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Theory: Client Education
Terms in this set (81)
Where should you document successful pt education?
in medical records
What is learning?
purposeful acquisition of new knowledge, attitudes, behaviors, and skills
What are the most common healthcare mistakes?
Who is the center of the health care team?
Who is the sender that conveys the message?
The reliever in the teaching learning process is who?
the learner or pt
An effective way for evaluating feedback is through what?
learner verbalizes info or provides return demonstration
Learning occurs in which 3 domains?
cognitive (understanding), affective (attitudes), and psychomotor (motor skills)
Learning how to use a glucose device is an example of which learning domain?
Learning to deal with positive coping mechanisms is an example of which learning domain?
Learning how a condition such as diabetes affects the diabetes and how to control it is an example of which learning domain?
In the hierarchy of cognitive behaviors which is the simplest, and which is the most complex?
acquiring knowledge is the simplest and evaluation is the most complex
What is cognitive: discussion learning?
(one on one or group) involves nurse with 1 pt r nurse with several pts. Promotes active participation and focuses on topics of interest. Allow peer support, and enhances application and analysis of new info
What is cognitive: lecture learning?
formal method of learning. Is teacher controlled. Helps learner acquire new knowledge and gain understanding
What is cognitive: question and answer session?
addresses specific concerns. Assists pt in applying knowledge
What is cognitive: Independent project learning?
computer assisted, field experience. Allows pt to assume responsibility for completing activities. Promotes analysis, synthesis and evaluation of new info
What is affective: role play learning?
expression of values, feelings, and attitudes
What is affective: discussion group learning?
Allows pt to receive support from others. Helps pt learn from others. Promotes responding, valuing, and organization
What is affective: discussion (one on one) learning?
allows discussion of personal, sensitive topics of interest or concern
What is psychomotor: demonstration learning?
provides presentation of procedures or skills, permits pt to incorporate modeling of nurse behavior, allows nurse to control questioning during demonstration
What is psychomotor: practice learning?
gives pt opportunity to preform skills using equipment, provides repetition
What is psychomotor: return demonstration?
permits pt to preform skills as nurse watches Provides good source of feedback and reinforcement
What is psychomotor: independent projects, games learning?
requires teaching that promotes adaptation and organization of psychomotor learning, permits learner to use new skills
ability to apply knowledge and skills to produce a new whole
What is affective learning?
deals with expression of feelings and acceptance of attitudes, opinions, or values
What is an example of affective learning?
What is psychomotor learning?
ability to acquire skills that require integration of mental and muscular activity such as walking or eating with utensils
With is the simplest in the hierchy of affective learning? what is the most complex?
receiving, most complex is characterizing
What is the simplest in the hierchy of psychomotor learning? what is the most complex?
perception, most complex is origination
What is attentional set?
mental state that allows the learner to focus on and comprehend a learning activity
What degree of anxiety motivates learning?
What is social motivation?
need for connection, social approval, or self . Look up to role models or others who they have established a relationship with
What is task mastery motivation?
based on needs such as achievement and competence Ex: successfully managing diabetes
What is physical motivation?
when pts are motivated to return to a physical normalcy. Pt with knee amputation is determined to walk with crutches
What provides one of the most useful approaches to pt education?
What is self efficacy?
pts perceived ability to successfully complete a task
A nurse demonstrating how to use an inhaler is an example of which self efficacy?
How does intellectual growth take place in a child?
moves from concrete to abstract
Learning takes placed based on the child's what?
Pt who is ready to accept responsibility for learning takes place in which stage?
Pt who is more easily motivated to learn takes place in which stage?
What are some examples of adult learning?
(self directed learners/can be dependent in new learning situations) critically reflect on their situation, and need others to help them see their problems. Become independent and self directed and can identify their own learning needs.
What do learning needs come from in an adult?
real life situations
What are best teaching techniques for a toddler?
use play to teach (applying bandage to doll), offer picture books that describe children in hospital, use simple words like cut instead of laceration
What are best teaching techniques for preschoolers?
role play, imitation, and play making learning fun. Encourage question and offer explanations. Use simple explanations/demonstrations. Encourage children to learn together
What are best teaching techniques for school aged children?
teaching of psychomotor skills (learning to use a syringe). offer opportunities to discuss health problems
What are best teaching techniques for the adolescent?
help the, learn about feelings and needs for self expression. Use teaching as collaborative activity, allow them to make decision about health (safety, drugs, sex education), use problem solving to help them make choices
What are best teaching techniques for the young/middle aged adult?
encourage participation in teaching by setting mutual goals, encourage independent learning, offer info so adult knows effects of health problem
What are best teaching techniques for the older adult?
teach when alert and rested, involve adult in discussion, focus on wellness and strengths, use approaches that enhance sensorially impaired pts reception of stimuli, keep teaching sessions short
What are best teaching techniques for the infant?
keep routine consistent, hold infant firm while smiling/speak soft to convey trust, have infant touch different textures (soft, hard plastic)
What influences the selection of teaching approaches?
pts developmental level
What is a strong predictor of a persons health status?
Who's at risk for low health literacy?
elderly 65 and older, minorities, immigrants, low income pts, and pt with chronic mental and physical health conditions
What is functional illiteracy?
inability to read above 5th grade level
Which ethnicity has high literacy levels? which has low?
whites and Asian/pacific islanders. Hispanics have the lowest
Many Americans read how many years back from their last year of formal education?
What problems do pts with ADHD face?
low threshold of frustration and difficulty recalling info and staying focused during educational sessions
Learning needs are based on what?
basic survival Ex: pt needs to learn how to take meds before learning how to exercise
When should you use a telling approach?
when teaching limited information. Ex: preparing a pt for emergent diagnostic procedure. Woks when pts are anxious. No time for feedback
What ist the participating approach?
when the nurse and pt set objectives and become involved in the learning process together. Opportunity for discussion, feedback, mutual goal setting, and revision
What is the entrusting approach?
provides pt opportunity to manage self care. Nurse is available to assit without introducing new info. The nurse instructs a pt about a new exercise regime, and allows pt to perform independently
What is the reinforcement approach?
a stimulus that increases probability for a response. A learner who receives reinforcement before or after a desired behavior is likely to repeat the behavior. Feedback is a common form of reinforcement
What is positive reinforcement?
a smile or spoken approval
Which reinforces work well wth young children?
material reinforcement (toys)
A pt is more likely to go to a mental health clinic if he or she is allowed to take a walk is an example of which reinforcement?
What is effective in adult reinforcement?
when the nurse establishes a therapeutic relationship with the pt
During one one one discussion, give info in which manner?
Use what when teaching psychomotor skills?
What are analogies?
when learning occurs when a teacher translates complex language or ideas into words or concepts that the pt understands. Ex: when explaining arterial BP use an analogy of the flow of water through the hose
What is learning through role play?
people are asked to play themselves or someone else. Pts learn required skills and feel more confident in being able to preform independently
What is learning through simulation?
useful in teaching problem solving, application, and independent thinking ex: pts with heart disease plan a meal that is low in cholesterol (pose of problem for pts to solve)
Establish which kinds of goals when teaching older adults?
short term goals
When should you reinforce important info when teaching?
at the end of the session
Which is more desirable learning tool than diagrams?
What are excellent records that document the plan, implementation and evaluation of learning
teaching flow sheets and written plans of care
What is helpful to enhance problem solving in older adults?
using group experiences
Avoid which colors when printing out documents for older adults to read?
blues and greens because they are difficult to see
A nurse teaching a man how to adjust his insulin dosages based on his blood sugar levels is which type f learning?
The pts ability to walk or use eating utensils is an example of which learning?
A teacher teaching a class about diabetes and having the class repeat its success proving successful instruction is an example of what?
What does health literacy include?
pts reading and math skills, comprehension, ability to make health decision, and successful functioning as a consumer of health care
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