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Purpose of Nurse's role as Teacher/Counselor

to help patients and families
develop self-care abilities to maximize
functioning and quality of life.
Or have a dignified death.
(Maintain & promote health, Prevent illness,Restoring health, Facilitating coping)

Maintain & promote health

-teach pt to value health & develop
health practice to promote wellness.
-Examples: nutrition, exercise and hygiene teaching

Prevent illness

-teach clients how to prevent disease & early detection of disease.
-Examples: immunization and blood pressure or mammogram screening

Restoring health

-once pt is ill, teaching & counseling focus on developing self-care practices that promote quick recovery and prevention of complications.
-Examples: self-care for administering medication, wound or colostomy care

Facilitating coping

-work with pt and families to help them come to terms with illness & lifestyle changes.
Many may have to cope with permanent health alterations.
-Examples: stress management and grief counseling

Teaching-Learning Process

-Clients right to make informed decisions
-Info must be: accurate, complete, relevant
-nurse & client work together

Learning Domains

-3 domains influence the teaching & evaluation strategies the nurse selects.
-Effective teaching often involves behaviors in all 3 domains.
-Cognitive, Affective, Psychomotor)


-storing & recalling new knowledge in brain
-including knowledge, comprehension, application (using abstract ideas in concrete situations), analysis (relating ideas in an organized way), synthesis, & evaluation.


feelings, opinions and attitudes.


skills such as
injections, ROM, dressing change, etc.

The COPE model
(helping family members to become effective problem solvers & support the nurse's teaching efforts)

-Expert information

Maximize Effectiveness of Teaching

T: tune into the patient
E: edit patient information
A: act on every teaching moment
C: clarify often
H: honor patient as a partner in education process

Discharge Planning

Begin with initial nursing assessment
-Includes client and family
-Client needs
-Home environment
-Family and community resources

Evaluating (for a teaching/learning plan)

-Cognitive :oral questioning
-Affective: patient's response/comments & observation
-Psychomotor :observation of return demonstration
-Revise as needed—change approach or teaching strategy

The Nurse As Counselor

-Helps patients make decisions that promote their overall well-being
-Assists & guides patient to solve problems
-Uses interpersonal skills:
-Warmth, friendliness, openness, empathy, caring
-Listens carefully
-Uses therapeutic communication techniques
-Makes referrals as needed

5 Rights of Delegation

Right Task
Right Circumstances
Right Person
Right Direction/Communication
Right Supervision

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