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Patient Education & Management Strategies Flashcards

7 cards from real CRE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Education & Management Strategies flashcards as text

  1. A patient on long-term oxygen therapy (LTOT) asks if they can adjust their flow rate when they feel more short of breath. The educator should respond that:

    Answer: Flow rates should only be adjusted based on physician-prescribed parameters and activity levels

    Oxygen flow rates must be adjusted only within physician-prescribed parameters since inappropriate increases can cause CO2 retention in some patients.

  2. During an asthma action plan review, a patient's peak flow drops to 55% of personal best with moderate symptoms. According to a standard action plan, the patient should:

    Answer: Move to the yellow zone protocol and use rescue bronchodilator

    A peak flow of 50-79% of personal best places the patient in the yellow zone, requiring rescue bronchodilator use and caution.

  3. Which statement BEST describes motivational interviewing (MI) in respiratory patient education?

    Answer: The educator uses open-ended questions and reflective listening to elicit the patient's own motivation for change

    Motivational interviewing uses open-ended questions, affirmations, reflective listening, and summaries to elicit intrinsic motivation for behavior change.

  4. A patient with asthma is prescribed a combination inhaled corticosteroid/long-acting beta-agonist (ICS/LABA). The educator should emphasize that this inhaler should NEVER be used as:

    Answer: A rescue medication during acute symptoms

    ICS/LABA combination inhalers are controller medications and must never be used for acute symptom relief due to the delayed onset of the LABA component.

  5. Which approach BEST supports self-management in a patient with chronic lung disease who has low self-efficacy?

    Answer: Setting small, achievable goals and providing frequent positive reinforcement

    Small achievable goals build confidence and self-efficacy through successive mastery experiences, which is fundamental to Bandura's self-efficacy theory.

  6. A patient using a dry powder inhaler (DPI) asks why they should not exhale into the device before inhaling. The BEST explanation is that:

    Answer: Exhaling into the DPI wastes the dose and may clump the powder with moisture

    Exhaling into a DPI introduces moisture that can clump the powder and clog the device, reducing the delivered dose.

  7. A parent asks how to identify whether a child's asthma symptoms are exercise-induced. The educator should explain that exercise-induced bronchoconstriction (EIB) typically causes symptoms:

    Answer: 5-10 minutes after stopping exercise and may last 30-60 minutes

    EIB typically begins 5-10 minutes after stopping exercise and symptoms peak within 5-15 minutes before spontaneously resolving.