Health Literacy, etc

Question 1

Patient’s ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions

Answer 1

health literacy

Question 2

6 things to do for health literacy

Answer 2

Assume everyone has difficulty
Create shame free environment 
Teach back
Discuss medications clearly
Encourage questions
Use clear written language

Question 3

3 purposes of patient education

Answer 3

Maintenance of illness and prevention
Restoring health
Coping with impaired functions

Question 4

3 learning domains

Answer 4

Cognitive, affective, and psychomotor

Question 5

Ability to make sense of and use information (memory and recall) “thinking domain”

Answer 5

cognitive

Question 6

evaluation of cognitive domain (3)

Answer 6

direct observation of behavior
written measurements
subjective patient data

Question 7

“the feeling domain”

values, beliefs, feelings about information recieved

Answer 7

affective domain

Question 8

desired outcome of affective domain

Answer 8

expresses positive feelings, attitudes, values, towards changing behavior

Question 9

Teaching methods for affective learning (5)

Answer 9

Role play
Simulation gaming
Discussion
Debate
Values clarification exercises

Question 10

Physical and motor skills, performance of skill moves from imitation to creation of new way to perform skill

Answer 10

Psychomotor domain

Question 11

Desired outcomes of psychomotor domain

Answer 11

demonstrate performance of skills related to the behavior change

Question 12

terms to not use when writing a care plan

Answer 12

“know”
“understand”
because you can’t measure this!

Question 13

4 teaching methods for psychomotor learning

Answer 13

demonstration
practice
return demonstration
independent projects

Question 14

“What is most important for you to learn?”

“What are your goals?”

Answer 14

Motivational interviewing

Question 15

What is meant by psychosocial adaptation to illness?

Answer 15

Grief process

Question 16

4 basic principles to teaching

Answer 16

are they ready?
do they have needs that need to be met first?
are they in pain?
do they need someone with them?

Question 17

desire or willingness to learn

Answer 17

motivation

Question 18

cognitive attributes, developmental level, physical wellness

Answer 18

ability to learn

Question 19

principles and methods for young adults

Answer 19

must see the need, use peer education, motivated by social, keep sessions under an hour, give time to practice

Question 20

principles and methods for older adults

Answer 20

extra time, involve in discussion, focus on strengths and disabilities, keep session short

Question 21

when teaching older adults start with…

Answer 21

THEIR concerns and don’t teach in a group

Question 22

with older adults provide for comfort and

Answer 22

don’t rush!

Question 23

6 steps in teaching-learning process

Answer 23

assessment
dx and learning outcomes
teaching plan
implementing plan
evaluate
achievement of goals

Question 24

What characteristics do you include in your assessment?

Answer 24

age, development, level of education, health benefits, motivation, health risks and problems

Question 25

Avoid vague terms such as…

Answer 25

“understand” “learn”

Question 26

Include only one __ per objective

Answer 26

behavior

Question 27

SMART objective

Answer 27

Specific, measurable, attainable, realistic, timely

Question 28

An internal state that helps arouse, direct, and sustain human behavior

Answer 28

motivation

Question 29

Counseling and educational technique that focuses on patient foals

Answer 29

motivational interviewing

Question 30

What is the goal of motivational interviewing?

Answer 30

to help patient’s resolve their ambivalence about adopting new self care behaviors

Question 31

patient avoids discussion of illness, withdrawals, disregards physical restrictions

Answer 31

denial or disbelief

Question 32

Patient blames and directs anger towards nurse or others

Answer 32

anger

Question 33

patient offers to live better life in exchange for promise of good health

Answer 33

bargaining

Question 34

Patient expresses emotions openly, realizes illness has created changes, begins to ask questions

Answer 34

resolution

Question 35

patient recognizes reality of condition, actively peruses information,, and strives for independence

Answer 35

acceptance

Question 36

What do you do for a patient who is in denial?

Answer 36

Provide support, remain available, explain situation to family, and teach in present tense

Question 37

What do you do with a patient who is experiencing anger?

Answer 37

Don’t argue with patient, teach in present tense, reassure family anger is normal

Question 38

What do you do when a patient is bargaining?

Answer 38

Continue to introduce only reality. Teach only in present tense

Question 39

What do you do for a patient experiencing resolution?

Answer 39

Encourage feelings, Find out what patient wants to learn set times for formal discussion

Question 40

6 teaching approaches

Answer 40

Telling, participating, entrusting, reinforcing, and incorporating teaching during care