Ch. 9 Teaching and Counseling

A client is meeting with the nurse to discuss options for smoking cessation. Which statement by the nurse is most appropriate for this client?

"What do you see as your biggest hurdle to stopping?"

andragogy

-adult learning -focuses on specific problem or need and on the immediate application of new material

steps of the teaching-learning process

1. assess learning needs and readiness 2. diagnose pt's learning needs 3. develop learning outcomes 4. develop a teaching plan 5. implement teaching plan and strategies 6. evaluate learning

The nurse is preparing to teach a client from Generation X about hypertension. Which teaching approach should the nurse plan to implement?

Demonstrate the MyFoodPyramid phone app, to show the best food choices on a lunch tray.

As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse?

Have the client rate pain level, and reschedule the teaching session.

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.

The client has a history of several missed health appointments. The client's hospital admission forms were incomplete. The client has a history of medication nonadherence. The client did not follow up when asked to book an appointment with a specialist.

T- tune into the pt. E- edit pt. info A- act on every teaching moment C- clarify often H- honor the pt. as a partner in the education process

What does TEACH stand for?

Ask Me 3 Questions (for HCP)

What is my main problem? What do I need to do? Why is it important for me to do this?

health literacy

ability to obtain, read, understand, and act on health information

psychomotor learning

learning a physical skill involving the integration of mental and muscular activity

cognitive learning

involves the storing and recalling of new knowledge in the brain

affective learning

changes in attitudes, values, and feelings

pedagogy

child and adolescent learning

understanding personal perception (UPP) scale

consists of pics ranging from a bright sun, representing complete clarity of understanding, down to clouds, which represent confusion, lack of clarity, need for more education

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate?

motivational counseling

contractual agreements

pact between 2 people setting out mutually agreed-upon goals

formal teaching

planned teaching done to fulfill learner outcomes

learning

process by which a person acquires or increases knowledge or changes in behavior in a measurable way as a result of the experience

patient education

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

counseling

provides the resources and support the patient needs to participate actively in self-care and to facilitate their coping with their circumstances

nonadherence

pt resistant to following a predetermined health care regimen

teach-back method

pts. and caregivers repeat back to HCP the key points from lesson

noncompliance

pts. do not follow a predetermined regimen

compliance

refers to extent to which a pt's behavior coincides with clinical advice, implying the HCP is viewed as the authority

adherence

refers to extent to which a pt's behavior corresponds with the agreed-upon recommendations from an HCP (more pt. centered)

informal teaching

unplanned teaching; deal with the pt's immediate learning needs and concerns

newest vital sign (NVS)

uses nutrition label from ice cream and a score sheet for recording pt's answers to 6 oral questions that refer to label

C- creativity- help family learn how to generate alternatives for health management O- optimism- help family learn how to view caregiving situation with confidence P- planning- help family learn how to plan for future problems E- expert info- help family learn how to obtain expert info from HCPs about what to do

what does COPE stand for?

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept?

The client and the nurse are equal participants.

nurse coach

establishes partnership with pt. and uses discovery to identify patient goals and assists patients to realize their potential; empowers and motivates pts. to reach goals