Patient Education

Question 1

What is a patients bill of rights

Answer 1

Recognizes education as a right of all patients

Question 2

Joint commission in patient education

Answer 2

emphasizes ensuring that the patient understands the material taught

Question 3

Illness related formal education

Answer 3

Are support groups, classes, pre-operative teachings

Question 4

Informal patient nurse encounters

Answer 4

discharge teachings, wound care, medication teachings

Question 5

Self directed patient care

Answer 5

magazines, journals, self-help book, literature, internet

Question 6

Where can nurses teach

Answer 6

different environments
clinics, hospitals, homes, assisted living and long term care facilities

Question 7

Ideal environment for teaching

Answer 7

Calm environment, Free of distractions, Stop and repeat if patient becomes confused, Return demonstration helps

Question 8

When developing a teaching plan, what must be considered

Answer 8

Needs of the individual
Factors that influence the learning process such as readiness, motivation, comprehension level
Health history
Age and development level
Plus questions about health beliefs, culture, learning style, support groups, economic factors

Question 9

Readiness to learn

Answer 9

A patient who is ready to learn will show interest, ask questions, read books and articles, talk to others to gather information

Question 10

Physical readiness

Answer 10

The patient is free of pain, fatigue and immobility

Question 11

Emotional readiness

Answer 11

The patient is not anxious, depressed or grieving over their health status

Question 12

Cognitive readiness

Answer 12

The patient is able to think clearly, is not on medication or in anesthesia

Question 13

How would you assess the motivation to learn

Answer 13

Relate the learning to something the patient likes
Adjust the material to meet their level of understanding

Question 14

What patients are likely to experience limited literacy

Answer 14

Most often will be immigrants and refugees, patient with no high school diploma, low income/poverty level patients and non-native English speakers

Question 15

What are the steps for establishing a teaching plan

Answer 15

Demonstrate priorities
-set these with patient
-Set learning outcomes,
State the patient’s behavior not the nurses
Reflect on measurable activity and conditions or modifiers
Include what when how the behavior will be performed including when the learning should occur
And choose contents based on accuracy, currentness and age/culture and literacy of the patients

Question 16

What are some teaching strategies

Answer 16

Adjust teaching to the needs of the patient, if they are visual learner or hearing learner
Organize the learning, based on what the learner is concerned about or where they have anxiety and be able to schedule time for a review of information
Be flexible, patient may become tired and need a break and patient may also decide to spend more time watching before performing task

Question 17

Patient contracting

Answer 17

Way to implement teaching plan
Helps encourage the patients independence and control over their health
Rewarded for adhering to the contract
Gives patient freedom, mutual responsibility and respect

Question 18

Behavior modification

Answer 18

Desirable behavior is rewarded, undesirable behavior is ignored
If goals are reached they are praised, if not they are not criticized
Positive reinforcement

Question 19

Teach-back method

Answer 19

Nurse provides teachings then the patient is asked to describe the main points in their own words
same as return demonstration except this requires showing understanding verbally instead of demonstration

Question 20

Transcultural teaching

Answer 20

Use material in patients language
Use a translator
Use visual aids, pictures or charts
Avoid slang words, do not assume a nod is understanding
Provide time for questions

Question 21

How is evaluating the learning conducted

Answer 21

The process is ongoing and final, direct observation of a patient and asking patients to restate information

Question 22

What does documenting provide

Answer 22

Provide a legal record that teaching was done, includes all teaching strategies used and includes methods of evaluation