Next Patient Care and Education 3

Question 1

Which principle should guide the nurse when selecting educational materials for an older adult patient with low health literacy?

Accepted Answer

Choose materials with large print, simple language, and visual aids written at a 5th-grade level or below

Answer

Use materials written at a 10th-grade reading level

Answer

Use medical terminology to ensure accuracy

Answer

Provide lengthy written materials to ensure complete information

Question 2

A patient newly diagnosed with hypertension asks why lifestyle changes are recommended in addition to medication. What is the most appropriate explanation?

Accepted Answer

Lifestyle modifications such as diet, exercise, and smoking cessation can significantly lower blood pressure and reduce cardiovascular risk

Answer

Lifestyle changes replace the need for medication over time

Answer

Medications alone are sufficient and lifestyle changes are optional

Answer

Lifestyle changes are only necessary if the medication causes side effects

Question 3

A pediatric patient's parent asks about the correct dose of acetaminophen for a child. What is the nurse's best response?

Accepted Answer

Instruct the parent to follow weight-based dosing per the package insert and confirm with the provider or pharmacist

Answer

Give the same adult dose at half frequency

Answer

Advise the parent that any dose is safe since acetaminophen is over-the-counter

Answer

Recommend avoiding acetaminophen in children entirely

Question 4

A patient is being discharged with a new ostomy. Which educational outcome best indicates the patient is ready for self-care at home?

Accepted Answer

The patient independently demonstrates proper ostomy pouch change and skin care without prompting

Answer

The patient can describe the function of the ostomy verbally

Answer

The patient has reviewed the written materials provided by the nurse

Answer

The patient asks appropriate questions about diet restrictions

Question 5

When teaching a patient about preventing pressure injuries at home, which instruction is most important for a wheelchair-bound patient?

Accepted Answer

Perform weight shifts or pressure relief maneuvers every 15–30 minutes

Answer

Keep the wheelchair cushion deflated for comfort

Answer

Stay in the wheelchair all day to avoid fall risk

Answer

Apply lotion to skin only once daily

Question 6

A patient with COPD is being discharged with home oxygen. Which safety instruction is the highest priority?

Accepted Answer

Never smoke or allow smoking near oxygen equipment due to fire hazard

Answer

Keep oxygen tubing neatly coiled when not in use

Answer

Store oxygen tanks in direct sunlight for easy access

Answer

Use oxygen continuously regardless of prescribed flow rate

Question 7

Which of the following is the BEST example of culturally competent patient education?

Accepted Answer

Assessing the patient's cultural beliefs, incorporating them respectfully into the teaching plan, and adapting materials accordingly

Answer

Providing the same standard handout to all patients regardless of background

Answer

Avoiding any discussion of cultural differences to prevent bias

Answer

Relying solely on the patient's family to explain health information based on cultural norms