quiz #2 Flashcards

1
Q

what is the goal of patient education?

A

assist individuals, families, or communities in achieving optimal health

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2
Q

3 MAIN further goals of patient education?

A

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

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3
Q

what is teaching…

A

INTERACTIVE process, promotes learning

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4
Q

when does teaching generally begin?

A

When the person recognizes a need for knowing or acquiring an ability to do something

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5
Q

when is teaching MOST effective?

A

when the teaching addresses learners NEEDS, learning STYLE and CAPACITY

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6
Q

what kind of approach is social learning theory and the nursing process?

A

patient centred approach!

patient is the focus of care

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7
Q

what does the L..E.A.R.N.S model stand for?!

A
L- LISTEN to patient needs
E- ESTABLISH therapeutic relationships
A- ADOPT an international approach
R- REINFORCE health literacy
N- NAME new knowledge via teach back
S- strengthen SELF-MANAGEMENT via links to community resources
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8
Q

what is prochaska’s transtheoretical Model?

A

can be used a framework to guide nursing health promotion strategies
-an evidence-based model used to explore a person’s motivational readiness to intentionally change health habits
not a linear paradigm
-long-standing habits are heard to break

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9
Q

clients may cycle through the prochaska’s one…

A

OR MORE STAGES SEVERAL times BEFORE permanent change

-opportunity to learn

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10
Q

PRECONTEMPLATION

A

DOES NOT see health problem, no intention of change

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11
Q

CONTEMPLATION

A

awareness of problem, thinking of change, lack of commitment

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12
Q

PREPARATION

A

small tentative steps toward CHANGING, not fully committed consistent action

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13
Q

ACTION

A

STRONG COMMITMENT,

consistent definitive actions to make change reality

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14
Q

MAINTENANCE

A

client stabilize and consolidate gain achieved during action stage

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15
Q

HOW many DOMAINS of learning?

A

3: cognitive, affective, psychomotor

- any topic may involve all or one, any combination

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16
Q

COGNITIVE learning

A
  • all intellectual behaviours requires thinking

- REMEMBERING, UNDERSTANDING, APPLYING, ANALYZING, EVALUATING, CREATING

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17
Q

AFFECTIVE learning

A
  • expression of feelings, and acceptance of attitudes, opinions, values
  • RECEIVING, RESPONDING, VALUING, ORGANIZING CHARACTERIZING
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18
Q

PSYCHOMOTOR learning

A
  • acquiring skills that require integration of mental and muscular activity (ability to walk, eating with a utensil)
  • PERCEPTION
  • SET (READINESS)
  • MECHANISM
  • COMPLEX OVERT RESPONSE
  • ADAPTION
  • ORIGINATION
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19
Q

what is BLOOMS TAXONOMYs guide to writing behaviour objectives in health care (KCAAES)

A
  • KNOWLEDGE- remembering
  • COMPREHENSION- understanding
  • APPLICATION- applying
  • ANALYSIS- analyzing
  • EVALUATION- evaluating
  • SYNTHESIS- creating
20
Q

3 learning types..

A

VISUAL (seeing)
AUDITORY (listening)
KINETIC (doing)

21
Q

what are the 3 main constructs of learning theory?

A

behaviourism
cognitivism
humanism

22
Q

what is behaviourism?

A

-based on learning as reflected in changes in behaviour.
-In the behaviourist school of thought, an act is called a response when it can be traced to the effects of a stimulus.
-behaviourists closely observe responses and then manipulate the environment to bring about the
intended behaviour change.
-to modify a person’s attitude and response, a behaviourist would either alter the stimulus condition in the environment or change what happens after a response occurs.

23
Q

what is cognitivism?

A

Learning is a complex cognitive activity

  • Learner structures and processes information
  • Perception chosen by learner
  • Personal characteristics impact perceptions
  • Importance of social, emotional and physical contexts
24
Q

what is humanism?

A

Focuses on cognitive and affective qualities of learner

  • Learning is self-motivated, self-initiated and self-evaluated
  • Learning is best when relevant to the learner
  • Autonomy and self-determination of learner important
  • Learner is an active participant and takes responsibility for meeting learning needs
25
how are banduras theory and self efficacy related?
- introduced self-efficacy - self-efficacy= personal belief in ones ability to execute the actions - believed self-efficacy= powerful mediator of behaviour and behaviour change
26
self-efficacy and motivation are..
RECIPROCAL processes -increased self-efficacy strengthens motivation= increases the client's capacity to complete the learning task
27
what is the strongest outcome of self-efficacy
mastery of TASKS
28
bandura considers learning to be a social process, what are the three sets of motivating factors?
1) Physical motivator: internal, memory of a previous discomfort or a symptom that can't be ignored 2) Social incentive: praise and encouragement, increasing self-esteem 3) Cognitive motivator: internal thought processes associated with change
29
nursing process and teaching process and usually take place together, however nursing process is..?
broader
30
example of teaching process and nursing process together
- Example: determining a patient's health needs requires assessing all data sources (nursing process), teaching process focus on data sources that reveal the patient's learning needs, willingness, ability to learn, resources
31
assessment of TP
- nurse determines patient needs | - needs, ability to learn, motivation, teaching environment, resources
32
diagnosis of TP
-interprets data to form health focus -priority setting if there are several needs -use learning domains to focus on subject matter &teaching method look at: health maintenance health seeking behaviours self management mastery of health skill deficient knowledge
33
planning of TP
develops teaching plan, sets goals and expected outcomes, works with patient for method
34
implementation of TP
implementing teaching plan, depends on nurses ability to analyze assessment data - needs to evaluate learning outcomes and determine best methods - teaching approaches - teaching in nursing care - teaching methods - language - cultural diversity - needs of patient with severe illness
35
evaluation of TP
pretty much the same as NP
36
Learning depends on? (4)
-learning environment -individuals ability to learn (emotional and intellectual and physical capability, developmental stage, learning style, motivation to learn
37
task mastery, social, and physical motivation
task mastery- desire for achievement social- need for connection, self-esteem physical- desire to maintain and improve help
38
teaching as communication- to be a good teacher, nurse must?
- listen empathetically - observe astutely - speak clearly
39
what did bandura believe were the 3 factors influencing learning?
behaviour, environment, personal factors | -reciprocally influence each other
40
BANDURAS 4 step modelling process (ARMM)
ATTENTION- observational learning, pay attention RETENTION- ability to remember MOTOR REPRODUCTION- ability to carry out behaviour= practice leads to improvement MOTIVATION- reinforcement and punishment
41
CENTRAL concepts of bandura
- self efficacy - self confidence - motivation
42
common barriers to learning?
``` Acute illness/ severe illness Pain Prognosis Biorhythms Religion ```
43
core dimensions of patient teaching strategies
- Establish trust - Limit teaching objectives, short sessions - Simple terminology - Most important info first - Slow pace and repetition - Relate to examples that have meaning
44
how to construct a teaching plan?
- What does the client already know? - What is important for the client to know? - What is the client ready to know
45
phases of motivational learning?
phase 1: mutually exploring and resoling ambivalence to change phase 2: strengthening and supporting clients commitment to change *accept and honour clients right to final decision
46
principles of motivation learning
``` Avoid arguing Express empathy Develop discrepancy Roll with resistance Support self-efficacy ```