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NUR120 > Teaching/Learning and Therapeutic Communication > Flashcards

Teaching/Learning and Therapeutic Communication Flashcards

1
Q

Why do nurses need teaching skills?

A
  • teaching clients is part of independent nursing practice
  • ANA standard in promoting health demands skill in teaching
  • patients participate in healthcare decisions
  • hospital stays are brief
  • healthcare is expensive
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2
Q

***What are the three domains of learning?

A

Cognitive- storage and recall of information (facts about a disease)
Psychomotor- hands on skill (ex: insulin)
Affective- challenging feelings, beliefs, attitudes, and values (changing a belief about a diet)

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3
Q

What is the social learning theory?

A

explains the characteristics of the learner

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4
Q

What is self-efficacy?

A

a person’s perceived ability to successfully perform a task

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5
Q

What is the behavioral learning theory?

A

explicit identification of information to be taught and immediate reward for correct responses

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6
Q

What is the cognitive learning theory?

A
  • learning is a complex mental activity

- learning is an intellectual or thinking process in which the learner structures and processes information

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7
Q

What is the humanism learning theory?

A
  • focuses on the learners affective, cognitive, and attitudinal
  • self-motivated, self-initiated, and self-evaluated
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8
Q

What are the five rights of teaching?

A
  • right time
  • right context
  • right goal
  • right content
  • right method
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9
Q

poop?

A

poop

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10
Q

What are some barriers for the teacher that affect teaching? (6)

A
  • competing demands
  • conflicting schedules
  • lack of space and privacy
  • teaching not seen as a priority
  • no third-party reimbursement for teaching
  • frustration with amount of documentation needed
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11
Q

***What are some barriers for the learner? (11)

A
  • illness
  • fatigue
  • anxiety/stress
  • low literacy
  • lack of time to learn
  • overwhelming amount
  • overwhelming complexity
  • lack of support
  • lack of motivation
  • language barrier
  • does not perceive need for information taught
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12
Q

What are some barriers to technology-based learning?

A
  • lack of social interaction
  • poor learner motivation
  • diverse learning styles
  • time issues
  • technical problems
  • access to the internet
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13
Q

***What are some examples of teaching strategies?

A

lecture, group/individual demo, multimedia, pamphlets, simulations, role playing, internet, mentoring, gaming, concept mapping

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14
Q

How do we evaluate learning? (4)

A
  • Increased knowledge
  • Direct observation
  • Client reports of performance
  • Change in Behavior
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15
Q

What is a nursing diagnosis related to lack of knowledge? When should we use it?

A

Deficient knowledge

  • use when the lack of knowledge is the primary problem
  • usually you can write a nursing order to provide informal teaching for routine things that are not extensive
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16
Q

What are some outcomes we try to achieve when deficient knowledge is used as a problem?

A
  • learning contract (informal statement of understanding of what is expected of the teacher and learner)
  • teaching goals (broadly set out what the final outcome should be)
  • learning objectives (specific behaviors that must be completed to accomplish goal)
17
Q

What are some teaching strategies?

A

lecture, group discussion, demo/return, one-on-one instruction, digital info, printed info, role-modeling

18
Q

How can we evaluate outcomes of teaching?

A
  • oral questions, questionnaires, checklists
  • clients reports and records
  • tests
19
Q

What factors affect verbal communication? (9)

A
  • vocab
  • denotative vs connotative meaning
  • pacing of convo
  • intonation
  • clarity and brevity
  • timing
  • relevance of info
  • credibility of sender
  • humor
20
Q

What factors affect nonverbal communication?

A
  • facial expression
  • posture and gait
  • personal appearance
  • gestures
  • touch
21
Q

What is passive communication?

A
  • avoids conflict
  • lets others take the lead
  • submissive, helpless, indecisive, apologetic, whining
22
Q

What is aggressive communication?

A
  • forces others to lose

- bossy, arrogant, opinionated, sarcastic, manipulative, intolerant, overbearing

23
Q

How to use assertive communication?

A
  • speak clearly and in a positive manner “can do” attitude
  • professional composure
  • question care decisions openly and honestly
  • “I” statements
  • focus on issue, not participants
  • do not invite negative responses
  • accept criticism
  • use negative inquiry
  • find workable compromises
24
Q

What are the goals of therapeutic relationships in healthcare?

A
  • improvement of the health of the client
  • providing information about health, treatments, and care
  • use of therapeutic communication
25
Q

What is therapeutic communication?

A

client-centered communication directed at achieving client goals

26
Q

What is the preinteraction phase of the therapeutic relationship?

A

gathering of info prior to meeting

27
Q

What is the orientation phase of the therapeutic relationship?

A

establishes rapport and trust

28
Q

What is the working phase of the therapeutic relationship?

A
  • nurse communicates caring

- client expresses thoughts and feelings and concerns

29
Q

What is the termination phase of the therapeutic relationship?

A

conclusion of the relationship at end of shift or at discharge

30
Q

**What are the key characteristics of therapeutic communication?

A
  • empathy (desire to be sensitive to the client)
  • respect (value the client and their needs)
  • genuineness (responding honestly)
  • concreteness (clear responses)
  • confrontation (confronting client to get clarification, being willing to be confronted if unclear)
31
Q

What are the nursing diagnosis’ we can use to describe problems with communication? When to use?

A

Readiness for enhanced communication- use when client expresses willingness to improve already good communication

Impaired Verbal Communication- use if pt has aphasia, dyspnea

Impaired Communication- use if client is non-english speaking

32
Q

What are some “interventions” to enhance communication? (10)

A
  • address pt
  • listen actively
  • establish trust
  • be assertive
  • restate, clarify msg
  • interpret body language
  • explore issues
  • use silence
  • summarize convo
  • use recordings
33
Q

What are some barriers to therapeutic communication? (10)

A
  • asking too many questions
  • fire-hosing info
  • asking why
  • changing subject
  • failing to probe
  • expressing approval or disapproval
  • offering advice
  • false reassurance
  • stereotyping
  • using patronizing language
34
Q

How to enhance communication for a client with impaired speech?

A
  • ask pt to use hand gestures
  • picture board
  • get help from family members to interpret
  • speech pathology referral

NUR120 (17 decks)

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