Patient Education

Question 1

What are the trans-theoretical model stages of change? (6)

Answer 1

1. pre-contemplation
   2.contemplation/preparation
2. determination
3. action
4. maintenance
5. relapse/termination

Question 2

what is the contemplation/preparation stage?

Answer 2

joining the gym

Question 2

what is the pre-contemplation stage?

Answer 2

not even thinking about about change yet

Question 3

what is the action phase?

Answer 3

going to the gym

Question 4

what is the maintenance phase?

Answer 4

habits have been formed

Question 5

does the relapse/termination phase have to happen?

Answer 5

no

Question 6

what are the key techniques in motivational interviewing?

Answer 6

-avoid arguing
-express empathy
-roll with resistance
-develop discrepancy
-support self efficacy

Question 6

the stages of change model requires that you enter at the _______ stage and exit at the __________ stage?

Answer 6

you can exit and enter at any stage

Question 7

what is motivational interviewing?

Answer 7

a patient-centered approach to promote healthy behavior change

encourage someone to make a change. get the pt. to believe in the change

Question 8

what is developing discrepancy related to motivational interviewing?

Answer 8

help the pt. see the difference in what they do and believe

Question 8

descibe the affective domain of learning

Answer 8

feelings

need to change diet but really like what they are eating

Question 9

what are the three domains of learning?

Answer 9

cognitive
affective
psychomotor

Question 9

describe the cognitive domain of learning

Answer 9

memorization
counting calories

Question 10

describe the psychomotor domain of learning

Answer 10

action/doing
skills

Question 11

what are the adult teaching-learning principles

Answer 11

-independent and self directed
-must perceive need to learn
-past experiences enhance learning
-more motivated if learning used immediately
-want to be partner in process

Question 12

what are the 5 rights of teaching?

Answer 12

1. right time
2. right context
3. right goal
4. right content
5. right method

Question 13

is there ever a perfect time to teach or learn?

Answer 13

no, there is no perfect time. take any opportunity

Question 14

what are some barriers for the teacher?

Answer 14

workload (lack of time)

environment (no privacy)

lack of resources/prep

not a priority (not rembursed)

lack of coordination among staff

Question 15

what are some barriers for the learner?

Answer 15

language barrier,
cognitive deficit
anxiety
pain
lack of sleep

Question 16

what is a barrier to technology based learning

Answer 16

no internet

Question 17

what are some positive factors that affect patient learning (7)

Answer 17

motivation
readiness to learn
timing
active involvement
feedback given
repetition
learning priorities

Question 18

what is health literacy?

Answer 18

how much ppl know about their own bodies and health

Question 19

if scheduling a teaching session is difficult what is the suggestion?

Answer 19

teach in blocks based on time available

Question 20

if a patients pain is interfering with teaching what is the suggestion?

Answer 20

medicate first

Question 21

what are two types of learning priorities?

Answer 21

- need to know (ex: glucose testing) -want to know (ex ask pt. what they are most interested in)

Question 22

Suppose you are the nurse planning discharge teaching to a frail elderly man who suffered a stroke. He will be cared for at home by his daughter. What is the best approach for planning discharge teaching? How might the nurse show caring for this patient?

Answer 22

Teach patient and caregiver Is the house safe? physical therapy and occupational therapy Empathy speak directly to patient

Question 23

What are some (8) typical teaching topics in the hospital?

Answer 23

1. Hospital environment 2. Basic anatomy and physiology 3. Signs and symptoms of concern 4. Illness manifestations 5. Prognosis/goals of treatment 6. Diagnostic tests 7. Procedures 8. Medications

Question 23

Nurses must possess the knowledge and skills needed for a patient teaching so that....._________

Answer 23

They can promote the health, safety and rights of patients through education

Question 24

The patient needs to be taught how to find and check his radial pulse. The nurse will complete this teaching: 1. Only if the patient asked her to do so to avoid causing stress 2. When the patient recognizes the need to learn the skill 3. Before take medication is administered when the patient is alert 4. Right before the patient is discharged so he could remember the scale

Answer 24

Number two. Is the most ideal option because the patient recognizes the need to learn. Three is a poor choice because patient is in pain

Question 25

What is an example of a return demonstration as a teaching strategy?

Answer 25

Accu Chek Swaddling

Question 25

What are some examples of teaching supplements?

Answer 25

-Apps - audiovisual -models -printed materials (should be fifth grade level)

Question 25

What are some (6) teaching strategies that can be implemented?

Answer 25

1. Demonstration and return demonstration 2. Teach back 3. Discussion 4. Lecture 5. Roll modeling 6. Teaching supplements

Question 26

What is an example of teach back as a teaching strategy?

Answer 26

you teach that they repeat it back

Question 27

What are some ways to evaluate if the patient has learned?

Answer 27

Teach back Return demonstration Oral test

Question 28

What are the three things we document regarding patient teaching?

Answer 28

1. The subject has been taught 2. Barriers to learning 3. Patient response

Question 29

what are some potentially negative factors that affect patient learning?

Answer 29

Scheduling of the session is difficult Amount and complexity of content Teacher/learner communication Special populations Developmental stage Language barriers Health literacy Anxiety and stress Illness/ pain