Health Promotion for Our Time
Client Teaching Implications for Nursing Education
The Nurse’s Evolving Role
Collaborative Client Teaching for Healthy Communities
The Nuts and Bolts of Client Teaching
100
What were the top three leading causes of death in the United States in 2009?
Answer: C Rationale: In the United States, the leading causes of death in 2009 were heart disease, cancer, and chronic lower respiratory disease (NCSL).
100
What is the percentage of older adults over the age of 65 that have proficient health literacy skills?
Answer: E Rationale: Only 3 percent of all older adults have proficient health literacy skills; as a result, there is a great need to expand health literacy for adults over the age of 65 (Speros).
100
What role do nurses play in educating patients regarding chronic illness?
Answer: D Rationale: Nurses are responsible for providing patients with self-care options, improved lifestyle choices, and effective coordination of care in situations involving chronic illness (Wood).
100
What are the three primary steps associated with collaboration, in order?
What Answer: C Rationale: Setting the problem, setting the direction, and structuring the environment to manage the problem are the three steps required to improve collaboration in patient-centered communities (Gardner).
100
What are the key factors that support effective client teaching?
Answer: D Rationale: Achieving effective client teaching requires an understanding of who the key learner is, the utilization of systems, and the importance of client culture in the education process (Krames Patient Education).
200
If 10 percent of all adults began to walk on a regular basis, how much would we save in costs related to heart disease?
Answer: A Rationale: We could save 5.6 billion annually in heart disease-related costs if 10 percent of all adults began a walking program (NCSL).
200
Nurses should rely upon which techniques to expand health literacy in older adults?
Answer: F Rationale: Nurses play a significant role in improving health literacy in older adults by offering information slowly, recognizing that older adults have limited memory capacity, and identifying methods that will improve the management of multiple sources of health information at one time (Speros).
200
What is the most important method of managing resources effectively so nurses are able to educate their patients?
Answer: A Rationale: Telehealth offers an opportunity to improve quality of care and provide support to patients at home through effective communication and care management on many levels (Wood).
200
What factors are required to achieve a successful collaboration?
Answer: A Rationale: Time is one of the most critical factors associated with achieving a successful collaboration, no matter how small or large (Gardner).
200
What percentage of patients are less likely to be readmitted if they have adequate patient education upon discharge?
Answer: B Rationale: When patients are educated upon discharge, they are more likely to take their medications and follow instructions so that they are less likely to be subject to readmission (Krames Patient Education).
300
What is the single most preventable cause of death in the United States
Answer: E Rationale: Tobacco use is the primary preventable cause of death in the United States (NCSL).
300
What is the most important aspect of nurse education for older adults?
Answer: A Rationale: When directing health information to older adults, it is necessary to speak slowly and clearly so that they are able to understand what is being said and why it is important (Speros). is
300
How do advanced practice nurses fit into the model set forth by the Affordable Care Act?
Answer: D Rationale: Today’s advanced practice nurses must provide a framework for examining the different perspectives associated with patient care outcomes, including improved chronic illness management, coordinating care for new enrollees as a result of the Affordable Care Act, and determining when specialty-based care is required for patients (Wood).
300
What is a critical component of collaboration between nurses and patients?
Answer: A Rationale: Cognitive diversity supports a greater understanding of the value of diversity in achieving successful collaborations (Gardner).
300
What type of instruction should patients be given upon discharge?
Answer: E Rationale: Patients should be provided with medication instructions and a clear and concise instruction sheet when they are discharged from the hospital (Krames Patient Education).
400
If women had mammograms every 1-2 years, what percentage of lives could be saved from breast cancer?
Answer: E Rationale: If women participated in mammograms every 1-2 years, they could reduce their risk of death to breast cancer by 15 percent due to early diagnosis (NCSL).
400
What is one of the most critical factors in an older adult’s inability to process health information?
Answer: C Rationale: As many as two-thirds of all older adults experience vision deficiencies, which limits their capacity to read health information and focus their attention properly (Speros).
400
What conditions were attributed to over one-half of healthcare costs in 1996?
Answer: B Rationale: Chronic illnesses such as diabetes, heart disease, asthma, hypertension, and mood disorders accounted for one-half of all healthcare costs in 1996 (Wood).
400
How does conflict resolution play a role in nurse-patient collaborations?
What Answer: D Rationale: Nurse-patient collaborations require open communication and feedback, emotional and task-related conflicts, and does not limit the discussion of sensitive topics that would otherwise go unnoticed (Gardner).
400
What is the most important key to remember regarding patient discharge instructions?
What Answer: D Rationale: Discharge instructions should be simple, clarify any confusing areas, and provide accurate medication instructions (Krames Patient Education).
500
How many adults currently have high blood pressure and what percentage is uncontrolled?
Answer: C Rationale: 50 million adults currently have high blood pressure, and of that group, 70 percent do not have the condition under control (NCSL).
500
What is an important step in promoting health literacy for older adults?
Answer: A Rationale: Older adults are likely to retain information if they are provided with examples that are relevant to them and will enable them to address health concerns more effectively (Speros).
500
What is a critical need in advanced practice nursing in the modern era?
Answer: C Rationale: Self-care is a critical factor in the continued growth and development of improving patient outcomes, particularly for those patients with one or more chronic illnesses (Wood).
500
What is required for a successful collaboration in nursing practice?
What Answer: E Rationale: Nurses must collaborate on many levels and utilize interpersonal and process skills, improve the multidisciplinary collaboration, and recognize the importance of spontaneous collaboration (Gardner).
500
What is an important step in integrating client teaching into existing practice methods?
Answer: A Rationale: Current workflow objectives should integrate client teaching strategies seamlessly and effectively at all times (Krames Patient Education).