Topic 11 Flashcards

1
Q

Literacy vs Health Literacy

A

· Literacy
o A set of reading, writing, basic mathematics, speech, and speech comprehension skills
· Health Literacy
o The cognitive and social skills that determine the motivation and ability of individuals to gain access to understand and use information in ways that promote and maintain good health
o “The degree to which people have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions

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2
Q

what populations are at most rick for low health literacy

A

elderly
minorities
immigrants
persons of low income (poverty)
people with chronic mental and or physical health conditions

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3
Q

what does low literacy impact

A

Clients understanding of the information for self-management which leads to hospital readmission and poor health outcomes

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4
Q

what is one of the nurses most important jobs

A

client education
providing clients with the information need for self management of conditions to ensure continuity of care from the hospital to home
client has a right to be informed about their diagnosis to make a informed decision

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5
Q

what is the goal of client teaching

A

to make a teaching plan that is good fit for EACH INDIVIDUAL CLIENT

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6
Q

when teaching low literacy clients…

A

o Teach the smallest amount necessary to do the job for each session
o Use common concrete words and short sentences
o Make your point, use visual aids, symbols, and examples for emphasis
§ Make sure the information is in the correct language
§ Provide appointment cards and discharge instructions
o Incorporate as many senses as possible in the learning process
§ Kinesthetic, visual, auditory, verbal
o Include interaction, have the client restate and demonstrate information
o Review as needed

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7
Q

TJC and client education

A

o Sets standards for client and family education
§ Mandates nurses and health care team assess the clients learning needs and provide education

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8
Q

client education includes

A

Maintenance and promotion of health and illness prevention
Restoration of health
Coping with impaired functioning

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9
Q

Maintenance and promotion of health and illness prevention

A

§ Promoting healthy behavior through education allows clients to assume more responsibility for their own health

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10
Q

Restoration of health

A

§ Clients recovering from and adapting to changes resulting from illness or injury often seek information about their conditions

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11
Q

Coping with impaired functioning

A

§ Not all clients fully recover from illness or injury. Teach family members to help the client with health care management

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12
Q

teaching

A

o The concept of imparting knowledge through a series of directed activities
o Helps individuals gain new knowledge, change attitudes adopt new behaviors or perform new skills

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13
Q

learning

A

o The purposeful acquisition of now knowledge, attitudes, behaviors, and skills through an experience or external stimulus
o Understanding and applying newly acquires concepts

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14
Q

what is the nurses role in teaching and learning

A

o Teach information that patients and families need to make informed decisions regarding their care
o Determine what patients need to know
o Identify when patients are ready to learn

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15
Q

TJC “Speak Up” initiative

A

o helps clients understand their rights when receiving care
§ Speak up if you have questions or concerns
§ Pay attention to the care you get
§ Educate yourself about your illness
§ Ask a trusted family member or friend to be your advocate
§ Know which medicines you take and why
§ Use a health care organization that has been carefully evaluated
§ Participate in all decisions about your treatment

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16
Q

nurse is the _____ of the message to the client who is the _____

A

sender
receiver/learner

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17
Q

what kind of reinforcement is used in client teaching

A

positive reinforcement

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18
Q

what technique is VERY helpful when teaching a client

A

teach back

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19
Q

what are the domains of learning

A

cognitive, affective, psychomotor

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20
Q

cognitive

A

§ Includes all intellectual behaviors and requires thinking

21
Q

affective

A

§ Deals with expression of feelings and development of attitudes, opinions, or values

22
Q

psychomotor

A

§ Involves acquiring skills that require coordination and integration of mental and physical movements

23
Q

motivation to learn

A

§ Addresses the clients desire or willingness to learn

24
Q

attentional set

A

· The mental state that allows the learner to focus on and comprehend a learning activity
· BEFORE LEARNING ANYTHING THE CLIENT MUST GIVE ATTENTION TO OR CONCENTRATE ON THE INFORMATION TO BE LEARNED, SO DETERMINE THEIR COMFORT LEVEL

25
Q

social learning theory and motivation to learn

A

onsiders the personal characteristics of the learner, behavior patterns and the environment and guides the educator in developing effective teaching interventions

26
Q

self efficacy

A

a concept included in social learning theory refers to a person perceived ability to successfully complete a task

27
Q

psychosocial adaptation to illness

A

Pt needs to grieve. Readiness to learn related to stage of grieving. When pt enters stage of acceptance, stage compatible with learning introduce teaching plan.

28
Q

active participation

A

· Implies an eagerness to acquire knowledge or skills

29
Q

ability to learn

A

§ Depends on physical and cognitive abilities, developmental level, physical wellness, thought processes

30
Q

developmental capability

A

· Cognitive development influences the clients ability to learn. YOU NEED TO KNOW THE CLIENTS LEVEL OF KNOWLEDGE AND INTELLECTUAL SKILLS BEFORE BEGINNING A TEACHING PLAN
· Prior knowledge

31
Q

learning in children

A

· The developmental stage of a child determines the capability and types of behaviors that children are able to learn

32
Q

adult learning

A

self directed and patient centered

33
Q

physical capability

A

· Level of personal development (size, strength coordination, sensory acuity of client)
· Physical health
· Energy

34
Q

learning environment

A

· Well lit
· Good ventilation
· Appropriate furniture
· Comfortable temperature
· Quiet
· Private
· MUST FEEL SAFE AND BE ABLE TO TRUST YOU

35
Q

process of client teaching

A

assessment
planning
implementation
evaluation

36
Q

assessment of each clients learning needs include

A

-Identify literacy level
- Info or skills needed to perform self care and to understand the implications of health care problem
-Client experiences that influence the need to learn
-Information that family caregivers need to support client needs
-The amount of information needed depends on the extent of a family members role in helping the client

37
Q

assessment

A

motivation to learn
ability to learn
teaching environment
resources for learning

38
Q

planning

A

-Set priorities
-Select timing to teach
· When the client is most attentive, receptive and alert
-Organize the teaching materials
· Say the essential content of what you are teaching in the beginning of the teaching session
· Give a summary of key topics to help the learner remember the most important info
-Use teamwork and collaboration

39
Q

implementation

A

-maintain learning attention and participation (active participation)
-build on existing knowledge
-select a teaching approach
-incorparate teaching with nursing care
-select appropriate instructional methods/strategies

40
Q

Participating Teaching Approach

A

· A nurse and client set objectives and become involved in the learning process

41
Q

entrusting teaching approach

A

· A nurse and client set objectives and become involved in the learning process

42
Q

what are appropriate instructional methods and strategies

A

group instruction
one-on-one discussion
preparatory instruction
demonstration
analogy
role playing
simulation

43
Q

group instruction

A

· Economical way to teach a number of clients at one time, and clients can interact with one another
· Groups of 6 or fewer

44
Q

preparatory instruction

A

· Describe physical sensations during a procedure
· Describe the cause of the sensation, prevention misinterpretation of the experience
· Prepare client only for aspects of the experience that others have commonly notices
· Be sure the clients know when the results will be available and who will give them results of their tests and/or procedures

45
Q

demonstration

A

· Client has the chance to practice the skill after observing
o Make sure client can see steps of the demonstration easily, perform step slowly and in sequence, the review rationale and steps of the procedure
o Encourage the client to ask questions so they understand each step

46
Q

evaluation

A

have the clients needs been met?
reinforces correct behavior, changing incorrect behavior, helps educator determine adequacy of teaching

47
Q

client outcomes

A

§ Legal responsibility
· Nurse has legal responsibility to provide accurate, timely client information that promotes continuity of care; therefore it is essential to document the outcomes of teaching
§ Documentation if client teaching

48
Q

TEACH BACK

A

§ Communication technique that assess client retention of the information imparted during a teaching session. If the client has difficulty recalling the material or demonstrating a skill, modify and repeat the content and reassess his or her retention