CC-1 EXAM #4: Teaching

List factors that may affect client learning:

- Age & developmental level - Support networks (family or caregivers) - Finances - Culture - Health literacy

When first meeting an Alzheimer's client, what techniques will the nurse use to facilitate communication with this client?

- Approach from the front - Call the client by their preferred name - Use simple words and short sentences

What does the nurse do as the role of a COUNSELOR?

- Focus on improving coping abilities, reinforcing healthy behavior, fostering positive interactions, or preventing illness & disability

What are examples of Teaching Outcomes?

- Optimal level of wellness & related self-care practices - Quick recovery from trauma or illness with minimal or no complications - Disease prevention or early detection - Adjust to developmental life changes and illness

List the 3 types of counseling?

- Short term: For situational crisis - Long term: For developmental crisis - Motivational interviewing

What is the "TEACH" acronym?

- T: Tune into the client - E: Edit client info - A: Act on every teaching moment - C: Clarify often - H: Honor the client

What are the 5 Aims of Teaching?

1. Maintaining and promoting health 2. Preventing illness 3. Restoring health 4. Facilitating coping 5. Promoting outcomes

When documenting the teaching - learning process the nurse should...?

1. Summarize the learning need 2. The plan 3. The implementation of the plan 4. Evaluation of results

When providing Culturally competent patient education the nurse should:

1. Understand the culture 2. Work with multicultural team 3. Be aware of personal biases 4. Understand the core cultural values of the client or group 5. Develop written material in client's preferred language

The nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught?

Ask the client to recall after approximately 15 minutes.

A client informs the nurse about being committed to quitting smoking to improve health. During discussion, the nurse asks the client "on a scale of 0 to 10, how likely are you to attend a support group?" Which strategy of motivational interviewing is the nurse using with the client?

Assessing importance

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply.

Available resources, learning style, literacy level

Learning domain: AFFECTIVE

Changing attitudes, values & feelings. - Client says "i do not need water" & you teach the importance of fluids.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The client describes signs and symptoms of hypoglycemia.

The nurse is providing education to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education?

The client will demonstrate effective breast self-examination technique; This client education is focused on teaching the client a psychomotor skill

When a nurse is planning for learning, who must decide who should be included in the learning sessions?

The nurse and the client

Knowles' (1990) 4 Assumptions about Adult Learners:

1. As you mature ones self-concept is likely to move from dependence to independence. 2. Prior experiences are a rich resource for learning. 3. Readiness to learn is related to developmental task or social role. 4. Prefer learning useful immediately, rather than in future.

List the roles of the nurse as Coach: (6)

1. Establishing relationship & readiness for change 2. Identify opportunities, issues, concerns 3. Establish patient- centered goals 4. Creating the structure of the interaction 5. Empowering patients 6. Assisting to determine progress towards goals.

List 5 KEY Teaching concepts:

1. Listen to your client & their family 2. Every interaction is a chance to teach 3. Keep education client centered 4. Begin teaching at 1ST encounter 5. Engage & motivate

Suggested teaching strategies for Psychomotor Domain:

Demonstration, discovery & printed materials

Someone who somnolent is....?

Extremely drowsy, but will respond normally to stimuli.

Learning domain: PSYCHOMOTOR

Learning a physical skill involving the integration of mental & muscular activity - Learning to use incentive spirometer

Suggested teaching strategies for Cognitive Domain:

Lecture, panel, discovery, written material

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for parents who are breastfeeding/chestfeeding?

Observing human milk being expressed by someone; Observing is one of the levels of psychomotor skills

What is Client Adherence?

Refers to the extend to which a person's behavior corresponds with the agreed-upon recommendation from a health care provider. - Promoted when instructions are clear and support clients goals.

Which strategy should the nurse use when providing education to the older adult client?

Remain calm and conduct the teaching session in a quiet environment.

Suggested teaching strategies for Affective Domain:

Role modeling, discussion, audiovisual materials

A newborn's sensory perception is ___________. Newborns see only gross patterns of light and dark or bright colors.

Rudimentary

Learning domain: COGNITIVE

Storing & recalling of new knowledge in the brain. - Learning why you need an antihypertensive med

What is a key point in counseling a client?

The focus should be on assisting the client to make one's own decisions, finding ways to reach goals, and supporting the client. - The nurse should never give advice (such as reducing cigarette consumption over time).

What is evoking change talk?

The nurse presents a potential change to the client for consideration.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives?

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

What is a good substitute for verbal communication for a client who is hard of hearing?

Using flash cards and writing pads

In the elicit-provide-elicit strategy what is the nurses role?

the nurse elicits information from the client about a topic, provides teaching on the topic, and then further elicits information from the client.