CLIENT EDUCATION

Question 1

purpose of education

Answer 1

1. health promotion and illness prevention
2. health restoration
3. coping

Question 2

scope of practice includes what?

according to the sc board of nursing scope of practice sec 40-33-20

Answer 2

1. providing counseling and teaching for the promotion and maintenance of health
2. evaluating and revising responses to interventions as appropriate

Question 3

professional nurses have the primary responsibility to what

Answer 3

educate patients, families, and the community about health related issues

Question 4

good teaching plans identify what

Answer 4

the unique learning needs of the patient to encourage a change in behavior

Question 5

the purpose of patient education is to what

Answer 5

empower patients to prevent illness, promote health and restoration, and assist patients with coping with life changing disease or disability

Question 6

nurses assist patients with gaining knowledge and skills necessary to change, however, we do not what

Answer 6

force change on patients

Question 7

the 3 roles of the nurse in education

Answer 7

1. assess patient needs
2. provide education
3. promote patient autonomy

Question 8

assessment

Answer 8

1. assess the patients prior knowledge (they are often misinformed and we must address)
2. assess the patients preferences of learning- could be teaching, brochures, watching videos, alternate times

Question 9

why do we provide different channels or modes of education

Answer 9

improves comprehension but also provides autonomy

Question 10

autonomy

Answer 10

the ability to make an informed decision meaning they must have all of the facts, risks, and benefits.

Question 11

what does giving patients the ability to make their own decision do

Answer 11

improves patient outcomes because they become invested in the changed behavior

Question 12

what does teaching efficacy depend on

Answer 12

good interpersonal skills and a good patient-nurse relationship

Question 13

what are the 3 domains of learning

Answer 13

1. cognitive (knowledge)
2. affective (attitudes)
3. psychomotor (skills)

Question 14

cognitive (knowledge)domain of learning

Answer 14

answers the question “what do you know”
focuses on gaining info.
gives patients the knowledge necessary to manage their disease or disability

Question 15

focus of the affective (attitude) domain of learning

Answer 15

values, attitudes, emotions, and motivation behind learning

Question 16

maslow’s hierarchy of needs in relation to the affective domain of learning

Answer 16

1. address the basic physiologic needs followed by safety, love, esteem, and self actualization prior to educating.
2. higher levels are addressed through a positive nurse- patient relationship

Question 17

why is it important to develop a relationship of trust and to be empathetic with the patient

Answer 17

people may not always remember how or what you say, but they will remember how you make them feel

Question 18

if a patient feels safe and comfortable while learning, what will happen

Answer 18

they will be more receptive to content and to a behavior change

Question 19

what does the psychomotor domain of learning focus on

Answer 19

actions and skills. get patients involved and provide multiple opportunities for them to learn and practice.

Question 20

when teaching a new skill, what should you provide

Answer 20

support and encouragement. learning a new skill is difficult and everyone does not learn at the same pace

Question 21

nursing process as applicable to education

Answer 21

1. assessment- gather data regarding learning needs
2. diagnosis- learning needs are id and prioritized using clinical judgment
3. planning- develop a teaching plan
4. implementation- implement teaching with client
5. evaluation- has patient met the goals

Question 22

readiness to learn- maslow’s hierarchy of needs

Answer 22

top to bottom of pyramid
1. self actualization/self fulfillment needs
2. esteem needs (psychological)
3. belongingness and love needs (psychological)
4. safety needs (basic needs)
5. physiological needs (basic needs)

Question 23

self actualization

Answer 23

achieving one’s full potential including creative activities

Question 24

esteem needs

Answer 24

prestige and feeling of accomplishment

Question 25

belongingness and love needs

Answer 25

intimate relationships and friends

Question 26

safety needs

Answer 26

security and safety

Question 27

physiological needs

Answer 27

food, water, warmth, rest

Question 28

barriers to learning

Answer 28

culture
emotion
cognition
language
visual/hearing
environment

Question 29

why do we need to understand and respect the patients culture

Answer 29

can help guide the learning objectives and goals of the teaching plan

Question 30

why do we need to address maslow’s hierarchy of needs

Answer 30

addressing prior to education improves the patient’s concentration and comprehension level

Question 31

review the list of 46 concepts in the concept based assessment

Answer 31

slide 9 of the client education powerpoint

Question 32

SMART goals acronym

Answer 32

specific
measurable
attainable
realistic
timebound

Question 33

examples of SMART goals

Answer 33

1. the pt will verbalize pain less than 5/10 by end of shift
2. pt will remain afebrile for the duration of the shift
3. patient will verbalize understanding factors to change wound dressings by end of shift

Question 34

teaching approaches

Answer 34

telling
participating
repetition

Question 35

instructional methods

Answer 35

lecture
group/individual discussion
demonstration
role playing
games

Question 36

participation and why it’s used

Answer 36

often used to support patient autonomy and foster patient centered care. the nurse and patient develop a plan together to address the learning needs

Question 37

reinforcement teaching approach

Answer 37

relates to the self efficacy theory because feedback, whether positive or negative, influences the patients reception to change

Question 38

when planning teaching approaches, what must we assess

Answer 38

the ability to learn and developmental level of the patient

Question 39

considerations in demonstration instructional methods

Answer 39

provide time for questions and give clear and simple rationales

Question 40

why is printed learning materials provided

Answer 40

to reinforce learning at the conclusion of the teaching session to reinforce learning

Question 42

evaluation

Answer 42

1. teach back
2. return demonstration
3. ask questions

Question 43

when should evaluation occur

Answer 43

at the end of the learning process, but also at each stage throughout the learning process to ensure goals and expected outcomes are met

Question 44

teach back

Answer 44

assess the learners understanding and asks learners to explain the content in their own words

Question 45

return demonstration

Answer 45

useful to id the skill mastery of the patient. pt performs the skill independently and we provide constructive feedback as needed

Question 46

reflective questions

Answer 46

Were the expected outcomes and goals met?
Are there any additional concerns?
Are there any concepts that need to be explained better?
Should be asked throughout the learning process.

Question 47

why do we ask questions

Answer 47

Asking questions can help determine whether the teaching plan needs to be modified, or if additional reinforcement is needed.