Patient Education

Question 1

Why educate?

Answer 1

Essential component of safe patient center care
Standard for professional nursing practice
Falls within the scope of nursing practice

Question 2

What do we teach?

Answer 2

Health analogies
Restoration of health
Coping with impaired functions
Promotion of health and illness prevention

Question 3

Teaching

Answer 3

Purpose - produce a change in behavior

Question 4

Learning

Answer 4

Purposeful acquisition of measurable factors through an experience or external stimulus

Question 5

Factors of learning

Answer 5

New knowledge
Attitudes
Behaviors
Skills

Question 6

What has to happen at the beginning of teaching and learning

Answer 6

They have to be motivated to learn

Question 7

Nurses role

Answer 7

Determine what patients and families need to know
Identify patients existing knowledge, learning preferences and readiness to learn
Make sure info is accurate, complete, relevant to the patients needs language and literacy
Timely- patient family ready

Question 8

What is the goal?

Answer 8

Assist the patient to make informed decisions regarding their care
Promotes the patients understanding
The positive effects of change through education

Question 9

When is the best time to teach patient about their diet- TIMELY

Answer 9

Not right after post op when they are out of it

Question 10

Domains of learning

Answer 10

Cognitive
Affective
Psychomotor

Question 11

Cognitive

Answer 11

Reading and learning from that
One to one instruction

Like one person teaching you

Ex. Learning facts about hypertension

Question 12

Affective

Answer 12

Expression and feelings
Development of attitudes opinions and values

One to one counseling role play

Ex. Changing a belief about the dangers of smoking

Question 13

Psychomotor

Answer 13

Demonstration/ return demonstration
Practice
Ok now show me how i taught you

Ex. Self administration of insulin

Question 14

Basic learning principles

Answer 14

Stimulus to learn
Readiness to learn
Ability to learn
Learning environment

Question 15

Stimulus to learn

Answer 15

MOTIVATION
Find a way to make it fun for the patient
Changing tone of voice and approach to what the patient will respond to
Motivate the patient

Question 16

Stimulus to learn : THEORY

Answer 16

Use a theory
Natchez a persons learning needs and personal preferences

Enhances motivation, learning

Question 17

Social learning theory

Answer 17

Consider behavior patterns and environment, self efficacy is the major concept

Question 18

Stimulus to learn - CULTURE

Answer 18

Respect the patients identity and needs
Regardless of age religous practices
Social and or socioeconomic status
Physical appearance

Question 19

Stimulus to learn- active participation

Answer 19

Implies an eagerness
Acquire knowledge or skills
Retain 10% read
90% speak and do

Question 20

Readiness to learn

Answer 20

Attentional set
Psychosocial adaption

Question 21

Attentional set

Answer 21

Mental and physically-learner is prepared to learn

Question 22

What would help the learner be prepared to learn?

Answer 22

Comfortable enviroment
Presence of family

Question 23

What can be an obstacle for the learner to learn

Answer 23

Physical discomfort
Anxiety- high
Enviroment distractions
Presence of family

Question 24

Psychosocial adaption

Answer 24

Process
Assist the patient after and incident
Illness injury or both

Ex. Grieving , emotions

Question 25

Inability to learn

Answer 25

Developmental capability Children Adults Physical capability Neurosensory issues Healthy literacy Other literacy issues

Question 26

Development capability

Answer 26

Cognitive development affects the persons ability to learn Without proper physiological, motor, social development Ex. Birth defect ( but there is ways around it and learn to get by)

Question 27

Children

Answer 27

The development stage of a child determines cabability to learn And types of behaviors that children can learn

Question 28

Infants

Answer 28

Hold infant firmly while smiling and speaking softly to convey sense of trust

Question 29

Toddler

Answer 29

Use play to teach procedure or activity Using simple words ex. Applying bandage to doll

Question 30

Preschooler

Answer 30

Use simple explanations and demonstrations

Question 31

School age

Answer 31

Teach psychomotor skills needed to maintain health Offer opportunities to discuss health problems and answer questions

Question 32

Adolescent

Answer 32

Use teaching as collaborative activity Allow adolescents to make decisions about health and health promotions

Question 33

Adults

Answer 33

Critical thinking Direct their own learning Talk to adults like adults Offer info so adults understands Encourage participation in teaching plan by setting mutual goals

Question 34

Older adults

Answer 34

Teach when client is alert and rested Involve adult in discussion or activity Individualize to the person

Question 35

Physical capability

Answer 35

Influences level of personal involvement Physical health Energy

Question 36

Neaurosensory issues

Answer 36

Feel see hear and grasp In older adults these can deteriorate

Question 37

Health literacy

Answer 37

Affects patients ability Understand basic health care information Needed to make appropriate health care decisions

Question 38

Other literacy issues

Answer 38

Patients ability to read write speak the same language as the health care provider

Question 39

How can bad experiences effect ability to learn

Answer 39

They assume it will be like that at every hospital or when a man doesn’t want to learn from a woman

Question 40

Learning enviroment

Answer 40

Affects the persons attention to instruction Room- well lit appropriate furniture Quiet private good ventilation Comfortable tempature

Question 41

What is the appropriate number of group in the hospital

Answer 41

6 or fewer Make sure the room is right size and all participants can see and hear one another

Question 42

Challenges to teaching and learning

Answer 42

Conflicting schedule Teaching not seen as a priority