Telling. Use the telling approach when teaching limited information (e.g., preparing a patient for an emergent diagnostic procedure). Show Participating. In the participating approach the nurse and Entrusting. The entrusting approach provides the patient the Reinforcing.
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Terms in this set (133)The nurse established the following objective for the client who was unable to void: 1. Voiding at least 1000 mL during the shift Drinking 240 mL of fluid five or six times during the shift A client, after being taught of the clinical manifestations of inflammation to enable early detection of a complication of a surgical wound states, "I will look at the wound four times a day and tell my surgeon if it looks red or swollen." Her statement
is an example of: Application The client continues to ask questions about a surgical wound. The client states, "I think I would like help the first time I look at my wound." This is an example of: Guided response The nurse is demonstrating to the client how to put on anti-embolitic stockings. In the middle of the lesson the client asks, "Why have my feet been swelling?" The nurse stops and responds to the client. Which of the following is the teaching principle that the nurse should follow? Timing
Clients give various responses to teaching sessions. For the nurse, an example of an evaluation of a psychomotor skill is: Client demonstrates the proper use of a walking cane While teaching
the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as: 3. Encouraging the client to personally discuss his feelings about his health status (Affective means to ask/discuss - verbalize) The nurse is preparing the discharge teaching materials on newly prescribed drugs to a client diagnosed to be in the early stage of Alzheimer's disease. The nurse best deals with the client's cognitive deficits by: Arranging for family to be present during the discussion The nurse recognizes that the primary goal of a client's teaching plan is to: Therapeutically affect the client's health, wellness, and independence Which of the following actions is the primary nursing responsibility regarding client education? Providing accurate, current, relevant information When a client newly diagnosed with type 2 diabetes mellitus selects a lunch menu that correlates with the number of carbohydrates
he is allowed for that meal, this is an example of: Cognitive learning Which of the following statement best reflects the nurse's appropriate attention to a client's need for self-efficacy? "After you watch me demonstrate this inhaler, you will have no problems using it at all." A client has been recently told that the primary cancer has metastasized and the cancer is considered terminal. Anger The client has been informed that he can be discharged once he can irrigate his colostomy independently. The client requests the nurse to
observe his irrigation technique. Which of the following learning motives is the client displaying? Task mastery An industrial nurse is planning to give an informative talk on hypertension to employees in honor of "heart month." He plans to teach individuals how to take their blood pressure measurements. Which information is
important for him to ask the planning committee before this presentation? Type of room available and number of participants There are a variety of teaching methodologies fro a nurse to choose from to use with clients. For a
toddler, the nurse should use: Simple explanations and pictures The nurse has important information to share with a parent who has brought his child to the emergency department. The nurse discovers that the parent, who appears very anxious, has just learned his son will require surgery. The most effective
teaching approach in this situation is: Telling There are many factors are assessed before teaching the client to learn insulin injection sites, but the most important factor for the nurse to assess first is the: Willingness of the client to want to learn the injection sites Different topics are presented in the information sessions that are held in the outpatient clinic. In planning for a session on health maintenance/illness prevention, the nurse should select a topic on: 3. Stress management techniques for working parents The nurse is evaluating the responses of clients to teaching sessions. An example of an evaluation of a client's attainment of a cognitive skill is: Client explains that the medication should be taken with meals The nurse evaluates which of the following statements as an indication that the client is not
ready to learn at this time? "There's no sense in showing me that now. I'm too sick right now." In planning to teach an
older adult client, the nurse should incorporate which teaching method or principle into the plan? Keep teaching sessions short. The nurse has completed an assessment on the client and identified the following
nursing diagnoses. Which one of the following nursing diagnoses indicates a need to postpone teaching that was planned? Activity intolerance related to pain There are a variety of teaching methodologies that may be
utilized to meet the client's needs. Which teaching method is best applied to a cognitive learning need? Computer-assisted instruction For a functionally illiterate client, the nurse particularly focuses on: Incorporating familiar nonmedical terminology In preparing a teaching plan for adult clients in a cancer support group, the nurse incorporates evidence-based information. The nurse recognizes that evidence obtained about adult learners has identified that this group prefers: Interesting personal communication techniques The nurse is preparing to present a teaching session on skin protection for a group of older adults at a senior center. A principle that has been found to be most effective in teaching older
adults is: Beginning and ending each session with important information The nurse recognizes that the client's teaching plan is most directly driven by: The client's identified learning needs Which of the following teaching topics is an example of restoration of health? What to expect after hip replacement surgery When a client newly diagnosed with type 2 diabetes mellitus assumes responsibility for checking her blood glucose level four times a day, this is an example of: Psychomotor learning A client has been recently told that the primary cancer has metastasized, and the cancer is considered terminal. When the nurse offers to discuss palliative care options, the client replies, "I'm going to have the reports reevaluated by another doctor; I feel fine and I think a mistake has been made." The nurse recognizes this response as: Disbelief The nurse has offered a diabetic education program. What is the best indication of client compliance with a diabetic treatment plan? c. The client willingly learns about diabetes treatment and follows the treatment plan. Rationale: Evaluation of compliance involves evaluating the extent to which the client recognizes and accepts the need to learn, and then follows through with appropriate behavior. Clients may learn the educational material and still not be compliant. The nurse is developing a teaching plan on
self-injection of insulin for a group of diabetic clients. The plan includes information about injections and types of insulin, and demonstrations of injection technique. What affective component is important for the nurse to plan to include in educating these clients? a. Helping clients accept the need for daily injections Rationale: The affective domain of learning is the feeling domain, and involves emotions, attitudes, interests, and appreciations. The cognitive domain is the thinking domain, and involves intellectual abilities. The psychomotor domain is the skill domain, and involves motor skills. All three domains should be included in planning client education. A nurse who is applying behaviorist learning theory offers a block of information on risk factors for heart disease in a straightforward, non-distracting way. What teaching strategies are appropriate for the nurse applying this learning theory to use next? b. Give a short test, and provide positive feedback Rationale: Nurses applying behaviorist theory should include: careful identification of material to be taught; strategies that avoid distracting information; immediate and repeat testing; positive feedback; and role modeling. Strategies in choice "1" and "3" are consistent with cognitive theory. Strategies in choice "4" are consistent with humanism. Prior to beginning a teaching session on self-care of a colostomy, the nurse will assess the client's readiness to learn by assessing: c. Client's pain and comfort levels, and willingness to learn Rationale: Readiness involves both willingness to learn and ability to learn at a specific time. Pain or discomfort may make it difficult for a client to learn, and must be addressed prior to teaching. The other factors should be assessed as well, but are not indicative of readiness. A client
who is doing a return demonstration of how to change a wound dressing to the leg contaminates the dressing after appropriately cleansing the wound. The best nursing response is to: d. Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on." Rationale: Clients need positive feedback on performance to enhance learning. Positive feedback can include praise, positively worded corrections, and suggestions of alternate methods. Negative feedback is often viewed as punishment, and may cause the client to avoid the nurse or refuse to participate further. The nurse
is planning an educational program on cancer detection for a community group. What should be included in the plan to assure that the program will address various learning styles of clients? c. Audiovisuals, examples, group discussions, and activities Rationale: When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using varying techniques and varying activities is a good way to match the varying learning styles of group participants. A client from a homeless shelter who has had minor surgery and has been given an instruction sheet in preparation for discharge is noted to be noncompliant with instructions when dressing for
discharge. When asked by the nurse if the instructions were clear, the client said, "I'll read them later, when I have my glasses; besides, I know all that stuff." Based on these behaviors, the nurse may suspect that: a. The client may be unable to read the instructions Rationale: Clients who can't read may be noncompliant, insist that they know information, or have excuses for not reading the instructions. Behaviors such as these should alert the nurse to the need to further assess literacy. A client presents with the following: recent medical diagnosis of congestive heart failure, four new medications, and reduced activity levels due to shortness of breath. The most appropriate nursing diagnosis based upon this information
is: d. Deficient Knowledge (medication) related to inexperience with newly ordered therapy Rationale: Deficient Knowledge is used as a diagnostic label when the client is seeking health information or the nurse has identified a learning need. The area of deficiency should be included in the diagnosis. The nurse is teaching a client about reducing blood cholesterol levels through dietary management. The most appropriate learning outcome for the teaching would be: b. The client will accurately select low-fat foods from a list of common foods Rationale: Learning outcomes should state expected client behavior; should reflect an observable, measurable activity; and may have conditions or modifiers stating conditions of performance. Words such as know, understand, feel, and believes are not measurable. A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient's ability to perform the examination? C) The patient will perform breast self-examination correctly on herself before the end of the teaching session. Return demonstration provides an excellent source of feedback and reinforcement to evaluate learning. A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first? A) How to use an inhaler during an asthma attack It is important to start with essential life-saving information when teaching people because they usually remember what you tell them first. A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages based on his blood sugar results. What type of learning is this? A) Cognitive Cognitive learning requires thinking; learning how to adjust insulin requires analysis, synthesis, and evaluation, which are all types of cognitive learning. A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people b. Achieve optimal levels of health. The goal of educating others about their health is to help individuals, families, or communities achieve optimal levels of health. Although all state Nurse Practice Acts acknowledge that patient teaching falls within the scope of nursing practice, this is the nurse's standard, not the goal of education. Patient education helps patients make informed decisions about their care and become healthier and more independent, not dependent. Nurses provide patients with information needed for self-care to ensure continuity of care from the hospital to the home. A nurse provides teaching about coping with long-term impaired functions. Which situation serves as the best example? a. Teaching a family member to give medications through the patient's permanent gastric tube New knowledge and skills are often necessary for patients and/or family members to continue activities of daily living. Teaching family members to help the patient with health care management (e.g., giving medications through gastric tubes, doing passive range-of-motion exercises) is an example of coping with long-term impaired functions. Which statement indicates that the nurse has a good understanding of teaching/learning? d. "Teaching is most effective when it responds to the learner's needs." Teaching is most effective when it responds to the learner's needs. It is impossible to separate teaching from learning. Teaching is an interactive process that promotes learning. Teaching consists of a conscious, deliberate set of actions that help individuals gain new knowledge, change attitudes, adopt new behaviors, or perform new skills. Which action best indicates that learning has occurred? b. A patient demonstrates how to inject insulin. Learning is the purposeful acquisition of new knowledge, attitudes, behaviors, and skills. Complex patterns are required if the patient is to learn new skills, change existing attitudes, transfer learning to new situations, or solve problems. A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include? b. If you still do not understand, ask again. If you still do not understand, ask again is part of the S portion of the Speak Up Initiatives. Speak up if you have questions or concerns. You (the patient) are the center of the health care team, not the nurse. Ask a trusted family member or friend to be your advocate (advisor or supporter), not a nurse. Medication errors are the most common health care mistakes, not inappropriate medical tests. A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. In this situation, which element represents feedback? d. The patient stating that eating yogurt is better than eating cake Feedback should show the success of the learner in achieving objectives (i.e., the learner verbalizes information or provides a return demonstration of skills learned). The nurse is the sender. The patient is the receiver. The teaching is the message. While preparing a teaching plan, the nurse
described what the learner will be able to accomplish after the teaching session. Which action did the nurse complete? a. Developed learning objectives Learning objectives describe what the learner will be able to do after successful instruction. Positive reinforcement follows feedback and involves the use of praise and acknowledgment of new attitudes, behaviors, or knowledge. Interpersonal communication is necessary for the teaching/learning process, but describing what the learner will be able to do after successful instruction constitutes learning objectives. Facts and knowledge will be presented in the teaching session. A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute. In which domain did learning take
place? b. Cognitive A nurse wants the patient to begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? c. Role play Affective learning deals with expression of feelings and acceptance of attitudes, opinions, or values. Role play and discussion (one-on-one and group) are effective teaching methods for the affective domain. Lecture and question and answer sessions are effective teaching methods for the cognitive domain. Demonstration is an effective teaching method for the psychomotor domain. When the nurse describes a patient's perceived ability
to successfully complete a task, which term should the nurse use? a. Self-efficacy A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage? c. Apply a bandage to a doll's ear. Use play to teach a procedure or activity (e.g., handling examination equipment, applying a bandage to a doll) to toddlers. Encouraging independent learning is for the middle-aged adult. Use of discussion is for older children, adolescents, and adults, not for toddlers. Use problem solving to help adolescents make choices. Problem solving is too advanced for a toddler. Which factors should the nurse assess to determine a patient's ability to learn? a. Developmental capabilities and physical capabilities Developmental and physical capabilities reflect one's ability to learn. Sociocultural background and motivation are factors in readiness to learn. Psychosocial adaptation to illness and active participation are factors in readiness to learn. Readiness to learn is related to the stage of grieving. Overall physical health does reflect ability to learn; however, because it is paired here with stage of grieving (which is a readiness to learn factor), this is a wrong answer. A nurse is preparing to teach a
patient about heart failure. Which environment is best for patient learning? b. A well-lit, ventilated room The ideal environment for learning is a room that is well lit and has good ventilation, appropriate furniture, and a comfortable temperature. Although quiet is appropriate, a darkened room interferes with the patient's ability to watch your actions, especially when you are demonstrating a skill or using visual aids such as posters or pamphlets. Which situation indicates to the nurse that the patient is ready to learn? c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. A nurse is teaching the staff about nursing and teaching processes. Which information should the nurse include regarding the teaching process? During
the teaching process, what should the nurse do? d. Focus on a patient's learning needs. The teaching process focuses on the patient's learning needs and willingness and capability to learn. Nursing and teaching processes are not the same. All the rest are components of the nursing process: Assess all sources of data and perform nursing care therapies. Which nursing action is most appropriate for assessing a patient's learning needs? b. Assess the patient's health literacy. Because health literacy influences how you deliver teaching strategies, it is critical for you to assess a patient's health literacy before providing instruction. The nursing process requires assessment of all sources of data to determine a patient's total health care needs. Evaluation of the teaching process involves determining outcomes of the teaching/learning process and the achievement of learning objectives, not patient care. Assessing the goal of meeting patient care is the evaluation component of the nursing process. A nurse is going to teach a patient about hypertension. Which action should the nurse implement first? c. Assess what the patient already knows about hypertension. Assessment is the first step of any teaching session, then diagnosing, planning, implementation, and evaluation. An effective assessment provides the basis for individualized patient teaching. Assessing what the adult patient currently knows improves the outcomes of patient education. A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate? a. The patient will walk to the bathroom and back to bed using a cane. Outcomes often describe a behavior that identifies the patient's ability to do something on completion of teaching such as will empty colostomy bag, or will administer an injection. Understand, learn, and know are not behaviors that can be observed or evaluated. Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)? a. The patient will administer epinephrine. Once you assist in meeting patient needs related to basic survival (how to give epinephrine), you can discuss other topics, such as nutritional needs and side effects of medications. For example, a patient recently diagnosed with coronary artery disease has deficient knowledge related to the illness and its implications. The patient benefits most by first learning about the correct way to take nitroglycerin and how long to wait before calling for help when chest pain occurs. Thus, in this situation, the patient benefits most by first learning about the correct way to take epinephrine. "The patient will learn about food labels" is not objective and measurable and is not correctly written. After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood
pressure like an experienced nurse." What type of reinforcement did the nurse use? c. Social Three types of reinforcers are social, material, and activity. When a nurse works with a patient, most reinforcers are social and are used to acknowledge a learned behavior (e.g., smiles, compliments, words of encouragement). Examples of material reinforcers include food, toys, and music. Activity reinforcers rely on the principle that a person is motivated to engage in an activity if he or she has the opportunity to engage in a more desirable activity after completion of the task. The entrusting approach is a teaching approach that provides the patient the opportunity to manage self-care. It is not a type of reinforcement. A patient with heart failure is learning to reduce salt in the diet. When would be the best time for the nurse to
address this topic? b. At lunchtime while the nurse is preparing the food tray Appropriate times to talk about food/diet changes during routine nursing care are at breakfast, lunch, and dinner times or when the patient is completing the menu. Many nurses find that they are able to teach more effectively while delivering nursing care. For example, while hanging blood, you explain to the patient why the blood is necessary and the symptoms of a transfusion reaction that need to be reported immediately. In this situation, because the teaching is about food, coordinating it with routine nursing care that involves food can be effective. At bedtime would be a good time to discuss routines that enhance sleep. At bath time would be a good time to describe skin care and how to prevent pressure ulcers. At medication time would be a good time to explain the purposes and side effects of the medication. A nurse is teaching a culturally diverse patient about nutritional needs. What must the nurse do first before starting the teaching session? c. Establish a rapport. Establishing a rapport is important for all patients, especially culturally diverse patients, before starting teaching sessions. Obtaining pictures of food, getting an interpreter, and referring to a dietitian all occur after rapport is established. A nurse is teaching an older adult patient about strokes. Which teaching technique is most appropriate for the nurse to
use? c. Begin and end each teaching session with the most A patient has
been taught how to cough and deep breathe. Which evaluation method is most appropriate? a. Return demonstration To demonstrate mastery of the skill, have the patient perform a return demonstration under the same conditions that will be experienced at home or in the place where the skill is to be performed. A
patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action? b. Refer to an ostomy specialist. Resources that specialize in a particular health need (e.g., wound care or ostomy specialists) are integral to successful patient education. A mental health specialist is helpful for emotional issues rather than for physical problems. A dietitian is a resource for nutritional needs. A wound care specialist provides complex wound care. A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn? d. "Please read this handout and tell me what it means." A patient's reading level affects ability to learn. Reading level is often difficult to assess because patients who are functionally illiterate are often able to conceal it by using excuses such as not having the time or not being able to see. One way to assess a patient's reading level and level of understanding is to ask the patient to read instructions from an educational handout and then explain their meaning. Asking patients what they want to know identifies previous learning and learning needs and preferences; it does not assess ability to learn. Motivation is related to readiness to learn, not ability to learn. Just asking a patient if they feel strong is not as effective as actually assessing the patient's strength A nurse is preparing to teach a kinesthetic learner about exercise. Which technique should the nurse use? a. Let the patient touch and use the exercise equipment. Kinesthetic learners learn best while they are moving and participating in hands-on activities. Which statements by the nurse indicate a good understanding of patient education/teaching? (Select all that apply.) a. "Patient education is a standard for professional nursing practice." Which situation will cause the nurse to postpone a teaching session? (Select all that apply.) b. The
patient is fatigued. A patient needs to learn to use a walker. Which domain is required for learning this skill? D. Psychomotor domain Rationale: Using a walker requires the integration of mental and muscular activity. A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? B. Expressing the importance of learning the skill correctly Rationale: Patients are ready to learn when they understand the importance of learning and are motivated to learn. Importance of Quality Patient Education: 1. Shorter hospital stays Good
teaching plans: 1. reduce health care costs Purpose of Patient Education 1. Maintainence & Promotion of Health and Illness Program Restoration of Health 1. pt needs inormation & skills Teaching is an _____ is an interactive process that promotes learning. Learning acquire new knowledge, attitudes, behaviors and skills. Teaching Process requires ____ communication interpersonal Cognitive Learning includes all intellectual behaviors, requires thinking: Affective Learning feelings, attitude, opinions Motivation force that acts within person to cause the person to behave in a particular way: Social Learning Theory people attempt to control events that affect their lives Implementation Teaching Process
involve pt in learning activities, include family caregiver Risk for Low Health Literacy elderly Functional Illiteracy inability to read above 5th grade level Races for Low Health Literacy Hispanic - lowest African/Native American/Alaska Native Lower Health Literacy Scores older adults The nurse is teaching a parenting class to a group of pregnant adolescents.
The nurse pretends to be the baby's father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach did the nurse use? Role play A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of
content is the nurse providing? Health promotion and illness prevention Patient Education -Promotes optimal levels of health Nurse must establish ___ before teaching Report with patient/learner 3 Types of Learning Domains Cognitive 3 Types of Basic Learning Principles Motivation Motivation to
Learn Patient's desire or willingness to learn Self-Efficacy 1. Enactive Mastery Experiences (pt completes skill) Factors that affect Ability to Learn include.. 1. Physical Strength Learning Environment (3/3 of
Basic Learning Principles) Allows a person to focus on the learning task Nursing Process focuses on.. patient's total health care needs Teaching Process focuses on.. patient's learning needs and ability to learn Nursing Process: Assessment Ask questions to identify motivation to learn Appropriate Time to Implement Teaching is when.. During a similar activity (ex. teach proper skin care techniques when performing skin care) The Ideal Teaching Duration is.. 10-15 minutes Reinforcement can be... Positive or Negative In order for therapy to have an effect the patient must.. Patient must believe the tissue is important enough to change. (ex. patient with lung disease who continues to smoke) Which Domain? Role playing how the client can respond to friends when they ask about her situation Affective Domain The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) Answer: A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? C. Provide only the information that the patient needs to go home Rationale: patient is in denial only give her information that is needed immediately The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students
meet the learning outcomes? C. Develop topics for discussion that require problem solving Rationale: Adolescents learn best when they are able to use problem solving to help them make choices
A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient's ability to perform the examination? C. The patient will perform breast self-examination correctly on herself before the end of the teaching session. Rationale: Return demonstration provides an excellent source of feedback and reinforcement to evaluate teaching. When a nurse is teaching a patient about how to administer
an epinephrine injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? B. Analogy Rationale: Again really? its an analogy Which Domain? Asking a client what he thinks might happen at home and how he might respond Cognitive Domain Which Domain? Demonstrating and practicing how to perform a procedure Psychomotor When is the best time for teaching to occur? (Select all that apply.) B. When the patients pain medications are working. Which domain? Explaining blood pressure by comparing it to the flow of water in a hose Analogy A patient newly diagnosed with
cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? C. Provide only the information that the patient needs to go home Rationale: patient is in denial only give her information that is needed immediately A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient's ability to perform the examination? A. The patient will verbalize the steps involved in breast self-examination within 1 week. C. The patient will perform breast self-examination correctly on herself before the end of the teaching session. Rationale: Return demonstration provides an excellent source of feedback and reinforcement to evaluate teaching. A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation A. Telling approach Rationale: Telling approach is most appropriate when preparing a patient for an emergency procedure An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse: A. Speaks loudly D. allows the patient time to express himself/herself and ask questions Rationale: In older patients its important to establish rapport, involve them in their care, and allow them to progress at their own pace A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? A. Describing difficulties a family member has had in taking insulin B. Expressing the importance of learning the skill correctly Rationale: Patients are ready to learn when they understand the importance of learning and are motivated to learn A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? A. Simulation B. Demonstration Rationale: Demonstration is used to teach patients psychomotor skills A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples
of foods that are fruits. This is an example of: B. Learning objective Differences between teaching and learning Teaching produces learning. Learner characteristics that may be barriers to the teaching/learning process -acute Illness: all energy concentrate to cope illness Teaching tools appropriate for use in the pediatric patient Let kids play dress-up and play with equipment (stethoscope, tongue blade). Use simple language. Nursing diagnoses that address the learning needs of clients -deficient
knowledge teaching process: Assessment Gather data about clients learning needs, motivation, ability to learn Teaching process: Diagnosis learning needs on basis of three domains of learning Teaching process: Plan Identify type of teaching method to use Teaching process: Implementation use teaching methods. involve client and family participation as appropriate. Nursing process: Evaluation Identify success in meeting desired outcomes and goals of nursing care. A client whose neck is swollen with cellulitis refuses to have visitors or look in the mirror and is not sleeping well or eating healthy foods. You would most expect this client to have which of the following nursing diagnoses? 1. defensive coping 4. Disturbed body image The client who has a body-image disturbance may hide or not look at or touch a body part that is significantly changed in structure by illness or trauma. A person who has an unhealthy body image will likely be overly concerned about minor illness and neglect sleep and a healthy diet. The other defense mechanisms are not as likely in this client. Sets with similar termsChapter 25: Patient Education72 terms Ramona_Ramsaywack1 NCLEX practice questions Chapter 25: Patient Educa…32 terms kourtttmarie Sets found in the same folderChapter 25: Patient Education (Teaching/Learning)48 terms annasan143 Ch. 25 Patient Education32 terms Devin_Tully2 Chapter 19: Teaching and Learning (NCLEX REVIEW QU…44 terms ceciliaponce26 Chapter - 32 - Med Administration & the Nursing Pr…12 terms awalk087 Other sets by this creatorTEST 3 - ALL CARDS ***543 terms lisakeefer Seizures test 360 terms lisakeefer OCD test 327 terms lisakeefer Prostate cancer37 terms lisakeefer Recommended textbook solutionsClinical Reasoning Cases in Nursing7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions
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Essentials of Modern Neuroscience1st EditionDavid Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert 182 solutions Other Quizlet setsAccess Accting Final Exam review54 terms josh_sumner4 FINAL EXAM 2 - PART 290 terms virginiaherrington Related questionsQUESTION What do we assess for eyes? 11 answers QUESTION The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury? 15 answers QUESTION
What is the assessment for angina? 10 answers QUESTION A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? 15 answers Which nursing action is most appropriate for assessing a patient's learning needs?Which nursing action is most appropriate for assessing a patient's learning needs? Assess the patient's health literacy.
Which assessment should be performed by the nurse to determine the patient's motivation to learn?Which assessment should be performed by the nurse to determine the patient's motivation to learn? Rationale: The nurse should assess the patient's learning style preference to determine motivation to learn.
How do you know a patient is ready to learn?Readiness to learn occurs when the learner is receptive, willing, and able to participate in the learning process. It is the responsibility of the educator to discover through assessment exactly when patients or staff are ready to learn, what they need or want to learn, and how to adapt the content to fit each learner.
Which of the following is a purpose of nursing assessment quizlet?What is the purpose of the nursing assessment? To gather data about the patient (individual, family or community) that can be used in diagnosing, identifying outcomes, planning and implementing care.
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