Health Literacy, etc Flashcards

(40 cards)

1
Q

Patient’s ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions

A

health literacy

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2
Q

6 things to do for health literacy

A
Assume everyone has difficulty
Create shame free environment 
Teach back
Discuss medications clearly
Encourage questions
Use clear written language
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3
Q

3 purposes of patient education

A

Maintenance of illness and prevention
Restoring health
Coping with impaired functions

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4
Q

3 learning domains

A

Cognitive, affective, and psychomotor

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5
Q

Ability to make sense of and use information (memory and recall) “thinking domain”

A

cognitive

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6
Q

evaluation of cognitive domain (3)

A

direct observation of behavior
written measurements
subjective patient data

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7
Q

“the feeling domain”

values, beliefs, feelings about information recieved

A

affective domain

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8
Q

desired outcome of affective domain

A

expresses positive feelings, attitudes, values, towards changing behavior

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9
Q

Teaching methods for affective learning (5)

A
Role play
Simulation gaming
Discussion
Debate
Values clarification exercises
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10
Q

Physical and motor skills, performance of skill moves from imitation to creation of new way to perform skill

A

Psychomotor domain

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11
Q

Desired outcomes of psychomotor domain

A

demonstrate performance of skills related to the behavior change

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12
Q

terms to not use when writing a care plan

A

“know”
“understand”
because you can’t measure this!

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13
Q

4 teaching methods for psychomotor learning

A

demonstration
practice
return demonstration
independent projects

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14
Q

“What is most important for you to learn?”

“What are your goals?”

A

Motivational interviewing

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15
Q

What is meant by psychosocial adaptation to illness?

A

Grief process

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16
Q

4 basic principles to teaching

A

are they ready?
do they have needs that need to be met first?
are they in pain?
do they need someone with them?

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17
Q

desire or willingness to learn

18
Q

cognitive attributes, developmental level, physical wellness

A

ability to learn

19
Q

principles and methods for young adults

A

must see the need, use peer education, motivated by social, keep sessions under an hour, give time to practice

20
Q

principles and methods for older adults

A

extra time, involve in discussion, focus on strengths and disabilities, keep session short

21
Q

when teaching older adults start with…

A

THEIR concerns and don’t teach in a group

22
Q

with older adults provide for comfort and

A

don’t rush!

23
Q

6 steps in teaching-learning process

A
assessment
dx and learning outcomes
teaching plan
implementing plan
evaluate
achievement of goals
24
Q

What characteristics do you include in your assessment?

A

age, development, level of education, health benefits, motivation, health risks and problems

25
Avoid vague terms such as...
"understand" "learn"
26
Include only one __ per objective
behavior
27
SMART objective
Specific, measurable, attainable, realistic, timely
28
An internal state that helps arouse, direct, and sustain human behavior
motivation
29
Counseling and educational technique that focuses on patient foals
motivational interviewing
30
What is the goal of motivational interviewing?
to help patient's resolve their ambivalence about adopting new self care behaviors
31
patient avoids discussion of illness, withdrawals, disregards physical restrictions
denial or disbelief
32
Patient blames and directs anger towards nurse or others
anger
33
patient offers to live better life in exchange for promise of good health
bargaining
34
Patient expresses emotions openly, realizes illness has created changes, begins to ask questions
resolution
35
patient recognizes reality of condition, actively peruses information,, and strives for independence
acceptance
36
What do you do for a patient who is in denial?
Provide support, remain available, explain situation to family, and teach in present tense
37
What do you do with a patient who is experiencing anger?
Don't argue with patient, teach in present tense, reassure family anger is normal
38
What do you do when a patient is bargaining?
Continue to introduce only reality. Teach only in present tense
39
What do you do for a patient experiencing resolution?
Encourage feelings, Find out what patient wants to learn set times for formal discussion
40
6 teaching approaches
Telling, participating, entrusting, reinforcing, and incorporating teaching during care