Ch. 5

Question 1

What is client-centered care

Answer 1

Ability of client to have autonomy in directing care and services rendered to them

Question 2

Cultural competency

Answer 2

The ability to understand, appreciate, and interact with persons from cultures different from our own

Question 3

Health communication

Answer 3

The use of communication strategies to inform and influence individual and community decisions that enhance health

Question 4

Health literacy

Answer 4

The ability to understand information about health and disease, then use the information to make decisions about health care

Question 5

Learning

Answer 5

Acquisition of new knowledge or skills; outcome of learning is change in behavior, thinking, or both.

Question 6

Motivation

Answer 6

Desire for action or recognition of need

Question 7

Teach back method

Answer 7

Confirmation that a client understands what is being explained by teaching back the information to the provider

Question 8

Teaching

Answer 8

Interactive process that promotes learning

Question 9

Client teaching is an integral part of nursing

Question 10

Client-Centered Care

Answer 10

In a client-nurse relationship the client is the focal point

Question 11

What is the relationship between a client and nurse built upon?

Answer 11

Trust and respect

Question 12

Three important factors to practice effective health communication are

Answer 12

Health literacy, cultural competency, and identifying limited English proficiency (LEP)

Question 13

Clients with limited health literacy often try to what?

Answer 13

Hide their literacy issues

Question 14

Groups with higher rates of limited health literacy include:

Answer 14

Older adults, individuals experiencing low income, deaf or hard of hearing, people who don’t have a high school diploma or equivalent, and immigrants who don’t speak English.

Question 15

Behavior that may indicate a client has limited health literacy include:

Answer 15

Medical forms incomplete or inaccurately completed, inability to name or give purpose of medications, and inability to describe how to take medications.

Question 16

Using simple and clear language helps clients understand and follow instructions. People who are highly literate can have problems understanding language used in health care.

Question 17

Limit the amount of information at each interaction with a client

Question 18

What is a way to become more culturally competent and respectful?

Answer 18

To care for different people, by respecting their traditions, norms, and other traits. To become respectful, the first thing you should learn is, at your institution, who are the people and from what different cultures and backgrounds do they come?

Question 19

Don’t stereotype clients because of their culture is another important concept

Question 20

What enhances learning

Answer 20

Creating an accepting and positive atmosphere

Question 21

Learning styles involve preferred ways to learn a concept and are frequently grouped as visual, auditory, and kinesthetic. Assessing a clients learning styles helps you to discover the best method to use when providing client teachings.

Question 22

The nurses h process is the systematic method of identifying client health needs, devising a plan of care to meet the identified needs, initiating the plan, and evaluating its effectiveness.

Question 23

To develop an effective teaching plan, first determine the client’s needs. Needs stem from three areas:

Answer 23

Information the client or family needs to know about a particular drug.
Client’s or family member’s ability to learn, accept, and use information.
Barriers or obstacles to learning.

Question 24

Some drugs have simple uses and, therefore, relatively little client teaching is needed. Other drugs such as insulin, require detailed information that may need to be given over several days.

Question 25

Visual learners:

Answer 25

Learn by seeing or watching

Question 26

Auditory learners:

Answer 26

Learn be listening (actually only a small percentage of people learn best this way)

Question 27

Kinesthetic learnings:

Answer 27

Learn by moving, touching, and doing.

Question 28

Domains of learning

Answer 28

Cognitive domain
Affective domain
Psychomotor domain

Question 29

Affective domain

Answer 29

Respect, trust, and therapeutic relationships.

Question 30

Just because clients can mimic instructions does not mean they understand them.

Question 31

Nursing diagnosis checklist:

Answer 31

-Readiness for Enhanced Health Management
-Ineffective Health Management related to lack of knowledge
-Deficient knowledge related to the drug regimen, possible adverse reactions, disease process, or other factors.

Question 32

The nursing diagnosis Readiness For Enhanced Health Management

Answer 32

Generally describes a client who is successfully managing the medication regimen. Use this nursing diagnosis to enhance the clients management sh teaching the client possible adverse reactions that could affect their health and how to manage them or reduce the potential harmful effects.

Question 33

The nursing diagnosis Deficient Knowledge

Answer 33

Is a nursing diagnosis that may be used when the client has a deficit in cognitive knowledge or psychomotor skills necessary to administer a medication properly

Question 34

What does planning begin with?

Answer 34

Development of a goal and the expected outcomes that the nurse will use to measure attainment of the goal

Question 35

Teaching plans

Answer 35

Teaching plans are individualized because clients needs are unique

Question 36

Ask clients open ended questions

Question 37

Do not perform client teaching when?

Answer 37

They have visitors, immediately before discharge from hospital, or if the client is sedated or in pain.

Question 38

When you teach make sure your client understands the following:

Answer 38

For clients taking more than one drug, develops a clear, easy to read drug schedule for the client or caregiver to consult.
Try using a daily calendar for an easy and inexpensive, yet effective, means for scheduling.
Suggest the use of commercially available drug organizers.

Question 39

Advise client to use approved containers with a properly fitting lid for safe disposal of needles and syringes. Return used supplies to the hospital, pharmacy, or local health facility.