Lecture 9.2 - Patient Education

Question 1

What approach helps patients actively participate in their education and better self-manage their needs and care with the support of health care providers across health care settings?

Answer 1

Patient-centered approaches to patient education

Question 2

What are the three main goals of patient education?

Answer 2

1. Maintaining and promoting health and preventing illness
2. Restoring health
3. Optimizing quality of life with impaired functioning

Question 3

What is “an interactive process that promotes learning” and an ethical responsibility?

Answer 3

Patient education and teaching

Question 4

Teaching is most effective when it addresses the learner’s…

Answer 4

1. Needs
2. Learning style
3. Capacity

Question 5

What are the three domains of patient education?

Answer 5

Cognitive, affective, psychomotor

Question 6

What does the cognitive domain of learning consist of?

Answer 6

Cognitive behaviours that require thinking and understanding.

Question 7

What does the affective domain of learning consist of?

Answer 7

Expressions of feeling and acceptance of attitudes, opinions, or values.

Question 8

What does the psychomotor domain of learning consist of?

Answer 8

Acquiring skills that require integration of mental and muscular activity.

Question 9

1:1 discussion, group discussions, lectures, storytelling, Q&As, and role plays can all be used as teaching methods for which domains of learning?

Answer 9

Cognitive and Affective learning

Question 10

Demonstration, practice, return demonstrations, and independent projects and games can all be used as teaching methods for which domains of learning?

Answer 10

Psychomotor learning

Question 11

What is the ideal learning environment?

Answer 11

The place the learning occurs. Ideal environment is well-lit and ventilated with an appropriate furniture and temperature.

Question 12

How does anxiety impact learning?

Answer 12

Mild anxiety may help a person focus.

Stronger levels of anxiety can be incapacitating and make it impossible to attend to anything other than relieving it.

Question 13

What is self-efficacy?

Answer 13

An individual’s belief in their capacity to act in the ways necessary to reach specific goals.

Question 14

What is emotional/physiological arousal?

Answer 14

Our level of anxiety, arousal - we judge our self-efficacy by how we perceive our level of anxiety in various situations.

Question 15

According to the transtheoretical model of behaviour change, what are the five stages of change?

Answer 15

1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance

Question 16

During an assessment concerning patient education, what kinds of things should be accounted for?

Answer 16

Learning Needs
Ability to Learn
Motivation to Learn
Teaching Environment
Resources for Learning

Question 17

How we help a patient to determine their learning needs?

Answer 17

Although many patients can identify at least some of their own learning needs, effective listening and questioning can help a nurse identify some of a patients perceived needs.

Question 18

What kinds of things affect a patient’s ability to learn?

Answer 18

Several physiological factors:
–> Body temperature
–> Electrolyte levels
–> Oxygenation status
–> Mobility, dexterity, and coordination

Things such as sensory deficits, developmental level, reading level, cognitive function.

Question 19

Which factors impact a patient’s motivation to learn?

Answer 19

Attention span, tendency to ask questions, memory.
Health beliefs and perceptions.
Attitudes about health care providers.
Perceived competence.
Desire to learn.

Question 20

What kinds of diagnoses can be made about patient education?

Answer 20

A nursing diagnosis can be made that a patient has deficient knowledge, decisional conflict, that they experience ineffective health maintenance, portray health-seeking behaviours, or that that they display readiness for enhanced knowledge and/or decision making.

Question 21

What is the ‘telling’ teaching appraoch?

Answer 21

The nurse outlines that task to be done and the patient’s role, and gives instruction.
This is useful for when limited information is needed, and there is no need for feedback.

e.g., a nurse inserting an IV line and asking the patient to remain still.

Question 22

What is the ‘selling’ teaching approach?

Answer 22

A two-way communication where the nurse paces instruction according to the patient’s response.

This is useful for teaching a step-by-step procedure, such as changing a dressing.

Question 23

What is health literacy?

Answer 23

A person’s ability to find, access, read, and understand reliable health information and use it to make informed decisions about their health.
~50-60% of Canadian adults are not health literate.