ATI - Chapter 17 Flashcards
Teaching is goal driven and interactive. It involves purposeful actions to help individuals acquire knowledge, modify attitudes, and _____, and learn new skills.
behaviors
_____ is the intentional gain of new info, attitudes, or skills, and it promotes behavioral change.
learning
____ influences how much and how quickly a person learns. The desire to learn and the ability to learn and understand the content affect motivation.
motivation
Information ____ increases access to and delivery of knowledge
technology
Nurses provide _______ to individuals, families, and communities.
health education
Some of the most common factors influencing clients’ educational needs are health, education level, socioeconomic status, and cultural and ______.
family influences
______ status, spiritual factors, health perception, willingness to participate, and developmental level are also important to consider when providing.
emotional
Client education provides clients with information and skills to maintain and promote health and _____ (immunizations, lifestyle changes, prenatal care).
prevent illness
Client education provides clients with information and skills to _____ healthy (self-administration of insulin).
restore
Client education provides clients with information and skills to adapt to permanent illness or ____ (ostomy care, swallowing techniques, speech therapy).
injury
______ learning requires intellectual behaviors and focuses on thinking. It involves knowledge, _____, application, analysis, evaluation.
cognitive
comprehension
An example of cognitive learning takes place when clients learn the manifestations of hypoglycemia and then can ______ when to notify the provider.
verbalize
______ learning involves feelings, beliefs, and values.
affective
Hearing the instructors words, responding verbally and nonverbally, valuing the content, creating a method for identifying values and _____, and employing values consistently in decision making are all characteristics of affective learning.
resolving differences
Affective learning takes the place when clients learn about the life changes necessary for managing diabetes melitus and then discuss their _____ about having diabetes.
feelings
_____ learning is gaining skills that require mental and physical activity.
psychomotor
Psychomotor learning relies on perception (or sensory awareness), set (readiness to learn), _____ (task performance with an instructor), mechanism (increased confidence allowing for more complex learning), ______ (the ability to alter performance when problems arise) and origination (use of skills to perform complex tasks that require creating new skills).
guided response
_____ learning takes place when clients practice preparing insulin injections.
psychomotor
In assessment/data collection you assess/monitor _____.
learning needs
In assessment/data collection you evaluate the _____.
learning environment
In assessment/data collection you identify the ______ (auditory, visual, kinesthetic).
learning style
In assessment/data collection you identify areas of _____ (low literacy levels, pain, distractions)
concerns
In assessment/data collection you identify available _____ (financial, social, community).
resources
In assessment/data collection you determine ____ and ____ health.
physical and cognitive
In assessment/data collection you identify specific _____ (visual impairment, decreased manual dexterity, learning challenges)
needs
In assessment/data collection you determine motivation and ____ to learn.
readiness
In the planning phase you need to identify mutually agreeable ____.
outcomes
In the planning phase you need to prioritize the learning objectives with clients’ _____ in mind.
needs
In the planning phase you need to use methods that emphasize the ______.
learning style
In the planning phase you need to select _________ teaching methods and materials.
age-appropriate
In the planning phase you need to speak and provide print materials at or below the ______ reading level.
6th grade
In the planning phase you need to avoid _______ terminology (administer, assess, monitor, implement)
nursing
In the planning phase you need to speak and write in the second person, not the ____ (your leg, not the leg)
third
In the planning phase you need to speak and write in _____ voice (take the medication, not the medication should be taken).
active
In the planning phase you need to provide _____ educational resources (CDs, DVDs, software programs, moblie apps)
electronic
In the planning phase you need to use reliable internet sources to access info and ______.
support services
In the planning phase you need to organize learning activities to move from simple to more _____ tasks and known to unkown concepts.
complex
In the planning phase you need to incorporate active participation in the _____.
learning process
In the planning phase you need to schedule teaching sessions at _____ for learning (teaching ostomy care while replacing the pouch).
optimal times
In the implementation phase you need to create an _______ that promotes learning (minimal distractions, privacy)
environment
In the implementation phase you need to use therapeutic communication (active listening, empathy) to develop trust and _____ of concerns.
promote sharing
In the implementation phase you need to review _____ and experience.
previous knowledge
In the implementation phase you need to explain the therapeutic regimen or ____.
procedure
In the implementation phase you need to present steps that build toward more _____.
complex tasks
In the implementation phase you need to demonstrate _____ skills.
psychomotor
In the implementation phase you need to allow time for return _____.
demonstrations
In the implementation phase you need to provide positive ____.
reinforcement
In the evaluation phase you need to ask clients to explain the info in ____.
their own words
In the evaluation phase you need to observe return _____ (psychomotor learning).
demonstrations
In the evaluation phase you need to use written tools to measure the _____ of information.
accuracy
In the evaluation phase you need to ask clients to ____- their own progress.
evaluate
In the evaluation phase you need to observe ______ communication.
nonverbal
In the evaluation phase you need to reevaluate learning during follow up telephone calls or _____, such as home health visits or appointments with the provider.
contacts
In the evaluation phase you need to revise the care plan _____.
accordingly
Factors that enhance learning
perceived benefit cognitive and physical ability health and cultural beliefs active participation age - and educational level
Barriers to learning
fear, anxiety, depression physical discomfort, pain, fatigue environmental distractions health and cultural beliefs sensory and perceptual deficits psychomotor deficits
When a nurse is observing a client drawing up and mixing insulin injections, which of the following best demonstrates that psychomotor learning has taken place?
A. The client is able to discuss the appropriate technique.
B. The client is able to demonstrate the appropriate technique.
C. The client states that he understands.
D. The client is able to write the steps on a piece of paper.
Answer B. Demonstrating the appropriate technique indicates that psychomotor learning has taken place.
A nurse in a provider's office is collecting data from the mother of a 1 yr old child. The client states that her child is old enough for toilet training. Following an educational session by the nurse, the client now states that her earlier ideas have changed. She is now willing to postpone toilet training until the child is older. Learning has occurred in which of the following domains? A. Cognitive B. Affective C. Psychomotor D. Kinesthetic
Answer B. Affective learning has taken place, as evidenced by the client’s changed ideas about toilet training.
A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn?
A. “I don’t want my spouse to see my incision.”
B. “Will you be able to give me pain medicine after the surgery?”
C. “Can you tell me about how long the surgery will take?”
D. “My roommate listens to everything I say.”
Answer C. Asking a concrete question about the surgery indicates that the client is ready to discuss the surgery. The client’s new diagnosis of cancer may cause anxiety, fear or depression, all of which can interfere with the learning process.
A nurse is preparing an instructional session about managing stress incontinence for an older adult. Which of the following actions should the nurse take first when meeting with the client?
A. Encourage the client to participate actively in learning.
B.Select instructional materials appropriate for the older adult.
C. Identify goals the nurse and the client agree are reasonable.
D. Determine what the client knows about stress incontinence.
Answer D. The first action a nurse should take using the nursing process is to assess or collect data from the client. The nurse should determine how much the client knows about stress incontinence, the accuracy of this knowledge, and what the client needs to learn to manage this condition before proceeding to instructing the client.
A nurse is evaluating how well a client learned the information presented in an instructional session about following a heart-healthy diet. The client states that she understands what to do now. Which of the following actions by the nurse should assist in evaluating the client’s learning?
A. Encourage the client to ask questions.
B. Ask the client to explain how to select or prepare meals.
C. Encourage the client to fill out and evaluation form.
D. Ask the client if she has resources for further instruction on this topic.
Answer B. A useful strategy for evaluating learning is to ask the client to explain in her own words how she will implement what she learned.
