Exam#2: Patient Education

What teaching methods are appropriate for cognitive learning? (7)

1. discussion (one-on-one or group) 2. lecture 3. question-and-answer session 4. role play 5. discovery 6. independent project 7. field experience

What teaching methods are appropriate for affective learning? (2)

1. role play 2. discussion (one-on-one or group)

12. A nurse is caring for a terminally ill client who believes that death and reincarnation are the ultimate gifts from God to humankind. How can the nurse provide spiritual support to this client? a) The nurse should support and build on the clients' faith. b) The nurse should request that the client refrain from talking about death. c) The nurse should provide literature to the client that offers other alternatives. d) The nurse should subtly attempt to change the client's belief.

A

13. After discussing asthma as a chronic condition, which of the following statements by the father of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease? a) "Although our child's disease is serious, we try not to let it be the focus of our family." b) "We keep our child away from other children to help cut down on infections." c) "We try to keep him happy at all costs; otherwise, he has an asthma attack." d) "I'm afraid that when my child gets older, he won't be able to care for himself like I do."

A

14. The best indicator that the client has learned how to give an insulin self-injection correctly is when the client can: a) Perform the procedure safely and correctly. b) Correctly answer a posttest about the procedure. c) Explain all steps of the procedure correctly. d) Critique the nurse's performance of the procedure.

A

2. A nurse is teaching bicycle safety to a child and his parents. What protective device should the nurse tell the parents is most important in preventing or lessening the severity of injury related to bicycle crashes? a) Helmet b) Knee pads c) Reflectors d) Elbow pads

A

What is motivation?

A force that acts on or within a person (e.g., idea, emotion, physical need) to cause the person to behave in a particular way

What does the psychomotor domain of learning include?

Involves acquiring skills that require integration of mental and muscular activity

How does active participation play a role in learning?

Learning occurs when the patient is actively involved in the educational session.

What is a motivation to learn?

Addresses the patient's desire or willingness to learn

What does the cognitive domain of learning include?

All intellectual behaviors and requires thinking

What does a learning environment allow for a person?

Allows a person to attend instruction

What is the definition of teaching?

An interactive process that promotes learning

Why is "correct tools for correct patient" so important?

Because issues come up like, can the patient read? If not, handouts and pamphlets will not work for teaching, maybe videos can be used instead. What level of comprehension are they at? Teaching must be catered to the patient.

How would you assess the affective learning of a patient?

By the patient being able to verbalize back with increased comfort of the concept

10. A nurse is completing discharge teaching for the client who has left-sided hemiparesis following a stroke. When investigating the client's home environment, the nurse should focus on which nursing diagnosis? a) Ineffective coping b) Diarrhea c) Risk for injury d) Noncompliance

C

What is self-efficiacy?

Refers to a person's perceived ability to successfully complete a task.

Why is it so important to assess the patient's knowledge before teaching?

So you can start where the patient is in knowledge

What is health literacy?

The cognitive and social skills that determine the motivation and ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health.

What is attention set?

The mental state that allows the learner to focus on and comprehend a learning activity

What is the difference between the nursing process and the teaching process?

The nursing process focuses on the patient's total health care needs. The teaching process focuses on the patient's learning needs and ability to learn.

11. A postpartum client's partner asks to read the client's medical record. He claims to be a nursing student and that reading it would be a learning opportunity. What action by the nurse is most appropriate? a) Review the medical record with the partner and teach him documentation principles. b) Have the partner review the medical record in the presence of the nursing staff. c) Explain that, for client confidentiality reasons, he can't review the medical record. d) Tell the partner that he made a wise choice in choosing the nursing profession and allow him to review the record.

C

What is the definition of learning?

The purposeful acquisition of knowledge, skills, behaviors, and attitudes

What does health literacy specifically include?

Health literacy includes patients' reading and mathematics skills, comprehension, and decision-making and functioning skills with regard to health care.

What are The Joint Commissions "Speak Up" tips for patients? (7)

1. Speak up if you have questions or concerns. 2. Pay attention to the care you get. 3. Educate yourself about your illness. 4. Ask a trusted family member or friend to be your advocate. 5. Know which medicines you take and why. 6. Use a health care organization that has been carefully evaluated. 7. Participate in all decisions about your treatment.

What types of qualities do you want in a good learning environment? (6)

1. Well lit 2. Comfortable 3. Good ventilation 4. Appropriate furniture 5. Private 6. Quiet

What teaching methods are appropriate for psychomotor learning?

1. demonstration 2. practice 3. return demonstration 4. independent projects 5. games

How does psychosocial adaption to illness affect the patient? (3)

1. Difficult for patients to accept 2. Need to grieve 3. Learning occurs in the acceptance stage.

What does patient education include? (3)

1. Maintenance and promotion of health and illness prevention 2. Restoration of health 3. Coping with impaired functioning

What must you assess before you begin teaching? (7)

1. See through the patient's eyes. (Teaching is patient-centered.) 2. Assess the patient's learning needs. 3. Ask questions to identify motivation to learn. 4. Determine the patient's physical and cognitive ability to learn. 5. Provide an appropriate teaching environment. 6. Assess the readiness and ability of a family caregiver or other learning resource. 7. Assess health literacy/learning disabilities.

What is the role of the nurse in teaching and learning? (3)

1. Teach information that the patient and family need to know in order to make informed decisions regarding their care. 2. Determine what patients need to know 3. Identify when patients are ready to learn

7. Health promotion activities to reduce the incidence of osteoporosis include: a) Avoiding estrogen replacement therapy when postmenopausal. b) Teaching women to maintain adequate calcium intake. c) Teaching women to increase caffeine intake as a preventive measure. d) Teaching women how to administer pain medication safely.

B

1. While the nurse is providing preoperative teaching for a client with peripheral vascular disease who is to have a below-the-knee amputation, the client says, "I hate the idea of being an invalid after they cut off my leg." The nurse's most therapeutic response would be: a) "You're fortunate to have a wife who can take care of you." b) "Tell me more about how you're feeling." c) "You'll still have one good leg to use." d) "Let's finish the preoperative teaching."

B

5. A nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should: a) use commercial preparations to remove corns. b) wash and inspect the feet daily. c) cut the toenails by rounding edges. d) walk barefoot at least once each day.

B

9. A health care team is involved in caring for a client with advanced Alzheimer's disease. During a team conference, a newly hired nurse indicates that she has never cared for a client with advanced Alzheimer's disease. Which key point about the disease should the charge nurse include when teaching this nurse? a) As long as the client receives the ordered medication, special care measures aren't necessary. b) The nursing staff should rely on the family to assist with care because family members know the client best. c) Clients with Alzheimer's disease are at high risk for injury because of their impaired memory and poor judgment. d) Alzheimer's disease affects memory so the client doesn't need an explanation before procedures are performed.

C

How would you assess the cognition of a patient?

Can the patient speak back facts that you have taught them?

When does the teaching process begin?

When education becomes part of the care plan, the teaching process begins.

15. A nurse is teaching a client about a newly ordered drug. What could cause an elderly client to have difficulty learning about ordered medications? a) Decreased drug excretion b) Lack of family support c) Fixed income d) Sensory deficits

D

3. A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include? a) "Because of the increase in home burglaries involving the elderly, these clients should have burglar bars on every window in the home." b) "Most accidental injuries among the elderly are automobile-related. Elderly clients should have vision testing every 6 months while they're still driving." c) "Most falls among the elderly occur outside the home. Clients should confine themselves to their homes as much as practical." d) "Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

D

4. When teaching unlicensed assistive personnel (UAP) about the importance of hand washing in preventing disease, the nurse should instruct the UAP that? a) "Waterless commercial products are not effective for killing organisms." b) "The hands do not serve as a source of infection." c) "It is not necessary to wash your hands as long as you use gloves." d) "Handwashing is the best method for preventing cross-contamination."

D

6. The nurse is discussing safety and accident prevention with the mother of a 9-month-old. The teaching has been effective when the mother states which of the following? a) "Sometimes she plays in the bathroom when I'm cleaning in there." b) "Occasionally she gets under the chair and plays with the telephone cord." c) "I've found that those child-protective cabinet locks don't work very well." d) "I make sure that I keep my cleaning supplies locked up."

D

8. The nurse is teaching the client about home blood glucose monitoring. Which of the following blood glucose measurements indicates hypoglycemia? a) 75 mg/dl (4.2 mmol/l). b) 119 mg/dl (6.6 mmol/l). c) 108 mg/dl (6 mmol/l). d) 59 mg/dl (3.3 mmol/l).

D

What does the affective domain of learning include?

Deals with expression of feelings and acceptance of attitudes, opinions, or values

What is an ability to learn?

Depends on physical and cognitive abilities, developmental level, physical wellness, thought process

What is the purpose of patient education?

To help individuals, families, or communities achieve optimal levels of health

How would you assess the psychomotor learning of a patient?

You would have the patient demonstrate the teaching