Chapter 9 Teaching and counseling

Age and developmental level Family support networks Financial resources Cultural influences Language deficits Health literacy level Vision/Hearing (Challenged abilities) Environment

Factors Affecting Patient Learning

A nurse is caring for an older adult client w/ arthritis. Which action is the priority for the nurse when conducting the health education for the client?

Find out what the client wants to know

•empathy, active listening, and emotional intelligence

Interpersonal

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client?

Motivational

•learning a physical skill. The muscular movements learned to perform new skills and procedures. ex.) a nurse assisting a new mother in the act of breastfeeding is represented by which form of learning?

Psychomotor

When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which learning domain does the client's learning style fall?

Psychomotor domain

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class?

Role-playing

•changing attitudes, values, and feelings. Refers to emotions or feelings. Learning changes, beliefs, attitudes or values.

Affective

Which action is an example of cognitive learning? A. A patient demonstrates how to change his wound dressing. B. A new mother follows instructions for caring for the umbilical cord. C. A patient describes how to portion food to maintain within a prescribed calorie range. D. A patient expresses renewed confidence following a teaching session on caring for her mother at home.

C Cognitive learning involves the storing and recalling of new knowledge in the brain, such as learning food portions to maintain a calorie count. Demonstrating how to change a wound dressing or care for an umbilical cord is an example of psychomotor leaning. Expressing renewed confidence following a teaching session is an example of affective learning.

•storing and recalling of new knowledge in the brain-pt decscribes how salt intake affects blood pressure,

Cognitive

A client has received a temporary ostomy during treatment for colon cancer. Which teaching technique is most likely to facilitate the client's ability to independently empty and change the ostomy after discharge?

demonstration

Activities are general recommendations and concentrate on improving someone's overall well-being.

health promotion

Educating women on diet and exercise is an example of what type of client education?

health promotion