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50 Cards in this Set

  • Front
  • Back
What are the 3 main goals for client education?
1. Maintaining and promoting health and preventing illness
2. Restoring health
3. Optimizing quality of life with impaired functioning
What are some things you could educate an individual with to help them achieve the goal of maintaining and promoting health and preventing illness?
First aid
avoidance of risk factors (smoking, alcoholism)
stress management
proper hygiene
typical growth and development patterns
required immunizations
prenatal care and normal child bearing
nutrition
exercise
safety
screening for common conditions
behaviour modifications to change risky behaviours
What are some things you could educate an individual with to help them achieve the goal of restoring health?
clients disease or condition
anatomy and physiology of body system affected by disease or condition
cause of disease
origin of symptoms
prognosis
limitations to function
medications
tests and therapies
hospital or clinical environment
long term care implications
limitations imposed by disease or surgery
What are some things you could educate an individual with to help them achieve the goal of optimizing quality of life with impaired functioning?
home care
medications
intravenous therapy
diet
activity
self-help devices
rehabilitation of remaining function
physiotherapy
occupational therapy
prevention of complications
speech therapy
knowledge of risk factors
environmental alterations
self-help and support groups
implications of non-compliance with therapy
When is teaching most effective?
When it addresses the learners needs, learning styles, and capacity
How does the teacher assess the needs of the learner?
Ask questions, observe the client, and determine the clients interests
The code of ethics indicates that clients have the right to make informed decisions about their care. T or F
True
What are the 3 domains that learning occurs?
1. Cognitive (understanding)
2. Affective (Attitudes)
3. Psychomotor (motor skills)
What all does cognitive learning include?
1. Knowledge (the learning of new facts or information and the ability to recall them)
2.Comprehension (the ability to understand the meaning of the learned material)
3. Application ( the use of abstract, newley learned ideas in a practical situation)
4. Analysis (the breaking down of information into organized parts)
5. Synthesis( the ability to apply knowledge and skills to produce a new whole)
6. Evaluation (a judgment of the worth of information given for a specific purpose)
What behaviours fall under affective learning?
1. Receiving ( the willingness to attend to another person's words)
2. Responding (active participation through listening and reacting verbally and nonverbally
3. Valuing ( attatchment of worth to an object, concept, or behaviour, demonstrated by the learner's actions)
4.Organizing (development of the value system by identifying and organizing values and resolving conflicts)
5.Characterizing (action and response with a consistent value system)
What behaviours fall under psychomotor learning?
1. Perception (awareness of objects or qualities through the use of sense organs)
2.Set (a readiness to take a particular action)
3. Guided response ( the performance of an act under the guidance of an instructor, involving imitation of demonstrated act)
4. Mechanism (a higher level of behaviour by which a person gains confidence and skill in performing a behaviour that is more complex or involves several more steps than guided response
5. Complex overt response ( the smooth and accurate performance of a motor skill that requires a complex movement pattern)
6. Adaptations (the ability to change motor response when unexpected problems occur)
7. Origination (use of existing psychomotor skills and abilities to perform a highly complex motor act that involves creating new movement patterns)
What does the ability to learn depend on?
1. emotional capability
2. intellectual capability
3. physical capability
4. developmental stage
How does emotional capability affect learning?
Emotions can aid or prevent learning
How does intellectual capabilities affect learning?
Clients have different levels of intellectual ability
How does physical capabilities affect learning?
learning usually depends on physical health--- the following physical attributes are necessary for learning psychomotor skills-1. size 2. strength 3. coordination 4. sensory acuity
How does developmental stages affect learning?
the age and stage of the individual will affect their ability to learn
What are the teaching methods for an infant?
-maintain conistent routines
-hold infant firmly while smiling and speaking softley, to convey sense of trust
-have infant touch different textures
What are the teaching methods for a toddler?
-use play to teach procedure or activity
-offer picture books that describe a story of children in a hospital or clinic
-use simple words
What are the teaching methods for a preschooler?
-use role-play, imitation, and play to make learning fun
-encourage questions and offer explanation-be simple and demonstrate
- encourage several children to learn together through pictures and short stories about how to perform hygiene
What are the teaching methods for a school-aged child?
-Teach necessary psychomotor skills
-offer opportunities to discuss health problems and answer questions
What are the teaching methods for adolescents?
-help adolescent learn about feelings and needs for self-expression
-collaborate with adolescent on teaching activities
-let adolescent make decisions about health and health promotion
- use problem solving to help adolescent make choices
What are the teaching methods for young- middle aged adult?
-encourage participation in teaching plan by setting mutual goals.
-encourage independent learning
-offer information so that adult can understand effects of health problem
What are the teaching methods for older adults?
-teach when client is alert and rested
-involve adult in discussion or activity
-focus on wellness and the persons strengths
-use approaches to enhance sensorially impaired client's reception on stimuli
-keep teaching sessions short
What are social motives?
The reflect a need for connection, social approval, or self-esteem
What are task mastery motives?
they are driven by the desire of achievement
What are physical motives?
They come from a persons desire to maintain and improve health.
What are the 4 sources that beliefs about self-efficacy arise from?
1. verbal persuasion
2. vicarious experiences (demonstrate)
3. enactive mastery experiences (let them master it)
4. Physiological and affective states (positive feedback)
What are the 5 stages that affect behavioural change?
-Precontemplation ( is unaware of need for change and has no intention of changing behaviour)
-Contemplation ( is aware of need for change and intends to change behaviour sometime in the future)
-Preperation (alters behaviour in minor ways with the intention to make substantive changes in the immediate future)
-Action ( modifies behaviour and experiences in order to make sustainable change)
-Maintenance (focuses on not reverting to previous behaviour and on solidifying new behaviours)
what are the basic steps to the nursing process?
-assessment
-nursing diagnosis
-planning
-implementation
-evaluation
What is the assessment step of the nursing process?
-collect data about clients physical, psychological, social, cultural, developmental, and spiritual needs from the client, family, diagnostic tests, medical record, health history, leaning styles, and literature
what is the nursing diagnosis step of the nursing process?
identify appropriate nursing diagnosis's based on assessment findings, including deficits
What is the planning step of the nursing process?
Develop individualized care plan. Set diagnosis priorities on the basis of the clients immediate needs. Collaborate with client on the care plan
What is the implementation step of the nursing process?
perform nursing therapies. Include client as active participant in care. Involve family or significant other in cars as appropriate
What is the evaluation step of the nursing diagnosis?
Identify success in meeting desired outcomes and goals of nursing care. Alter interventions as indicated when goals are not met
What are the 5 basic steps for the teaching process?
-assessment
-nursing diagnosis
-planning
-implementation
-evaluation
What is the assessment step in the teaching process?
gather data about clients learning needs, motivation, ability to learn, and teaching resources from client, family, learning environment, medical record, health history, and literature
What is the nursing diagnosis step in the teaching process?
Identify clients learning needs on basis of three domains of learning
What is the planning step in the teaching process?
establish learning objectives, stated in behavioural terms. Identify priorities regarding learning needs. Collaborate with client on teaching plan. Identify type of teaching method used.
What is the implementation step in the teaching process?
Implement teaching methods. Actively involve client in learning activities. Include family or significant other in participation as appropriate
What is the evaluation step in the teaching process?
Determine outcomes of teaching-learning process. Measure clients ability to achieve learning objectives. Reinforce information as needed.
What are some teaching strategies?
-establish trust with client before the teaching-learning session
-limit teaching objectives
-use simple terminology so client understands
-avoid medical jargon
-schedule short, but frequent sessions
-teach most important information first
-present information slowly
-repeat important information
-provide examples that have meaning to the client
-build on existing knowledge
-ask client for feedback to see of they are understanding
-include family members or other care givers in the education sessions
What are different teaching approaches?
-Telling ( you outline the task to be done by the client and give instructions)
-Selling (2-way communication- you pace instruction according to clients response)
-Participating (setting objectives and becoming involved in the learning process together)
-Entrusting (provides the client with the opportunity to manage self-care- you observe clients progress and are available to assist without presenting new information)
Reinforcing (use of stimulus that increases probability of a response)
What are different ways to implement teaching methods?
-one on one discussion
-group instruction
-preparatory instruction
-demonstrations
-analogies
-role playing
-stimulation
LOOK FOR
-paying attention to learning barriers
-illiteracy and learning disabilities
-sensory alteration and other barriers
What is cognitive learning?
Includes all intellectual behaviours and requires thinking
What is affective learning?
concerns expressions of feelings and acceptance of attitudes, opinions, or values
What is psychomotor learning?
involves acquiring skills that require the integration of mental and muscular activity, such as the ability to walk or use an eating utensil
FUN FACTS!
- The nurse ensures that clients, families, and communities receive information needed to maintain optimal health
-health education is aimed at the promotion, restoration, and maintenance of health
-teaching is most effective when it is responsive to the learners needs
teaching is a form of interpersonal communication, with the teacher and student actively involved in a process that increases the students knowledge and skills
-the ability to learn depends on a persons physical and cognitive attributes
FUN FACTS!
- The ability to attend to the learning process depends on physical comfort and anxiety levels and on the presence of environmental distraction
- a persons health beliefs influence the willingness to gain knowledge and skills necessary to maintain health
- teaching must be timed to coincide with the clients readiness to learn
-clients of different age groups require different teaching strategies as a result of developmental capabilities
FUN FACTS!
-The client should be an active participant in a teaching plan: agreeing to the plan, helping choose instructional methods, and recommending times for instruction
- learning objectives describe what a person is to learn in behavioural terms
- a combination of teaching methods improves the learners attentiveness and involvement
-A teacher is more effective when presenting information that builds on a learners existing knowledge
鼠蹊部
서혜부
groin area [groin + area]