any questions?'

Answer

'You understood that, right?'

Answer

'I explained everything, so you should be fine.'

Question 5

A nurse is giving post-operative instructions to a patient who speaks limited English. What is the priority action?

Accepted Answer

Use a professional medical interpreter

Answer

Speak louder and more slowly

Answer

Ask a bilingual family member to translate

Answer

Provide written instructions in English only

Question 6

When providing instructions for a new colostomy, how should the nurse sequence the teaching?

Accepted Answer

Begin with simple concepts and build toward complex skills

Answer

Give all information in one session to save time

Answer

Start with the most complex skills first

Answer

Provide only written materials and answer questions later

Question 7

A patient is being discharged on warfarin. Which instruction is most critical to include?

Accepted Answer

Report unusual bruising or bleeding immediately

Answer

Avoid all physical activity

Answer

Take double dose if a dose is missed

Answer

Stop the medication if INR is normal