Topic 11

Question 1

Literacy vs Health Literacy

Answer 1

· Literacy
o A set of reading, writing, basic mathematics, speech, and speech comprehension skills
· Health Literacy
o The cognitive and social skills that determine the motivation and ability of individuals to gain access to understand and use information in ways that promote and maintain good health
o “The degree to which people have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions

Question 2

what populations are at most rick for low health literacy

Answer 2

elderly
minorities
immigrants
persons of low income (poverty)
people with chronic mental and or physical health conditions

Question 3

what does low literacy impact

Answer 3

Clients understanding of the information for self-management which leads to hospital readmission and poor health outcomes

Question 4

what is one of the nurses most important jobs

Answer 4

client education
providing clients with the information need for self management of conditions to ensure continuity of care from the hospital to home
client has a right to be informed about their diagnosis to make a informed decision

Question 5

what is the goal of client teaching

Answer 5

to make a teaching plan that is good fit for EACH INDIVIDUAL CLIENT

Question 6

when teaching low literacy clients…

Answer 6

o Teach the smallest amount necessary to do the job for each session
o Use common concrete words and short sentences
o Make your point, use visual aids, symbols, and examples for emphasis
§ Make sure the information is in the correct language
§ Provide appointment cards and discharge instructions
o Incorporate as many senses as possible in the learning process
§ Kinesthetic, visual, auditory, verbal
o Include interaction, have the client restate and demonstrate information
o Review as needed

Question 7

TJC and client education

Answer 7

o Sets standards for client and family education
§ Mandates nurses and health care team assess the clients learning needs and provide education

Question 8

client education includes

Answer 8

Maintenance and promotion of health and illness prevention
Restoration of health
Coping with impaired functioning

Question 9

Maintenance and promotion of health and illness prevention

Answer 9

§ Promoting healthy behavior through education allows clients to assume more responsibility for their own health

Question 10

Restoration of health

Answer 10

§ Clients recovering from and adapting to changes resulting from illness or injury often seek information about their conditions

Question 11

Coping with impaired functioning

Answer 11

§ Not all clients fully recover from illness or injury. Teach family members to help the client with health care management

Question 12

teaching

Answer 12

o The concept of imparting knowledge through a series of directed activities
o Helps individuals gain new knowledge, change attitudes adopt new behaviors or perform new skills

Question 13

learning

Answer 13

o The purposeful acquisition of now knowledge, attitudes, behaviors, and skills through an experience or external stimulus
o Understanding and applying newly acquires concepts

Question 14

what is the nurses role in teaching and learning

Answer 14

o Teach information that patients and families need to make informed decisions regarding their care
o Determine what patients need to know
o Identify when patients are ready to learn

Question 15

TJC “Speak Up” initiative

Answer 15

o helps clients understand their rights when receiving care
§ Speak up if you have questions or concerns
§ Pay attention to the care you get
§ Educate yourself about your illness
§ Ask a trusted family member or friend to be your advocate
§ Know which medicines you take and why
§ Use a health care organization that has been carefully evaluated
§ Participate in all decisions about your treatment

Question 16

nurse is the _____ of the message to the client who is the _____

Answer 16

sender
receiver/learner

Question 17

what kind of reinforcement is used in client teaching

Answer 17

positive reinforcement

Question 18

what technique is VERY helpful when teaching a client

Answer 18

teach back

Question 19

what are the domains of learning

Answer 19

cognitive, affective, psychomotor

Question 20

cognitive

Answer 20

§ Includes all intellectual behaviors and requires thinking

Question 21

affective

Answer 21

§ Deals with expression of feelings and development of attitudes, opinions, or values

Question 22

psychomotor

Answer 22

§ Involves acquiring skills that require coordination and integration of mental and physical movements

Question 23

motivation to learn

Answer 23

§ Addresses the clients desire or willingness to learn

Question 24

attentional set

Answer 24

· The mental state that allows the learner to focus on and comprehend a learning activity
· BEFORE LEARNING ANYTHING THE CLIENT MUST GIVE ATTENTION TO OR CONCENTRATE ON THE INFORMATION TO BE LEARNED, SO DETERMINE THEIR COMFORT LEVEL

Question 25

social learning theory and motivation to learn

Answer 25

onsiders the personal characteristics of the learner, behavior patterns and the environment and guides the educator in developing effective teaching interventions

Question 26

self efficacy

Answer 26

a concept included in social learning theory refers to a person perceived ability to successfully complete a task

Question 27

psychosocial adaptation to illness

Answer 27

Pt needs to grieve. Readiness to learn related to stage of grieving. When pt enters stage of acceptance, stage compatible with learning introduce teaching plan.

Question 28

active participation

Answer 28

· Implies an eagerness to acquire knowledge or skills

Question 29

ability to learn

Answer 29

§ Depends on physical and cognitive abilities, developmental level, physical wellness, thought processes

Question 30

developmental capability

Answer 30

· Cognitive development influences the clients ability to learn. YOU NEED TO KNOW THE CLIENTS LEVEL OF KNOWLEDGE AND INTELLECTUAL SKILLS BEFORE BEGINNING A TEACHING PLAN · Prior knowledge

Question 31

learning in children

Answer 31

· The developmental stage of a child determines the capability and types of behaviors that children are able to learn

Question 32

adult learning

Answer 32

self directed and patient centered

Question 33

physical capability

Answer 33

· Level of personal development (size, strength coordination, sensory acuity of client) · Physical health · Energy

Question 34

learning environment

Answer 34

· Well lit · Good ventilation · Appropriate furniture · Comfortable temperature · Quiet · Private · MUST FEEL SAFE AND BE ABLE TO TRUST YOU

Question 35

process of client teaching

Answer 35

assessment planning implementation evaluation

Question 36

assessment of each clients learning needs include

Answer 36

-Identify literacy level - Info or skills needed to perform self care and to understand the implications of health care problem -Client experiences that influence the need to learn -Information that family caregivers need to support client needs -The amount of information needed depends on the extent of a family members role in helping the client

Question 37

assessment

Answer 37

motivation to learn ability to learn teaching environment resources for learning

Question 38

planning

Answer 38

-Set priorities -Select timing to teach · When the client is most attentive, receptive and alert -Organize the teaching materials · Say the essential content of what you are teaching in the beginning of the teaching session · Give a summary of key topics to help the learner remember the most important info -Use teamwork and collaboration

Question 39

implementation

Answer 39

-maintain learning attention and participation (active participation) -build on existing knowledge -select a teaching approach -incorparate teaching with nursing care -select appropriate instructional methods/strategies

Question 40

Participating Teaching Approach

Answer 40

· A nurse and client set objectives and become involved in the learning process

Question 41

entrusting teaching approach

Answer 41

· A nurse and client set objectives and become involved in the learning process

Question 42

what are appropriate instructional methods and strategies

Answer 42

group instruction one-on-one discussion preparatory instruction demonstration analogy role playing simulation

Question 43

group instruction

Answer 43

· Economical way to teach a number of clients at one time, and clients can interact with one another · Groups of 6 or fewer

Question 44

preparatory instruction

Answer 44

· Describe physical sensations during a procedure · Describe the cause of the sensation, prevention misinterpretation of the experience · Prepare client only for aspects of the experience that others have commonly notices · Be sure the clients know when the results will be available and who will give them results of their tests and/or procedures

Question 45

demonstration

Answer 45

· Client has the chance to practice the skill after observing o Make sure client can see steps of the demonstration easily, perform step slowly and in sequence, the review rationale and steps of the procedure o Encourage the client to ask questions so they understand each step

Question 46

evaluation

Answer 46

have the clients needs been met? reinforces correct behavior, changing incorrect behavior, helps educator determine adequacy of teaching

Question 47

client outcomes

Answer 47

§ Legal responsibility · Nurse has legal responsibility to provide accurate, timely client information that promotes continuity of care; therefore it is essential to document the outcomes of teaching § Documentation if client teaching

Question 48

TEACH BACK

Answer 48

§ Communication technique that assess client retention of the information imparted during a teaching session. If the client has difficulty recalling the material or demonstrating a skill, modify and repeat the content and reassess his or her retention