Chapter 25 Patient Education (Level 1) – Flashcards
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What is the correct chronological order of the patient's behavior according to the stages of grieving?
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1. Patient avoids discussion of illness. 2. Patient blames and complains to the nurse often. 3. Patient offers to live a better life in exchange of good health. 4. Patient begins to express emotions openly. 5. Patient recognizes reality of condition.
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A patient who was hospitalized due to a smoking-related illness tells the nurse, "I am ready to accept responsibility for learning and I need your help." Which stage of psychosocial grief is reflected in this statement?
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Resolution
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A 62-year-old patient is diagnosed with colorectal cancer and is scheduled for surgery. Following the surgery, the healthcare provider informs the patient the surgery was successful. However, the patient is told that she needs chemotherapy, because the cancer had spread to other organs. The patient asks the nurse whether the spread of cancer will stop if she stops smoking and consuming alcohol. Which stage of grieving is the patient experiencing?
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The stage of bargaining
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The registered nurse (RN) is teaching a patient about The Joint Commission (TJC) Speak Up Initiatives. Which action taken by the patient indicates that the patient needs further teaching about these initiatives?
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Asking the primary health care provider to act as his or her advocate According to the TJC Speak Up Initiatives, the patient should ask a trusted family member or a friend to act as his or her advocate (advisor or supporter). The patient should know the medications and their purpose in the treatment, and medication errors that are most common health care mistakes.
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Arrange the levels of cognitive learning in increasing order of complexity.
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1. Remembering 2. Understanding 3. Applying 4. Analyzing 5. Evaluating 6. Creating
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Which teaching method should the nurse include for a toddler?
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Using play to teach procedures and activities
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The nurse is teaching a patient about diabetes. Which statement made by the patient indicates the affective domain of learning?
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"I would like to participate in the discussion about the treatment plan."
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The registered nurse (RN) is preparing to teach a nursing student about the process of learning in nursing practice. Which information should the RN include in the nursing plan? Select all that apply.
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Learning includes both understanding and applying newly acquired concepts. It is the acquisition of new knowledge, behaviors, and skills through an experience.
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The nurse shows a patient how to use a sphygmomanometer to record blood pressure and asks the patient to confirm understanding of the procedure by performing it successfully. What type of teaching method does the nurse implement here?
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Return demonstration
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In the context of teaching an infant's mother about the child's developmental capacity, which statement(s) by the nurse would be most appropriate? Select all that apply.
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"You should keep consistent routines of feeding and bathing." "You should speak softly to convey a sense of trust to the baby.
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The nurse allows a patient to actively apply knowledge in controlled situations. Which teaching technique is the nurse is applying in this scenario?
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Role play In the role play method of teaching the nurse allows the patient to actively apply knowledge in controlled situations. This method promotes the synthesis of information and problem solving skills.
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The nurse assures a patient that the nurse is always available to talk. Which stage of grieving would most likely trigger this action of the nurse?
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Denial or disbelief
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The nurse is planning a teaching session a group of children who are in first grade about healthy nutrition. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. Of what is this is an example?
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A learning objective
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A patient needs to learn to use a walker. Which domain is required for learning this skill?
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Psychomotor domain
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Which aspect of psychomotor learning involves an awareness of qualities through the use of sensory stimulation?
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Perception
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At which stage of the grieving process does the patient begin to express emotions openly?
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Resolution
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The registered nurse (RN) is teaching a nursing student about effective teaching. Which statements made by the nursing student about teaching indicates effective learning? Select all that apply.
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"Teaching is most effective when it responds to the learner's needs." "Teaching is the concept of imparting knowledge through a series of directed activities." "Teaching consists of a conscious, deliberate set of actions that help individuals gain new knowledge, change attitudes, adopt new behaviors, or perform new skills."
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The nurse finds that a patient with cancer is not prepared to deal with the problem. Which action of the nurse would be most effective for the patient?
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Providing support, empathy, and careful explanations of all procedures while they are being performed
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Which is involved in the characterizing level of affective learning?
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Acting and responding with a consistent value system
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Arrange the patient's behaviors in order of increasing complexity according to the cognitive domain of learning.
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The patient learns new facts or information and is able to recall them. The patient is able to understand the meaning of learned material. The patient uses abstract and newly learned ideas in an actual situation. The patient breaks information down into organized parts. The patient is able to judge the value of something for a given purpose. The patient is able to apply knowledge and skills to create something new.
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The nurse needs to discuss the treatment plan with a cancer patient. What should the nurse ensure before beginning the discussion? Select all that apply.
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The patient does not have any pain The patient is not watching TV
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Which nursing action is an example of teaching to a patient's cognitive learning style?
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The nurse orally explains to the patient how to use the wheelchair.
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Arrange the patient's behaviors in order of increasing complexity according to the affective domain of learning.
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The patient pays attention to the information and receives information. The patient actively participates through listening and reacting orally and verbally. The patient attaches worth and value to the acquired knowledge as demonstrated by the patient's behavior. The patient develops a value system by identifying and organizing values according to their worth. The patient acts and responds with a consistent value system and requires introspection and self-examination of one's own values in relation to an ethical issue or particular experience.
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The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes?
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The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes?
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Arrange the patient's behaviors in order of increasing complexity according to the psychomotor domain of learning.
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The patient is aware of objects or qualities through the use of sensory stimulation and is ready to make a particular action. The patient is in the early stage of learning a particular skill under the guidance of an instructor that involves imitation and practice of a demonstrated act. The patient gains confidence and proficiency in performing a skill that is more complex or involves several more steps than a guided response. The patient smoothly and accurately performs a motor skill that requires complex movement patterns. The patient's motor skills are well developed and movements can be modified when unexpected problems occur. The patient uses existing psychomotor skills to create new movement patterns and perform them as needed in response to a particular situation or problem.
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Cognitive learning
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requires thinking; learning how to adjust insulin requires analysis, synthesis, and evaluation. Cognitive learning occurs when a patient acquires knowledge and comprehends it to gain information about his or her condition.
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A patient who is diagnosed with Parkinson disease tells the nurse, "I recognize the reality of my condition and want to strive for independence." After considering the current stage of grief, which plan of action by the nurse would be appropriate? Select all that apply.
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The nurse focuses teaching on knowledge required in the future. The nurse teaches family necessary information for the patient's discharge.
