Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

statement should indicate whether the patient has

displayed concrete evidence of learning how to

bathe her infant.

8. a.Short-term counseling: Situational crisis (e.g., a
   nurse counsels a housebound patient after a fire
   destroys her bedroom)
   b.Long-term counseling: Developmental crisis
   (e.g., a nurse counsels an adolescent about the
   dangers of drugs and alcohol)
   c. Motivational counseling: Discussion of feelings
   and incentives with the patient (e.g., a nurse
   counsels a woman in a shelter about leaving her
   abusive spouse)


9. a.Identifying the new knowledge, attitudes, or
   skills that are necessary for patients and family
   members to manage their healthcare
   b.Assessing learning readiness
   c. Assessing the patient’s ability to learn
   d.Identifying patient strengths and personal
   resources the nurse can tap
   10.Answers will vary with student’s experiences.


10. a.Be certain that healthcare instructions are under-
    standable and designed to support patient goals.
    b.Include patient and family as partners in the
    teaching–learning process.
    c. Use interactive teaching strategies.
    d.Remember that teaching and learning are
    processes that rely on strong interpersonal rela-
    tionships with patients and their families.


11. a.Ignoring the restrictions of the patient’s
    environment
    b.Failing to accept that patients have the right to
    change their mind
    c. Using medical jargon
    d.Failing to negotiate goals
    e.Duplicating teaching that other team members
    have done
    REFLECTIVE PRACTICE USING CRITICAL
    THINKING SKILLS
    Sample Answers
    1.What should be the focus of patient teaching for
    this couple?
    Patient teaching should focus on health
    maintenance and promotion for the mother and
    fetus. Teaching topics might include proper
    nutrition including the benefits of folic acid supple-
    ments and prenatal vitamins, substances to avoid
    when pregnant (tobacco, alcohol, cat litter, x-rays,
    etc.), methods of childbirth, and parenting skills.
    The nurse should encourage the couple’s choice of
    childbirth planning and provide as much informa-
    tion as possible on home births.
    2.What would be a successful outcome for Mr. and
    Mrs. Ramirez?
    By next visit, Mrs. Ramirez lists the benefits of
    home childbirth and signs up for a parenting class
    3.What intellectual, technical, interpersonal, and/or
    ethical/legal competencies are most likely to bring
    about the desired outcome?

Intellectual: knowledge of how to design an appropri-

ate teaching program for childbirth and parenting

Interpersonal: ability to establish trusting relation-

ships with patients to foster teaching and learning

Ethical/Legal: strong sense of accountability for the

health and well-being of patients that translates

into a commitment to getting patients the informa-

tion they need

4.What resources might be helpful for this couple?

Parenting classes, prenatal classes, printed and AV

materials on pregnancy, childbirth, and parenting

CHAPTER 23

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.a 2.c 3.b 4.c 5.b

6.a

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.c, e, f

2.a, c, f

3.b, c, d

4.a, b, f

5.b, d, f

6.c, d, f

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Explicit

2.Autocratic

3.Democratic

4.Quantum

5.Power

6.Mentorship

MATCHING EXERCISES

1.d 2.b 3.a 4.d 5.e

6.c 7.b 8.c 9.a 10.a

11.f

SHORT ANSWER

1.Answers will vary with student’s experiences.

2.Sample answers:

a.Communication skills: The nurse explains to

Mr. Eng that she realizes he is in a lot of pain,

and she will be available to administer medica-

tion if he feels he needs more pain relief.

b.Problem-solving skills: When the nurse learns

that Mr. Eng’s pain is not being relieved by the

medication prescribed by his doctor, she calls

the doctor to have it adjusted. She also teaches

Mr. Eng some visualization exercises to help

take his mind off the pain.

c. Management skills: The nurse meets with

Mr. Eng’s family to involve them in his care.

She also instructs the staff to monitor Mr. Eng

for signs of stress due to pain.

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