Chapter 22 & 23

Question 1

Describe the learning domains

Answer 1

Cognitive: storing and recalling of new knowledge in the brain (eg. patient describe salt intake and BP)
Psychomotor: learning a physical skill involving the integration of mental and muscular activity (eg. patient demonstrates how to change dressings using clean technique)
Affective: change in attitudes, values, and feelings (eg.patient expresses renewed self-confidence after physical therapy).

Question 2

what are the aims of patient teaching

Answer 2

promoting health.
preventing illness.
restoring health.
facilitating coping

Question 3

List the three critical areas of patient education

Answer 3

preparation for receiving care.
preparation before discharge from healthcare facility.
documentation of patient education activity

Question 4

Describe ways to maximize the effectiveness of patient teaching

Answer 4

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

Question 5

describe the teaching-learning process

Answer 5

Assess learning needs and readiness.
Diagnose learning needs :( be realistic, validate)
Develop learning outcomes (cognitive, psychomotor, affective)
Develop a teaching plan (verbal or written)
Implement teaching plan.
Evaluate learning (eg.consider patient feedback and comments)
Document

Question 6

describe the factors that should be assessed in the learning process

Answer 6

Age and developmental level
family support and financial resources
cultural influences, language deficits/literacy level (6 grade level)
readiness to learn: emotional, experiential, intelligence
ability to learn, learning strengths, compliance

Question 7

Name three methods for evaluating learning

Answer 7

proof and feedback through cognitive ; patient response.
psychomotor; patient demonstration.
Affective

Question 8

describe how to formulate a basic culturally-competent teaching plan

Answer 8

understanding core culture values of patient’s.
work with multicultural team, develop written material in native language -.
be aware of personal assumptions, biases, and prejudices.
use testimonials of persons with the same culture background as patient.

Question 9

What are some teaching plans for older adults?

Answer 9

allow extra time, plan short teaching sessions.
accommodate for sensory deficits.
reduce environmental distractions.

Question 10

Explain what should be included in the documentation of the teaching-learning process.

Answer 10

summary of the learning need, the plan, the implementation of the plan, and the evaluation results.

Question 11

what are some effective communication techniques

Answer 11

sincere, honest, show genuine interest, stick to the basics.
ask if patient has questions, avoid lecturing, use simple words, vary tone of voice, keep the content clear.
Active listening

Question 12

Discuss the nurse’s role as counselor

Answer 12

make everyone feel comfortable in the situation and surroundings.
interpersonal skills of warmth, friendliness, openness, and empathy.
may include family members.
combine teaching and counseling roles.

Question 13

Describe how to use the counseling role to motivate a patient toward health promotion

Answer 13

using evidence-base approach that involves discussion feelings and incentives.
establishing a helping relationship with the patient early on.
sensitivity to the unique needs of each patient.
reflective listening, asking open ended questions, affirming, and summarizing.

Question 14

describe areas in which nurses can develop leaderships that enhance the caregiver role.

Answer 14

communication skills.
problem-solving skills.
management skills.
self-evaluation skills.

Question 15

name the 5 rights of delegation

Answer 15

Right task, right circumstances, right person, right direction/communication.
Right supervision and evaluation.

Question 16

discuss considerations when delegating nursing care.

Answer 16

patient’s condition, complexity of the activity, potential for harm.
degree of problem solving and innovation necessary.
level of interaction required with the patient.
capabilities of the unlicensed assistive personnel (UAP).
availability of professional stuff to accomplish workload.

Question 17

list some task that should not be delegated to UAP

Answer 17

medications, Assessment, Evaluating effects of medications, and anything vague (critical thinking).

Question 18

describe circumstances that are danger and should not be delegated to UPA and LVN.

Answer 18

delegating pain assessment.
delegating first set of vital signs on post-op or unstable patients.
Asking LPN to check patient, complaining of chest pain.

Question 19

what are some danger when delegating patient.

Answer 19

Nurse unfamiliar with patient, population and or task she is delegating.
patient unstable.
UAP seldom has performed task.

Question 20

describe a danger in communication when delegating.

Answer 20

start your assignment and let me know if there are any problems.