Teaching Learning

A focus on the immediate application of new material

Which is important to remember when teaching adult learners?

Psychomotor

A client 36 years of age is able to understand the health education when given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style?

"I'm starting to see how my lifestyle has caused me to end up here."

A client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which statement by the client suggests that the nurse's teaching has resulted in affective learning?

2,3,5

A nurse educating a new parent on how to bathe an infant uses the acronym TEACH to maximize the effectiveness of the education plan. Which action(s) is a guideline based on this acronym? Select all that apply. 1. Tune out the individual client. 2. Edit client information. 3. Act on every teaching moment. 4. Always refer a client to counseling. 5. Clarify often.

1,2,4,5

The health care provider notified the client and the spouse that the client's condition was terminal. The spouse has been crying since the interaction with the health care provider. The nurse is going to talk with the spouse about the spouse's feelings. What action(s) would the nurse do to promote a positive impression with the spouse? Select all that apply. 1. Sit at eye level with the spouse. 2. Maintain eye contact more than half of the time. 3. Tilt the head to the side. 4. Lean forward slightly. 5. Hold the spouse's hands during the interaction.

Reteach the length of time to take the prescription

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. The client states, "I'm not sure how many days I'm supposed to take this antibiotic." What is the nurse's appropriate response?

Immediately after the teaching session

The nurse is educating a group of clients in the community about safe sex practices. When is the best time to evaluate teaching effectiveness?

Can be measured

Which is an essential component of the definition of learning

Baseline knowledge of these concepts

The parents of an infant with apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?

Evidence that learning has occurred

What is the most critical element to document regarding client education?

cognitive

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall?

Talk with animation and vocal inflection to stimulate the client aurally

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way?

Include the client and family as partners

Which strategy might a nurse use to increase compliance with education?

nurse coach

a registered nurse who integrates coaching competencies into any setting or specialty area of practice to facilitate a process of change or development that assists individuals or groups to realize their potential

health literacy

ability to read, understand, and act on health information

psychomotor learning

acquisition of physical skills

affective learning

changes in attitudes, values, and feelings

counseling

giving guidance, assisting with problem solving

learning

increasing one's knowledge; having one's behavior changed in a measurable way as a result of an experience

Noncompliance

nonadherence to a therapeutic recommendation

instructional materials

objects or vehicles used to communicate information that supplements the teaching method

contractual agreement

pact made between two persons or parties for the achievement of mutually set goals

learning readiness

patient's willingness to engage in the teaching-learning process (emotional readiness) and experiential readiness to begin the challenge of learning

formal teaching

planned teaching based on learner objectives

patient education

process of influencing the patient's behavior to effect changes in knowledge, attitudes, and skills needed to maintain and improve health

pedagogy

science of teaching that generally refers to the teaching of children and adolescents

Demonstrating the technique for insulin self-injection

A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain?

"How do you learn best and what can we do to provide you with that information?"

The nurse is readmitting a client who was discharged 1 week ago with complications from diabetes mellitus. The client states, "I really did not understand what I was supposed to do to care for myself from those papers that I was sent home with." What question will the nurse ask to promote the client's self-esteem?

Obtain a medical interpreter.

The nurse is teaching a client newly diagnosed with diabetes about the disease, testing, diet, and how to self-administer insulin. The client does not speak the dominant language. What is the appropriate nursing action?

positive reinforcement

affirmation of the efforts of patients

negative reinforcement

an ineffective teaching strategy that uses criticism or punishments

compliance

art of completing what is expected of one

teaching method

the way information is taught that brings the learner into contact with what is to be learned

informal teaching

unplanned teaching sessions dealing with the patient's immediate learning needs and concerns

Cognitive, affective, and psychomotor

A client states, "I understand when the nurse explains the possible complications of my illness. I am appreciative of what insulin does to my body, and I can now give myself insulin." Which domains of learning does the nurse identify for this client as having been successfully addressed by education?

3,2,5,4,1

A couple has just learned that their newborn infant has a congenital cardiac anomaly that will require many lifestyle modifications, surgical corrections, and hospital stays. Place the following aspects of the couple's client education in the correct order that nurses should conduct them. 1. Revise the learning plan if needed. 2. Draft learning outcomes. 3. Determine their emotional readiness to learn. 4. Implement various educational techniques. 5. Select educational strategies.

to help the client develop self-care abilities

A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about the disease process, diet, exercise, and medications. What is the goal of this education?

cognitive

A nurse instructs a client to tell the nurse about the side effects of a medication. What learning domain is the nurse evaluating?

1,2,5

A nurse is conducting a teaching session with a client about heart-healthy nutrition. Which teaching strategy would be appropriate to foster learning in the affective domain? Select all that apply. 1. Role playing 2. Discussion 3. Demonstration 4. Discovery 5. Printed materials

Develop written materials in the client's native language

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education

1,5,6

A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply. 1. The nurse assesses the learning needs and readiness of the parents. 2. The nurse identifies general long-term goals for client learning when developing learning objectives. 3. The nurse includes group teaching and formal teaching in every education plan. 4. The nurse does not allow time constraints, schedules, and the physical environment to influence the choice of education strategies. 5. The nurse formulates a verbal or written contract with clients. 6. The nurse relates new learning material to clients' past life experiences to help them to assimilate new knowledge.

Facilitating coping

A nurse refers a client with a new colostomy to a support group. This nurse is practicing which aim of nursing?

2,3,5,6

The nurse is conducting discharge teaching for a client who has been diagnosed with type 2 diabetes. The nurse is teaching the client how to inject insulin at home. Which cue(s) will alert the nurse that the client has poor health literacy? Select all that apply. 1. The client does not speak the dominant language as a first language. 2. The client has a history of several missed health appointments. 3. The client's hospital admission forms were incomplete. 4. The client has recently immigrated from another country. 5. The client has a history of medication nonadherence. 6. The client did not follow up when asked to book an appointment with a specialist.

cognitive learning

storing and recalling of new knowledge in the brain

andragogy

the study of teaching adults