Patient Education

Question 1

What are the different learning domains of Patient education?

Answer 1

1. cognitive- thinking
2. Affective- feeling
3. psychomotor- the skill

Question 2

How would you use the cognitive domain of learning?

Answer 2

teach the patient one their developmental level, and use their learning style to effectively teach

Question 3

How would you use the affective domain of learning?

Answer 3

Have the patient reflect on their day.

Question 4

How would you use the psychomotor domain of learning?

Answer 4

Teach the patient how to change a dressing and see if they can do it on their own

Question 5

What are some factors that show that the patient is ready to learn?

Answer 5

1. The person’s behavior coincides with medical/health advice
2. they are not worried about getting back to their family
3. when the timing is right
4. When they start asking what they should do to help their care

Question 6

What people should be included in patient education and why?

Answer 6

Parents, primary caregivers, spouses, and family members should be included because they are all involved in the pts care after they leave the healthcare facility.

Question 7

What are some different strategies a nurse can use to teach their patients?

Answer 7

1. have the patient write things down
2. have the patient repeat things back to you
3. Do the teaching in small sessions
4. ask for a return demonstration
5. provide repetition
6. allow time for questions
7. reading material at the 5th-grade level using nonmedical terminology
8. Use stories to help relate information.

Question 8

How do you know the patient is motivated to learn?

Answer 8

1. the pt asking questions about how to care for themselves
2. the pt asking for resources
3. the pt listening and asking questions about discharge instructions or teaching
4. the pt being involved in their care

Question 9

What are the lifespan considerations for children regarding patient teaching?

Answer 9

1. assess the child’s developmental level
2. be directed toward the parent or primary caregiver
3. Provide basic instructions at the child’s level
4. Establish trust by addressing the child by name
5. use a safe environment and a calm approach
6. use props to demonstrate procedures
7. Allow the patient to play with the equipment

Question 10

What are the lifespan considerations for adolescents regarding patient teaching?

Answer 10

1. assess the developmental level
2. assess independence from parents
3. acknowledge and respect fears and feelings
4. use a calm environment
5. involve pt in teaching effort facilitates trusting nurse-patient relationship
6. focus on safety consequences and personal responsibility

Question 11

What are the lifespan considerations for adults regarding patient teaching?

Answer 11

1. developmental level, unique learning preferences, educational level, and cultural influences
2. gather subjective and objective data
3. allow time for questions and practice
4. provide feedback, reassurance, support
5. emphasize and prompt the importance of positive health practices
6. actively involve pts in their care
7. remember that nurses cannot control pts responses or change their habits

Question 12

What are the lifespan considerations for older adults regarding patient teaching?

Answer 12

1. focus on health promotion, disease management, illness/injury prevention, teaching with regard to meds and therapies for chronic illnesses
2. center on nutrition, physical activity, personal safety, meds, need for follow-up health care appointments
3. address aging factors that influence comprehension
4. develop teaching plans ensuring maximal learning can occur
5. allow adequate time for processing information and provide repetition
6. include significant others or primary caregivers
7. calm and peaceful environment
8. allow time for questions and practice

Question 13

What are the lifespan considerations for people with special needs regarding patient teaching?

Answer 13

1. perform a complete assessment of the home environment, support system, and developmental level.
2. Special needs patients could be homeless or not a 5th-grade education level
3. doors in the home need to be at lead 36 in wide
4. stress the importance of interprofessional interventions

Question 14

What criteria allows the nurse to know that the patient understands patient education?

Answer 14

1. they can repeat the information back to the nurse
2. they can accurately demonstrate the teaching
3. holds the learner’s interest
4. involves the learner in the learning process
5. they reach the goals for the teaching process
6. the patient is compliant with the healthcare advice
7. the pt is adhering to care after teaching

Question 15

preparing an educational experience for a group: what, when, how to present material, cultural needs

Answer 15

1. group discussions are good for adults
2. non-English speaking= get an interpreter and find out healing beliefs
3. It is best to start the class when a group has gathered. You don’t have to wait until everyone is there

Question 16

What is documented about patient teaching?

Answer 16

1. Patient toleration
2. pt adherence
3. developmental level of the pt
4. home environment of the patient
5. the goal of the patient teaching
6. support services offered
7. methods used for teaching

Question 17

What can teaching be affected by?

Answer 17

1. Federal and state regulations
2. pt’s age, cultural, and socioeconomic background
3. pt’s primary language, previous knowledge, and experience
4. information and resources available via the internet

Question 18

If the nurse gives the patient printed discharge instructions, what may indicate that that may not be able to read well?

Answer 18

If they say that they will look at it later.

Question 19

When may a healthcare provider need to be involved in patient teaching?

Answer 19

When pts might misinterpret health teaching or pts education needs are beyond the nurse’s scope of practice or knowledge base

Question 20

What are the characteristics of effective teaching?

Answer 20

1. holds learner’s interest
2. involves the learner in the learning process, creating a partnership between the teacher and learner
3. fosters positive self-concept in learner
4. is appropriate for learner’s age, condition, and abilities
5. Sets realistic goals directed at helping learner meet his/her objectives
6. uses accurate, current, evidence-based information from reliable sources
7. Uses several methods of teaching

Question 21

Why may patient teaching be difficult for cancer patients?

Answer 21

They may feel like there is no use in teaching because they are going to die. The reason for teaching is to improve the quality of what life they have left.

Question 22

What are the aspects of learning?

Answer 22

1. learning needs: desire or requirement to know something currently unknown to the learner
2. Compliance: the individual’s desire to learn and act on learning
3. Adherence: attachment to a prescribed regimen

Question 23

Why do adult learners differ from children learners?

Answer 23

1. need to know why they should learn something
2. have accumulated experience that can enhance current learning
3. are often ready to learn what must know to take care of themselves

Question 24

What are the factors that facilitate learning?

Answer 24

1. motivation to learn
2. readiness to learn
3. active involvement in the learning process
4. The relevance of the information being learned
5. Feedback about that person’s performance in relation to the desired goal
6. Nonjudgmental support
7. Information that proceeds from simple to complex
8. Repetition of key concepts and facts
9. Timing
10. optimal learning environment

Question 25

Why is timing important in teaching?

Answer 25

1. People learn best when there is a short interval between learning and using what they have learned 2. The longer the time interval, the easier it is to forget new skills or information

Question 26

What are some barriers to learning?

Answer 26

1. Emotions: fear, anger, depression, anxiety 2. physiologic events: illness, pain, sensory deficits 3. Cultural aspects: different language, beliefs, values from those of the healthcare team 4. Psychomotor ability: Muscle strength, energy, motor coordination, sensory acuity

Question 27

For a patient with COPD, what do you need to assess before giving them teaching?

Answer 27

See if they have the muscle strength to get up and walk 25 feet

Question 28

Why can getting information about health from the internet be dangerous?

Answer 28

1. they are unreliable and often questionable. 2. Pts do not know how to distinguish trustworthy from false, and potentially dangerous health advice 3. The nurse must first carefully vet websites for reputability, accuracy, and ease of understanding

Question 29

If a young teen is pregnant with alcohol on her breath, what should the nurse focus their teaching on?

Answer 29

Focus teaching on safety and how to take care of herself and not cause harm to her fetus.

Question 30

If a pt is getting frustrated, what can you do to help them?

Answer 30

1. ask them if they need help 2. reinforce value and confidence 3. evaluate pt understanding 4. allow time for input that they might have

Question 31

If a pt is diabetic, what is some teaching that you could do when they have a foot ulcer?

Answer 31

1. ask what they know about changing a dressing on their foot 2. They may not know how to do a different type of dressing. Maybe they do not know what a wet and dry dressing is

Question 32

How should you teach someone about colostomy care?

Answer 32

1. do it in small sessions multiple times 2. make sure significant other and caregiver is there 3. observe the pt changing out the colostomy

Question 33

For a pt with Alzheimer's disease, what teaching should be done for the caregiver?

Answer 33

1. safety in the home 2. pts tend to wander around, make sure that they don't open up the door, and walk out. 3. understand dementia behaviors 4. get caregiver dementia behaviors 5. get caregiver stress relief 6. live in their world as long as it's safe 7. Nutrition= give them finger food as they are wandering 8. Support services= respite care, Medicaid, etc.