ATI Client Education

Factors that Hinder Learning

-fear, anxiety, depression -lack of motivation -environmental distractions psychomotor defects -physical discomfort -timing

Task- Centered

Client defined problems and goals, intervention based on specific goal resolution, structured sessions, ends with problem solving in the session

What question can quickly predict a clients literacy lever and identify who is at rank for health literacy issues?

How confident are you abut filling out medical forms by yourself?

Life experience

clients are equipped with existing knowledge, gained through both academic and personal experiences

Readiness

clients must be ready, willing, and able to learn

Barriers to learning

something that hinders learning ⭐️ impaired cognition, language barriers, visual and hearing impairments, emotional concerns, and cultural differences

Client education promotes....

the building skills and assists in being accountable for their self-care

A nurse is admitting a cllent for surgery. Which of the following questions should the nurse ask to determine the client's health literacy level and learning needs? A. "Who will be your support person while you are in the hospital?" B. Can you tell me what surgical procedure you are scheduled for?" C. How do you plan to care for yourself when you go home after surgery?" D. "How comfortable are you with out medical forms by yourself?"

"How comfortable are you with out medical forms by yourself?"

Three critical developmental areas to consider when developing a teaching plan are the patient's

1. physical maturation and abilities, 2. psychosocial development, 3. and cognitive capacity

A nurse is teaching a group of newly licensed nurses about client education. Which of the following information should the nurse include in the teaching? A. Documentation of client education is not required for Joint Commission accreditation. B. Client education does not change a client's values . C. Client education does not influence the client's pain level . D. Client education can improve self -care at home

Client education can improve self -care at home

A nurse is caring for a client who has impaired cognition and has begun taking a new medication. Which of the following actions should the nurse take during client education ?

Direct the education to the caregivers as well as the client.

By taking into consideration the patient's ---------------------------- you can individualize the teaching plan and maximize learning.

age and developmental level, family support networks and financial resources, cultural influences and language deficits, and health literacy level,

Gross Motor Skills

involve using muscle groups tp preform whole body movements

Affective Domain

involves the clients feelings, precisely their values, attitudes, and beliefs

Phycomotor

involves the use of hands- on fine and gross motor skills skills, coordination, and use of senses

Group Instruction

involves two or more clients who are obtaining th same learning material simultaneously

A nurse is assessing a postoperative client prior to a teaching session. The nurse notes that the client is grimacing and restless. Which of the following barriers to learning is the client exhibiting ? A. Psychomotor deficit B. Depression C. Physical discomfort D. Lack of motivation

Physical discomfort

A nurse is planning a smoking cessation program for a client. Which of the following actions is a component of SMART outcome goals ? A. Providing a reward for accomplishing the outcome B. Providing motivation to accomplish the outcome C. Providing a time frame to accomplish the outcome D. Providing demonstration on how to complete the outcome

Providing a time frame to accomplish the outcome

Revelance

Nurses help people and their families cope with illness, deal with it, and if necessary live with it, so that other parts of their lives can continue.

Motivation

a need or desire that energizes and directs behavior

Client Education

an ongoing, goal-driven, interactive process that provides clients with new information

A nurse is providing teaching to a client who has a recent diagnosis of pancreatic cancer. The nurse is using strategies in the affective domain of learning. Which of the following client statements is part of the affective domain? A. "I have been crying a lot since I learned about my diagnosis. I'm worries about everything." B. I am learning how to take my blood prensure so can check it at home every day" C. " I understand I may lose weight because I may not feel like eating much." D. "I will take my pain medication on a schedule to prevent my pain from becoming severe.

"I have been crying a lot since I learned about my diagnosis. I'm worries about everything."

A nurse is discussing the nurse's role in client education with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of a nurse's role? A. "Nurses make up the greatest percentage of members on a health care team" B. "Providers make up the greatest percentage of members on a health care team . C. "Physician assistants have the greatest percentage of members on a health care team." D. "Physical therapists have the greatest percentage of members on a health care team."

"Nurses make up the greatest percentage of members on a health care team"

Limite health literacy results in more.....

- medication errors - increased number of ER bits - more hospital admissions -increase in mortality

Factor that promote learning:

-perceived benefit -enhanced health literacy -nonjudgmental support -quiet, low-stimulus environment -repetion

Knowles's Fundamental Principles of Learning Include: (6)

1. relevance 2. self-directed 3. life-experience 4. readiness 5. task- centered 6. motivation

Nurses make up ____ of the health professional workforce

70%

A nurse educator is planning an in-service for staff nurses about psychomotor client teaching strategies. Which of the following activities requires the use of gross motor skills? (Select all that apply .) A. A client walking with crutches B. A client using a manual wheelchair C. Administering an intradermal injection to a D. Opening a client's medication bottle E. Applying an adhesive bandage to a client's finger

A B

A nurse is reviewing the goals of client education with a newly licensed nurse. Which of the following information should the nurse include? (Select all that apply.) A. Improvement of health. B. Provide knowledge about an illness or injury. C. Relevance D. Health promotion E. Motivation

A B D

A nurse is preparing for a teaching session with a client. Which of the following actions should the nurse take to provide the client with unbiased care? (Select all that apply .) A. Avoid assumptions about the client. B.Compare the client to a former client. C. Ask coworkers to share their past experiences with similar clients . D. Control personal thoughts about the client . E. Collaborate with another nurse to develop teaching strategies .

A. D. E.

A nurse is assessing a client's health literacy prior to providing education. Which of the following actions should the nurse take? (Select all that apply.) A. Ask questions regarding the client's health care needs and concerns. B. Obtain a health history. C. Assess the client's education level. D. Perform a physical assessment E. Use medical terminology when educating the client

A. Ask questions regarding the client's health care needs and concerns. B Obtain a health history. C Assess the client's education level.

A nurse is providing teaching about performing blood glucose checks to a client who has a new diagnosis of diabetes mellitus. Which of the following actions indicates the nurse is using the affective domain of learning? A. Ask the client how they feel about checking their blood glucose levels. B. Ask the client to demonstrate how to check their blood glucose level. C.Ask the client to verbalize the steps of checking their blood glucose level. D. Ask the client if they understand the importance of monitoring their blood glucose level.

Ask the client how they feel about checking their blood glucose levels

A nurse is providing teaching to a client who has a new prescription for eye drops. Which of the following teaching strategies is an example of using the psychomotor domain of learning ? A. Discuss with the client how to use the eye drops. B. Encourage the client to ask questions about the medication. C. Provide the client with a handout that explains how to use the medication. D. Ask the client to teach-back about how to use the medication.

Ask the client to teach-back about how to use the medication

A nurse is participating in a question-and-answer session with a client. Which of the following domains of learning uses this type client education? A. Cognitive domain B. Affective domain C. Psychomotor domain D. Adaptation domain

Cognitive Domain

A nurse is evaluating a client's plan of care. The desired outcome of having the client sit on the side of the bed by the end of shift was not met Which of the following actions should the nurse take? A. Determine if different nursing interventions are required B. Formulate a new analysis C. Notify the health care provider D. Notify physical therapy to assist getting the client out of bed to meet goals

Determine if different nursing interventions are required

A nurse is reviewing information about client education with a newly licensed nurse. Which of the following information should the nurse include as the focus of client education? A. Empowering clients to be accountable for self-care B. Providing the client with disease-orientated education C. Providing education only to the client to protect confidentiality D. Encouraging clients to let go of previous experiences

Empowering clients to be accountable for self care

A nurse is planning a 30-min group education class. Which of the following actions should the nurse plan to take to address various learning styles related to the domains of learning ? A. Give demonstrations only. B. Provide games, discussion, and question -and-answer. C. Repeat demonstrations at the completion of class and lecture . D. Allow time for role play and demonstration .

Provide games, discussion, and question-and-answer.

A nurse is providing teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take? A. Ask the client's family member to translate B. Request a medical interpreter to be present C. Ask another nurse on the unit to translate D. Provide the client with only written material

Request a medical translator to be present

A nurse is preparing to educate a client about the proper procedure for a dressing change. Which of the following indicates an understanyling of Knowles's fundamental principles of client readiness? A. The client states , "I will do it myself." B. The client has been awake all night . C. The client is engaged and alert D. The client used to help change their partner's dressings .

The client is engaged and alert

A nurse is using a question -and-answer session to teach a client about a diabetic diet . Which of the following outcomes is an example of cognitive learning ? A. The client will be able to prepare a diabetic meal. B. The client understands a diabetic meal plan. C. The client accepts a diabetic meal plan. D. The client states, "I am never giving up my soda and candy"

The client understands a diabetic meal plan

A nurse is reviewing a client's plan of care. "The client will ambulate 20 feet using a walker" is the desired outcome. Which of the following aspects of the SMART goal should the nurse identify as missing from the outcome?

Timed

A nurse is preparing for a teaching session with a client who has pernicious anemia. Which of the following should the nurse identify as part of the implementation step of the teaching process? A. Determine the client's health literacy . B. Develop a teaching plan that meets the client's needs. C. Use demonstration to teach the client about vitamin B_{12} injections. D. Determine if the client has met the goals.

Use demonstration to teach the client about vitamin B12 injections.

low-stimulus environment

an optimal learning environment reduces distraction and provides good ventilation, adequate lighting, and a comfortable temperature

Cultural Diversity

includes caring for clients of different cultures with diverse languages, beliefs, customs, values, and ways of communicating

Self- Directed

individuals take the initiative, with or without the assistance of others, in analyzing and identifying their learning needs

Nurses educate clients on.....

medications, medical and health treatments, health conditions, health promotion and prevention strategies

Individual Instructions

occurs when the educational session engages only the learner and the teacher and is the most common form of client education

Self- Bias

personal perception or stereotype regarding situations, people, or actions

Feedback

response to a message, either positive or negative

Teach Back

the client explains ack to the use what is taught

Health Literacy

the clients ability to obtain, read, and understand the health information necessary to support decisions regarding their care,

health promotion

the process of enabling people to increase control over and improve their health

Cognitive Domain

the thinking domain here the client must think through the information presented to them and be able to comprehend the information

Fine Motor Skills

the use of small muscles, such as fingers

A nurse is orienting a newly licensed nurse to the unit. Which of the following statements by the newly licensed nurse indicates an understanding of the importance of documentation of client education? A. "Client documentation can decrease hospital reimbursement." B. "Client documentation can decrease the need to re-evaluate the client's educational needs." C. "Client documentation can increase staffing and services. D. "Client documentation can increase liability."

"Client documentation can increase staffing and services.

A nurse is teaching a client about how to perform daily blood pressure readings at home. Which of the following statements by the client is an example of the teach back method of learning ? A. "Show me again how to position the blood pressure cuff on my arm. B. "I have an electronic blood pressure machine at home that I will use." C. "I believe I can take my blood pressure successfully after talking through the steps ." D. Let me show you how I will take my blood pressure at home each day.

Let me show you how I will take my blood pressure at home each day.

A nurse is preparing a low-stimulus environment for an educational session on smoking cessation. Which of the following should the nurse implement? A. Set the thermostat to a comfortable temperature . B. Dim the lights in the room . C. Leave the door open during the educational session. D. Play relaxing music.

Set the thermostat to a comfortable temperature.