Chapter 06: Patient Education and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 9th Edition
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MULTIPLE CHOICE
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1. The nurse is reviewing the teaching plan for a clinic patient who was seen for a sinus
infection. Which of these outcomes reflect the affective domain of learning?
a. The patient will take the prescribed antibiotic for the full 14 days of the
prescription.
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b. The patient will demonstrate correct nasal spray self-administration.
c. The patient will list signs and symptoms that need to be reported immediately if
they occur.
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d. The patient will list measures to take to reduce allergy triggers at home.
ANS: A
The affective domain is the most intangible component of the learning process. Affective
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behavior is conduct that expresses feelings, needs, beliefs, values, and opinions. Adhering to
the prescribed medication regimen is an example of the affective domain. Demonstrating
nasal spray self-administration reflects the psychomotor domain; listing signs and symptoms
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or measures to take both reflect the cognitive domain.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The nurse is developing a care plan for a patient who will be self-administering a
metered-dose inhaler. Which statement reflects a measurable outcome?
a. The patient will know about self-administration of a metered-dose
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b. The patient will understand the principles of self-administration of a metered-dose
inhaler.
c. The patient will demonstrate the proper technique of self-administering a
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metered-dose inhaler.
d. The patient will comprehend the proper technique of self-administering a
metered-dose inhaler.
ANS: C
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The word demonstrate is a measurable verb, and measurable terms should be used when
developing goals and outcome criteria statements. The other options are incorrect because the
terms know, understand, and comprehend are not measurable
terms.
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DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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3. During a nursing assessment, which question by the nurse allows for greater clarification and
additional discussion with the patient?
a. “Are you allergic to penicillin?”
b. “What medications do you take?”
c. “Have you had a reaction to this drug?”
d. “Are you taking this medication with meals?”
ANS: B
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Asking “What medications do you take?” is an open-ended question that will encourage
greater clarification and additional discussion with the patient. The other options are examples
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of closed-ended questions, which prompt only a “yes” or “no”
answer and provide limited
information.
DIF: Cognitive Level: Applying (Application)
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TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The nurse is setting up a teaching session with an 85-year-old
patient who will be going home
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on anticoagulant therapy. Which educational strategy would reflect consideration of the
age-related changes that may exist with this patient?
a. Show a video about anticoagulation therapy.
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b. Present all the information in one session just before discharge.
c. Give the patient pamphlets about the medications to read at home.
d. Develop large-print handouts that reflect the verbal information presented.
ANS: D
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Developing large-print handouts addresses altered perception in two ways. First, by using
visual aids to reinforce verbal instructions, one addresses the possibility of decreased ability to
hear high-frequency sounds. By developing the handouts in
large print, one addresses the
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possibility of decreased visual acuity. Showing a video does not allow discussion of the
information; furthermore, the text and print may be small and difficult to read and understand.
Presenting all the information in one session before discharge also does not allow for
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discussion, and the patient may not be able to hear or see the
information sufficiently. Because
of the possibility of decreased short-term memory and slowed cognitive function, simply
giving pamphlets to read without other teaching strategies may not be appropriate.
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DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
5. When the nurse teaches a skill such as self-injection of insulin
to the patient, what is the best
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way to set up the teaching/learning session?
a. Provide written pamphlets for instruction.
b. Show a video, and allow the patient to practice as needed on his own.
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c. Verbally explain the procedure, and provide written handouts
for reinforcement.
d. After demonstrating the procedure, allow the patient to do several return
demonstrations.
ANS: D
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Return demonstration allows the nurse to evaluate the patient’s newly learned skills. The
techniques in the other options are incorrect because those suggestions do not allow for
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evaluation of the patient’s technique.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management
of Care
6. A patient with a new prescription for a diuretic has just reviewed with the nurse how to
include more potassium in her diet. This reflects learning in
which domain?
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a. Cognitive
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b. Affective
c. Physical
d. Psychomotor
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ANS: A
The cognitive domain refers to problem-solving abilities and may involve recall and
knowledge of facts. The affective domain refers to values abirb.com/test
and beliefs. The term physical does
not refer to one of the learning domains. The psychomotor domain involves behaviors such as
learning how to perform a procedure.
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DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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7. During an admission assessment, the nurse discovers that the patient does not speak English.
Which is considered the ideal resource for translation?
a. A family member of the patient
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b. A close family friend of the patient
c. A translator who does not know the patient
d. Prewritten note cards with both English and the patient’s language
ANS: C
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The nurse should communicate with the patient in the patient’s native language if at all
possible. If the nurse is not able to speak the patient’s native language, a translator should be
made available so as to prevent communication problems,abirb.com/test
minimize errors, and help boost the
patient’s level of trust and understanding of the nurse. In practice, this translator may be
another nurse or health care professional, a nonprofessional member of the health care team,
or a layperson, family member, adult friend, or religious leader or associate. However, it is
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best to avoid family members as translators, if possible, because
of issues with bias,
misinterpretation, and potential confidentiality issues.
DIF: Cognitive Level: Applying (Application)
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TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. A 60-year-old patient is on several new medications and expresses
worry that she will forget
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to take her pills. Which action by the nurse would be most helpful in this situation?
a. Teaching effective coping strategies
b. Asking the patient’s prescriber to reduce the number of drugs prescribed
c. Assuring the patient that she will not forget once she isabirb.com/test
accustomed to the routine
d. Assisting the patient with obtaining and learning to use a calendar or pill container
ANS: D
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Calendars, pill containers, or diaries may be helpful to patients
who may forget to take
prescribed drugs as scheduled. The nurse must ensure that the patient knows how to use these
reminder tools. Teaching coping strategies is a helpful suggestion but will not help with
remembering to take medications. Asking the prescriber toabirb.com/test
reduce the number of drugs that
are prescribed is not an appropriate action by the nurse. Assuring the patient that she will not
forget is false reassurance by the nurse and inappropriate when education is needed.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
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MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
MULTIPLE RESPONSE
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1. Which are appropriate considerations when the nurse is assessing the learning needs of a
patient? (Select all that apply.)
a. Cultural background
b. Family history
c. Level of education
d. Readiness to learn
e. Health beliefs
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ANS: A, C, D, E
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Family history is not a part of what the nurse considers when
assessing learning needs. The
other options are appropriate to consider when the nurse is assessing learning needs.
DIF: Cognitive Level: Understanding (Comprehension)
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TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The nurse is teaching an older patient about the use of an incentive
spirometer after surgery.
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Which of these age-related changes are appropriate for the nurse to consider when teaching
older patients? (Select all that apply.)
a. Decreased sense of touch
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b. Increased conduction of sound
c. Decreased cognitive function
d. Decreased short-term memory
e. Increased ability to concentrate
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ANS: A, C, D
Age-related changes in older adults that may affect learning include a decreased sense of
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touch, decreased cognitive function, and decreased short-term
memory. Sound conduction and
ability to concentrate are also decreased. Refer to Table 6-1.
DIF: Cognitive Level: Analyzing (Analysis)
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TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial
Integrity
COMPLETION
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1. A patient is to receive prednisone 7.5 mg PO daily. The tablets are available in a 2.5-mg
strength. Identify how many tablets will the patient receive. _______
ANS:
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3 tablets
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1 tablet:2.5 mg :: x tablet:7.5 mg.
(1 × 7.5) = (2.5 × x); 7.5 = 2.5x; x = 3; therefore 7.5 mg = 3 tablets.
DIF: Cognitive Level: Applying (Application)
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TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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