Professional Development (Exam Five) Flashcards
Client teaching is not only an expectation, but it also what?
An ethical and legal requirement
Describe health literacy.
Ability to find, read, comprehend, and use health-care information during decision making
The ability to follow directions from providers concerning treatment is known as what?
Health literacy
The nurse should always document what in regard to patient education?
- What the nurse taught patient/patients family
- How the nurse taught patient/patients family
- Patient understanding of what was taught
- Patient response to teaching
What system helps track when the teaching standards recommended by TJC and the IOM have been met?
The electronic health record (EHR)
Describe the Joint Committee Standard.
Provide patient education and training based on each patient’s needs and abilities
What tool allows patients to increase their own level of responsibility for their health care?
Internet
When utilizing technology to teach a patient, the nurse knows to ensure what?
The teaching source is reliable or credible
When working with the internet, providers are often faced with what type of patients?
Patients who self-diagnose and request expensive tests or inappropriate medication
What document focuses on accessing preventative care and developing healthy lifestyle habits?
Healthy People 2020
The need for enhanced __________ has created a new emphasis on health promotion.
Communication
What is one of the most important responsibilities of contemporary nurses?
Helping patients learn about and develop healthy lifestyles and choices
Constructive interpersonal encounters exist when they are culturally what?
- Sensitive
- Caring
- Collaborative
- Relationship centered
What two components are essential to an effective educator?
- Good communication skills
- Ability to establish a caring relationship
Teaching will only fall on deaf-ears unless the nurse is able to understand what?
- The stage of grief the patient is in
- Empathize with the patient
List the techniques used to teach adult learners.
- Demonstration
- Repetition
The nurse should do what for patients with short hospital stays?
Assess what is most important for the patient to know
Before attempting to teach a client, the nurse should ascertain what?
- Patients level of motivation to learn
- Factors that will motivate the client to learn
Patients with a higher education level are more likely to have what when it comes to learning?
Higher motivation
______ ________ are derived from the patients goals and guide the teaching plan of the patient.
Learning objectives
The only way a behavior or action can be observed and measured is if it can be ______, ________, or _______ by the nurse.
- Seen
- Felt
- Heard
What type of questions are essential during the assessment phase of the teaching-learning process?
Open-ended questions
It is important for the nurse to separate what two factors when educating a patient?
What the patient needs to know versus what might be nice for them to know
What type of learning yields poor outcomes and does not change the patients attitude or behaviors?
Passive learning
When does the most effective learning occur?
When the patient is actively involved in the learning process
What are the only ways to make sure a patient understands the information that was taught?
- Have patient repeat it
- Have patient show nurse how procedure is done
What method provides the nurse with a concrete measurement of the effectiveness of their teaching?
- Teach-back
- Return demonstration
What is considered a moral imperative for nurses?
Patient education
A successful teaching plan will include what?
- Visual aids
- Videos
Testing is not a reliable method to evaluate a patients understanding of what has been taught due to what?
Test anxiety
When determining the patients goals, the goals must be what?
- Measurable
- Timely
Describe the affective domain.
Focuses on feelings and emotions
What is the main goal of the affective domain?
Decrease stress
Which type of domain is more difficult to measure?
Affective domain
What key term will indicate the domain being used is a cognitive domain?
Knowledge level
What is the main goal of the cognitive domain?
- To teach
- To learn
Describe the psychomotor domain.
Demonstrating and modeling
A change in diet is considered what type of domain?
Psychomotor domain
Providing education that would be nice for the patient to know is considered what type of learning?
Passive learning
List the learner characteristics that are assessed during the teaching-learning process.
- Cultural background
- Health literacy
- Education level
- Age
- Gender
In a community clinic, Renee, the RN, is preparing to teach LaTisha how to test her blood sugar at home. LaTisha, a 13-year-old honors student has been recently diagnosed with non-insulin-dependent diabetes mellitus. Which of the following teaching methods would be appropriate for Renee to use with this client? (SATA) A. Live demonstration B. Discussion C. Posters D. Modeling and teach-back E. Trial and error F. Role-playing G. Video demonstration
A, D, G
___________ is a collaborative skill that the nurse can use to encourage clients to commit themselves to change and involve them in the selection of risk factors to eliminate.
Cheerleading
Why is health literacy among clients more important now than ever before? (SATA)
A. Hospital stays are short, so there is less time for client teaching
B. Clients or their families are expected to manage self-care during recovery at home
C. Health-care providers are less willing to explain clients’ health conditions nowadays
D. The managed-care model expects clients to make informed decision about their own health
E. Health literacy allows clients to take steps to prevent or reverse some chronic conditions through nonmusical means, such as diet and exercise
A, B, D, E
Provide the simple definition of a disaster.
A catastrophic event that leads to major property damage, a large number of injuries, displaced individuals and major loss of life
Provide the Red Cross definition of a disaster.
An occurrence such as a hurricane, tornado, storm, flood, high water, wind driven water, tidal wave, earthquake, drought, blizzard, etc., or other situations that cause human suffering or create human needs that victims cannot alleviate without substantial assistance
How do the simple definition of a disaster and the Red Cross definition of a disaster differ?
Red Cross addresses how a community and society can handle the disastrous event
An injured health-care provider is just another _______ who needs help.
Victim
List the four steps in preparation for a disaster suggested by the Federal Emergency Management Agency (FEMA).
- Get informed
- Make a plan
- Assemble a kit
- Update the plan and the kit
What is the most important thing to do during the Make A Plan step in preparing for a disaster?
- Create list of phone numbers of possible contact person(s)
- Establish an out-of-town contact person
How many exit routes should be established to get out of a town or out of a building?
Two
If forced to evacuate, it is recommended that people do what with their pets?
Take the pet with them
Homeowner insurance does not routinely cover what type of damage and natural disaster?
- Flood damage
- Earthquakes
How does FEMA suggest people create an inventory of valuables and personal belongings?
Taking photos or videos with a cell phone
How often should preparation kits be updated and reassessed?
Every 6 months
Where should important records and documents be stored in the event of a natural disaster?
- Safe-deposit box at a bank
- Fire and waterproof home safes or strongbox
Disasters are divided into what three basic phases?
- Preimpact phase
- Impact phase
- Postimpact phase
Disaster phases are not ___________ of each other, they can overlap.
Independent
The focus of this impact phase is on the preparation for the aftereffects of the event or disaster?
Preimpact phase
The Preimpact Phase is also known as the _________ period/phase.
Warning
Which disaster phase is most important for first-responders and health-care providers?
Preimpact phase
Describe the Disaster Medical Assistance Team (DMAT).
Group of frontline medical professionals, including nurses, who provide health care after a disaster
What is the primary goal during the impact phase?
Reduce the long term effects of the disaster as much as possible
What is an effective tool in bringing some order to the confusion surrounding a disaster?
Incident Management System (IMS)
Protecting the lives and health of ____________ takes priority over rescue efforts and __________.
- First responders
- Victims
When does the post-impact phase begin?
As soon as 2 hours after the impact phase
How long can the post-impact phase last?
Years
What is the most vital step during the post-impact phase?
Evaluation of disaster preparations and what could be improved
When is an incident classified as a mass casualty?
Number of injured is greater than 1,000
