Week 2 Flashcards
What is the first stage of denial in the context of dealing with a problem?
Denial or disbelief
The patient is not prepared to deal with the problem, often claiming they are fine when nothing is wrong.
What emotional response may occur when a patient expresses feelings and anger?
Anger
The patient needs an opportunity to express feelings and may direct anger towards others.
In the bargaining stage, what is the patient unwilling to accept?
Limitations
The patient may offer to live a better life in exchange for a promise of better health from a higher power.
What signifies the resolution stage in a patient’s emotional process?
Perception of need for assistance and responsibility
The patient begins to express emotions openly and realizes that their illness has created changes in their life.
What characterizes the acceptance stage in a patient’s journey?
Motivation to learn
The patient recognizes the reality of their condition, actively pursues information, and strives for independence.
Health Literacy
Cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health
Patient education challenges include…
Decreased lengths in stay
Limited time
Limited or lack of teaching material
Low patient health literacy
Anxiety, stress, or medications affecting mental capacity
Patients lack of readiness to learn
Cognitive Domain
The “understanding” domain
- use or make sense of information
- discussion, lecture, one on one, audiovisual, printed materials, computer assisted
Cognitive Domain Pyramid
Create
Evaluate
Analyze
Apply
Understand
Remember
Cognitive Domain Verbs
Describe
Identify
List
Create
Compare
Explain
Compose
Design
Label
Name
Affective Domain
The “feelings” domain
- includes values, beliefs, feelings and attitudes
- expressing positive feelings or values
- role play, simulation, discussion with group or one on one, debate, value clarification
Affective Domain Pyramid
Characterization
Organization
Valuing
Responding
Receiving
Affective Domain Verbs
Answer
Acting
Responding
Characterizing
Participating
Join
Choose
Select
Psychomotor Domain
The “skill” domain
- includes physical and motor skills
- used cues from environment
- demonstrating, practice, return demonstration, independent project or games
Psychomotor Domain Pyramid
Organization
Adaptation
Complex Overt Response
Mechanism
Guided response
Set
Perception
Psychomotor Verbs
Calculate
Demonstrate
Measure
Move
Arrange
Change
Begin
Assemble
The nurse is applying which teaching technique allowing a patient to actively apply knowledge in controlled situations?
Role Play
During which stage of the grieving process does the patient begin to express emotions openly?
Resolution
What stage of the grieving process is when the patient recognizes reality of condition?
Acceptance
Order of stages of grief
Denial
Anger
Bargaining
Resolution
Acceptance
What is telling?
teaching limited info in a short time
What is entrusting?
provides patient opportunity to manage self-care
What is reinforcing?
requires use of stimulus to achieve a desired response
What is participating?
a nurse and patient set goals and work together
Which teaching method would a nurse use when a patient is scheduled for an invasive procedure?
Preparatory instuction
