(CD) Teaching/Learning

Question 1

Define patient education

Answer 1

A process of assisting people to learn and incorporate health related behaviors into everyday life; assisting people to change behavior

Question 2

Attributes/criteria for successful teaching/learning (3)

Answer 2

Teaching is planned
Learning outcome are goal oriented
Patient is motivated to learn

Question 3

Are nurses educators?

Answer 3

YES

Question 4

Where in nursing is patient education expected?

Answer 4

Patient education is expected in all settings of healthcare.

Question 5

define health teaching

Answer 5

A flexible, person oriented process in which information and support is provided to clients for a variety of health-related learning needs

or

Specialized creative interpersonal nursing intervention whereby the nurse provides information, emotional support, and health-related skill training to clients for the purpose of helping them cope effectively with health problems and achieve maximum well-being

Question 6

Who mandates health teaching?

Answer 6

JCAHO
ANA (Professional Nursing Standards)
State nursing practice acts
State public health codes

Question 7

What does it mean to be a mandate for health teaching?

Answer 7

Being an organization which says you have to be an educator and provide some sort of guideline for what that means

Question 8

Aspects highlighted in class regarding a Patient Bill of Rights

Answer 8

• You have the right to be well-informed about your illness, possible treatments, and likely unforeseen outcomes
• You have the right to receive understandable information
• You have the right to review your medical records and to have the information explained

All relate to informed consent and being able to understand what your health is and what is being done to/for you.

Question 9

Who is responsible for gaining consent?

Answer 9

Whoever is doing the procedure

Question 10

what are the three learning domains?

Answer 10

Cognitive
Psychomotor
Affective

Question 11

What does the cognitive domain involve?

Answer 11

Increasing knowledge

Question 12

What does the psychomotor domain involve?

Answer 12

developing or increasing a skill

Question 13

What does the Aaffective domain involve?

Answer 13

Changing or influencing attitudes

Question 14

How is learning measured?

Answer 14

Change in behavior

Understanding of information (teach-back)

Question 15

What are the three theories of learning?

Answer 15

Cognitive
Humanist
Behaviorist

Question 16

What is the focus of the behaviorist theory?

Answer 16

Behaviors

Feeling do not recieve attention

Question 17

What are some key features/methods of the behaviorist theory?

Answer 17

Conditioning
reinforcement
Shaping
Extinction

Question 18

list an example(s) of where using the behaviorist theory is appropriate

Answer 18

Potty training

Think Pavlov and his dogs

Question 19

What domain of learning does the behaviorist theory go with?

Answer 19

psychomotor (loosely)

Question 20

Focus of the cognitive theory?

Answer 20

Orientations towards information processing capability and ways that the information can be mastered

Question 21

Key features/methods of the cognitive theory?

Answer 21

critical thinking

Intact executive function

Question 22

Define critical thinking

Answer 22

A facilitation of learning in which individuals are able to restructure a problem so that it is amendable to change.
Creative flexible process
Application of learning from one thing to a new thing

Question 23

What domain of learning does the cognitive theory go with?

Answer 23

Cognitive domain

Question 24

Who is the owner/developer of the cognitive theory?

Answer 24

piage

Question 25

What is the focus of the humanist theory?

Answer 25

Development of self-hood

Question 26

What domain(s) of learning does the humanist theory go with?

Answer 26

Cognitive domain | Affective domain

Question 27

Key aspect/belief of humanist theory?

Answer 27

Motivation is internal and learning self initiated Listening Nurse and client are partners in learning Nurse is guide/coach/information source Connection with self-efficacy Most interactive of the three theories

Question 28

Steps to the teaching process

Answer 28

``` Identify educational needs Establish goals and objectives Select appropriate educational methods Implement the educational plan Evaluate the educational Process ```

Question 29

Teaching process- Evaluation

Answer 29

Process evaluation ongoing during teaching--reflect-in action Outcome evaluation at the end to measure results and is goals/outcomes were met

Question 30

Things to keep in mind to help one teach at the learners level rather than above or below their level

Answer 30

- what information to the need - what is their developmental level - what type of learner are they - what is their literacy

Question 31

Teaching process- Select educational methods

Answer 31

Influenced by learning domain needed to be used, age, literacy level, cognitive ability

Question 32

Teaching process- Implementation

Answer 32

Think about where, how and when

Question 33

Teaching process- Evaluation

Answer 33

Process evaluation ongoing during teaching--reflect-in action Outcome evaluation at the end to measure results and is goals/outcomes were met May use surveys, quiz

Question 34

Teaching strategies for school age

Answer 34

Reward good behavior concrete thinkers sense of mastery

Question 35

Teaching strategies for adolescence

Answer 35

role play role modeling move into abstract thinking finding role identity

Question 36

(X) "cultural care etiquette" time

Answer 36

Are there taboo times? How important is being on time? visiting

Question 37

(X) "cultural care etiquette" Space

Answer 37

body language | how much space is appropriate between ppl

Question 38

(X) "cultural care etiquette" Communication

Answer 38

greetings gestures smiling eye contact

Question 39

Is documentation of teaching required? if so by who?

Answer 39

Yes, by JCAHO

Question 40

What should be documented regarding teaching/learning?

Answer 40

Information taught and actions taken Patient's motivation Patient's ability to learn and developmental level Were outcomes/goals met?

Question 41

Goals of motivational interviewing

Answer 41

- to help the client discuss and state motivations to change - inc. self-efficacy - recognize strengths - reduce ambivalence regarding change

Question 42

4 Essential steps to motivational interviewing

Answer 42

Engaging Guiding Evoking Planning

Question 43

What is DARN-CAT

Answer 43

An mnemonic to help remember and recognize change talk

Question 44

What does DARN-CAT stand for

Answer 44

``` Desire -i want to change Ability -i can change Reason -it is important to change Need -i should change ``` ``` Commitment -i will make changes Activation -i am ready, prepared, willing to change Taking steps -i am taking actions to change ```

Question 45

pedagogy - define - strategies

Answer 45

Children/little knowledge Teacher assumes full responsibility for what is taught. (teacher directed)

Question 46

Androgyny - define - strategies

Answer 46

Adults/some knowledge learners play a role in deciding what they need and want to learn.