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

Plain language combined with the teach-back method ensures comprehension regardless of literacy level.

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

Assessing baseline knowledge prevents repetition and allows instructions to be tailored to the patient's needs.

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

Verbal confirmation alone is insufficient; the nurse must re-teach and use return demonstration to verify understanding.

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

Open-ended teach-back questions require the patient to actively recall and demonstrate understanding.

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

Professional medical interpreters ensure accurate, confidential, and legally appropriate communication.

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test