concepts of nursing chapter 21
What are the aims of nursing/teaching?
Promoting Health Preventing Illness Restoring Health Facilitating coping/death
Nurse Midwife
A nurse who completes a program in midwifery; provides prenatal and postnatal care; and delivers babies for women with uncomplicated pregnancies
Before starting the education process, the nurse should determine the preferred learning style, age and developmental level, capacity to learn, motivation level, readiness to learn, and learning needs of the client. How does this help the nurse in the client's health education?
By implementing the effective teaching
When a nurse is planning for learning, who must decide who should be included in the learning sessions?
The nurse and the patient
A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes what characteristic of an adult learner?
Their readiness to learn is often related to a developmental task or social role.
Nurse entrepreneur
A nurse, usually with an advanced degree, who may manage a clinic or health-related business, conduct research, provide education, or serve as an adviser or consultant to institutions, political agencies, or businesses
A nurse is caring for a 45-year-old male client who lost function in both of his legs due to an automobile accident. What should the nurse do first to personalize the learning?
Gather pertinent information on the client
Teaching passive exercises to a patient with left-sided paralysis, or designing a safe exercise program for a young athlete are an example of which aim of nursing?
promoting health
Nurse anesthetist
A nurse who completes a course of study in an anesthesia school; carries out preoperative visits and assessments; administers and monitors anesthesia during surgery; and evaluates postoperative status of patients
Nurse Administrator
A nurse who functions at various levels of management in healthcare settings; is responsible for the management and administration of resources and personnel involved in giving patient care
Nurse Researcher
A nurse with an advanced degree who conducts research relevant to the definition and improvement of nursing practice and education
Clinical nurse specialist
A nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of nursing; carries out direct patient care; consultation; teaching of patients, families, and staff; and research
Nurse educator
A nurse, usually with an advanced degree, who teaches in educational or clinical settings; teaches theoretical knowledge and clinical skills; conducts research
Define restoring health
Activities traditionally considered to be the nurse's responsibility that focus on the individual with an illness and range from early detection of a disease to rehabilitation and teaching during recovery.
"The patient expresses renewed self-confidence after physical therapy." What learning domain is this?
Affective
What are the effective communication techniques?
Be sincere and honest Avoid too much detail and stick to the basics Ask for questions Be a cheerleader for the patient Use simple vocabulary Vary the tone of voice Keep content clear Listen and do not interrupt Ensure that the environment is conducive to learning Be sensitive to the timing of teaching sessions
A nurse is educating a client with a new diagnosis of diabetes, and the client describes signs and symptoms of hypoglycemia. What learning domain does this demonstrate?
Cognitive
The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?
Cognitive
What are the learning domains?
Cognitive- Storing and recalling of new knowledge in the brain Psychomotor- learning a physical skill Affective- Changing attitude, values and feelings
What are some teaching strategies for each domain?
Cognitive: Lecture, audiovisual materials, printed materials, programmed instruction, computer programs Psychomotor: demonstration, discovery, audiovisual materials, printed materials Affective: role modeling, discussion, audiovisual materials, role playing, printed materials
"Tell me what this blood sugar reading means to you." What section of the nursing process are we using when saying this?
Evaluation
A school nurse is discussing bike and outdoor safety measures with a group of Boy Scouts. What type of health education and counseling is the nurse providing to this group of children?
Preventing illness
A nurse is assisting a new mother in the act of breast feeding 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 this client's learning style fall?
Psychomotor
When we talk about assessment parameters in the teaching process, which elements must first be considered?
Readiness to learn, Ability to learn, Knowledge, attitude, and skills to be independent
A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point?
Revise the education plan that has guided education
A pediatric nurse provides education to numerous clients in her care. Which group of children benefits most from being involved in the teaching-learning process?
School-aged children
What is the nursing process for teaching?
TEACH: T: Tune into the patient E: Edit patient information A: Act on every teaching moment C: Clarify often H: Honor the patient as a partner in the education process
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 nurse are equal partners
Define preventing illness
activities are reduce the risk for illness, to promote good health habits, and to avoid or achieve early detection of illness or maintain function within the constraints of an illness
Describe facilitating with coping and death
coping with altered function, life crisis, and death
appropriate referrals, counseling, stress management, and maximizing independency are all examples of which aim of nursing?
facilitating with coping or death
Teaching parents how to make their home safe for a toddler or counseling people at a high risk for heart disease, cancer, or communicable disease are an example of which aim of nursing?
preventing illness
performing assessments that detect illness, providing direct care to a patient, collaborating with other health care professionals providing care and planning, teaching and carrying out rehab for illnesses are what type of aim of nursing?
restoring health
Describe promoting health
the desire to increase a person's well-being and health potential, to increase quality and years of healthy life, and to eliminate health disparities