Question 1

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that involves which quality?&#10;A) Addresses group needs&#10;B) Follows formalized plans&#10;C) Has standardized content&#10;D) Often occurs one-to-one

Accepted Answer

Informal teaching is individualized one-on-one teaching which represents the majority of patient education done by nurses that occurs when an intervention is explained or a question is answered. Group needs are often the focus of formal patient education courses or classes. Informal teaching does not necessarily follow a specific formalized plan. It may be planned with specific content, but it is individualized responses to patient needs. Formal teaching involves the use of a curriculum/course plan with standardized content.

Question 2

Barriers to patient education the nurse considers in implementing a teaching plan include which factor?&#10;A) Family resources&#10;B) High school education&#10;C) Hunger and pain&#10;D) Need perceived by patient

Accepted Answer

A patient who is hungry or in pain has limited ability to concentrate or learn. Family resources would be considered in developing a plan of care and could be an asset or a barrier to patient education. The patient's educational level would be considered in planning teaching strategies but would not be a barrier to education. A need perceived by a patient would provide motivation for learning and would not be a barrier.

Question 3

Interrelated Chapters to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include which factor?&#10;A) Adherence&#10;B) Developmental level&#10;C) Motivation&#10;D) Technology

Accepted Answer

The interrelated concepts to the professional role of a nurse include health promotion, leadership, technology/informatics, quality, collaboration, and communication. Adherence, culture, developmental level, family dynamics, and motivation are considered interrelated concepts to patient attributes and preference.

Question 4

The nurse educator would identify a need for further teaching when the student lists which example as a type of learning?&#10;A) Affective&#10;B) Cognitive&#10;C) Psychomotor&#10;D) Self-directed

Accepted Answer

Self-directed is one approach to learning but is not considered a type or domain of learning. Self-directed would be a cognitive way of learning. Affective (feelings/attitude), cognitive (knowledge), and psychomotor (skills/performance) are the main domains of learning.

Question 5

What is the most appropriate resource to include when planning to provide patient education related to a goal in the psychomotor domain?&#10;A) Diagnosis-related support groups&#10;B) Internet resources&#10;C) Manikin practice sessions&#10;D) Self-directed learning modules

Accepted Answer

A teaching goal in the psychomotor domain should be matched with teaching strategies in the psychomotor domain, such as demonstration, practice sessions with a manikin, and return demonstrations. Diagnosis-related support groups would be most effective with goals in the affective domain. Internet resources would be most effective for goals in the cognitive domain. Self-directed learning modules would be most effective for goals in the cognitive domain.

Question 6

When planning to evaluate a patient's satisfaction with a teaching activity, what is the most appropriate strategy?&#10;A) Include a survey instrument.&#10;B) Observe for level of skill mastery.&#10;C) Present information more than one time.&#10;D) Provide for a return demonstration.

Accepted Answer

A survey or questionnaires can be used to measure affective behavior change as well as patient satisfaction with the teaching experience. Observing for level of skill mastery would evaluate achievement of a psychomotor goal rather than satisfaction with the experience. Repeating information more than one time or in more than one way may be appropriate strategies to include in the teaching plan but would provide no evaluation data. Providing for a return demonstration would help in evaluating achievement of a psychomotor goal, not satisfaction with the activity.

Question 7

Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?&#10;A) Individualized handout&#10;B) Instructional videos&#10;C) Internet resources&#10;D) Self-help books

Accepted Answer

An instructional video would provide a visual/auditory approach for discharge instructions. Repeatedly not following written instructions is a clue that the patient may not be able to read or understand the information. While assessing the literacy level of an adult patient can be challenging, the information that they have not been able to follow previous written instructions would suggest that the nurse use an alternate strategy that does not require a high degree of literacy. An individualized handout would be written, very similar to previous instructions, and would not address a concern about literacy. Internet resources generally require an individual to be able to read, and although videos are available through the Internet, this is not the best response. Self-help books would be appropriate for an individual who reads. There is a question about whether this patient is literate, so these would not be the best choice.

Deck 43: Patient Education