Week 6: Teaching & Learning
The nurse is providing feedback for a client after several teaching sessions about wound care and dressing changes he will have to perform at home. Which feedback statement would be best?
"You did an excellent job washing your hands this time. Let's go over your dressing placement again."
After demonstrating the application of a leg splint, the nurse says to the client, "Here, now you try." Which factor is being expressed?
Active Involvement
When determining the right goal, what should the nurse consider? Select all that apply.
Active learner involvement in planning Agreed-upon mutual goals Realistic objectives
The client states, "I don't care if I get better; my father died of heart disease and so will I." Which learning domain needs to be addressed initially?
Affective
The nurse needs to teach the side effects of chemotherapy to a Jim, a 68-year-old newly diagnosed with colon cancer. Which learning domain is being addressed?
Cognitive
After a teaching session with Jim about his chemotherapy, the nurse asks him to review what he learned. Finding some errors in his understanding, the nurse says, "Don't forget; it is also important to watch for bleeding and swollen gums in your mouth." What factor is being expressed?
Feedback
Which are included in the five rights of teaching? Select all that apply.
Goal Context Time Method
Lu tells the nurse, "I'm looking forward to losing weight with my new diet and getting my life back on track." Which factor is being expressed?
Motivation
Samantha tells the nurse, "I'm really worried about my procedure and cannot learn about my medications now." Which factor is being expressed?
Readiness
The nurse schedules another teaching session for Julio. He says, "We just did that yesterday." What factor is being expressed?
Repetition
The Five Rights of Teaching
Right Context Right Goal Right Content Right Method Right Time
Determining a client's level of pain prior to a teaching session would be assessing for which of the five rights of teaching?
Right Time
The nurse is trying to impress on Jonathan, an obese 28-year-old, the importance of losing weight to improve his health. Which learning domain needs to be addressed first?
The affective domain involves changes in feelings, beliefs, attitudes, and values. Without addressing the feelings about the change, the client cannot be successful with the cognitive or psychomotor aspects of learning. The strategies of affective learning include group work, discussions, support groups, role playing, and counseling.
The nurse needs to teach 13-year-old Brittany how to give herself insulin injections. Which learning domain is being addressed?
The psychomotor domain involves learning a skill. For this type of learning to succeed, the client must accept and value the skill (affective) and have the knowledge to perform it (cognitive). Strategies for teaching within the psychomotor domain include demonstration and return demonstration, simulation modules, videos, and self-reflection.
The nurse continues a teaching plan for Brittany's insulin injections. Brittany says, "It's been several days since I did this last. I'm not sure I remember what to do." Which factor is being expressed?
Timing Information needs to be given repetitively in a timely manner for retention. Teaching sporadically or waiting several days between sessions will not prove successful.
