chapter 9

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? a. developmental learning theory b. cognitive learning theory c. adaptive learning theory d. behavioral learning theory

b

3 types of learning domains

cognitive, psychomotor, and affective

the acronym TEACH helps to maximize the effectiveness of patient teaching. what does it stand for?

Tune into patient Edit patient info Act on every teaching moment Clarify often Honor patient

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? a. cognitive b. affective c. interpersonal d. psychomotor

a

step 3 of assessing learning needs: physical condition, level of education, communication skills, preferred language

ability to learn

which type of learning domain: changes in attitudes, values, and feelings. ex-- the patient expresses renewed self-confidence after physical therapy

affective

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? a. redirect the client to learning about self-care and begin education b. have the client rate pain level, and reschedule the teaching session c. assess the client's understanding of self-care and administer medication d. give written materials to the client and administer pain medication

b

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? a. "osteoarthritis in my knees may be because of my weight" b. "I will be doing well if I lose between 5 and 10 pounds per week" c. "I can monitor my caloric intake by measuring portions" d. "I can lower my blood pressure by losing weight"

b

When a nurse is planning for learning, who must decide who should be included in the learning sessions? a. the client and the client's family b. the nurse and the client c. the health care team d. the doctor and nurse

b

When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? a. interpersonal b. psychomotor c. affective d. cognitive

b

a nurse walks into the room of Ms. Goldstein, who learned earlier in the day that her tumor is malignant. She is crying. which response of a nurse is a nurse counseling appropriately: a. "oh, cheer up! tomorrow's got to be a brighter day" b. touch forearm and sit next to her quietly. after several minutes, say, "I can't even begin to imagine how difficult this must be for you. please let me know if there is anything I can do to help"

b

An experienced nurse is educating a client about the client's disease and how best to promote optimal health. The nurse is focusing the education on the cognitive domain of learning. Given this focus, the nurse would incorporate the client's: a. physical demonstration b. emotions or feelings c. critical thinking d. muscular movements

c

The nurse is preparing to teach a client about postsurgical care after a laparoscopic cholecystectomy. Which factor should the nurse most consider when determining whether the client is ready and able to learn? a. culture b. emotional health c. physical condition d. social and economic stability

c

Which strategy should the nurse use when providing education to the older adult client? a. avoid the use of colorful materials and keep the session short b. teach in a monotone voice in a quiet environment c. remain calm and conduct the teaching session in a quiet environment d. teach from books only and remain calm

c

which type of learning domain: the storing and recalling of new knowledge in the brain ex-- the acquisition of knowledge, comprehension, application, analysis, synthesis, and evaluation

cognitive

provides the resources and support that patients need to participate actively in self-care and to facilitate their coping with their circumstances

counseling

the interpersonal process of helping patients to make decisions that promote their overall well-being

counseling

when the nurse acts as a ___, they are trying to improve coping abilities, reinforce health behaviors, foster positive interactions, and prevent illness or disability

counselor

as a nurse, you work with patients from a variety of different ___. because of this, it is important that we: develop an understanding of the patient's culture, work with a multicultural team in developing educational programs, be aware of personal assumptions, biases, and prejudices, understand the core cultural values of the patient or group, develop written materials in the patient's preferred language

cultures

The nurse needs to understand the teaching-learning process when administering a. physician-initiated interventions b. psychosocial interventions c. technical interventions d. education interventions

d

__ is described as a summary of the learning need, the plan, the implementation of the plan, and the evaluation results. must show evidence that the patient or significant other has actually learned the material taught. the evaluative statement is crucial and must show concrete evidence that demonstrates that learning has occurred

documenting

the following techniques are considered (effective/ineffective) communication strategies: be sincere/honest, show genuine interest and respect, stick to basics, ask for questions, vary tone of voice, keep content clear and concise, listen

effective

step 1 of assessing learning needs: what patient thinks is important to learn and what they will need to learn to manage their health care

knowledge, skills, and attitudes

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

learning

step 2 of assessing learning needs: are they emotionally ready? (self-concept, sense of responsibility for self). are they experientially ready? (socioeconomic stability, attitude toward learning, etc.)

learning readiness

step 4 of assessing learning needs: successful learning in the past, strong network, high motivation

learning strengths

when working with ___ patients, it is important that nurses: identify and learning barriers like sensory loss, limited physical mobility, or inability to comply with recommended therapeutic regimen. teaching plans should incorporate extra time, short teaching sessions, accommodation for sensory deficits, and reduction of environmental distractions. instruction should also try to relate new information to familiar activities or information

older

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

patient education

the below factors may impact what? age and developmental level, family support networks and financial resources, cultural influences and language deficits, health literacy level

patient learning

which type of learning domain: learning a physical skill involving the integration of mental and muscular activity. ex-- patient demonstrating how to change dressings using clean techniques

psychomotor

the topics below are discussed during what process: promoting health, preventing illness, restoring health, facilitating coping

teaching-learning process

these represent the steps of which process: 1. assess learning needs and learning readiness 2. diagnose the patient's learning needs 3. develop learning outcomes 4. develop a teaching plan 5. implement teaching plan and strategies 6. evaluate learning

teaching-learning process