Learning Domains
This domain involves intellectual skills and "thinking" knowledge.
Cognitive
This term refers to a patient's belief in their ability to succeed at a task.
Self-efficacy
This specific level of communication involves "self-talk" within a single person.
Intrapersonal
This "lens" through which a person interprets life is shaped by culture, family, and religion.
Worldview
This is the first step of both the Nursing and Teaching processes.
Assessment
"The patient will demonstrate correct insulin injection technique" fits this domain.
Psychomotor
According to Maslow, these needs must be met before a patient is ready to learn.
Physiological
You should face this person—not the interpreter—when using translation services.
The Patient
These three organizational barriers can prevent a nurse from providing caring.
Compassion fatigue, Institutional demands, and Technology
This is the most effective method used during the "Evaluation" phase to confirm understanding.
Teach-Back
This domain focuses on emotions, attitudes, values, and the motivation to learn.
Affective
This strategy involves setting small, achievable goals to help a patient with low self-efficacy.
Building confidence/accomplishment
Saying "Everything will be fine" is this type of non-therapeutic communication.
False Reassurance
This legal requirement must be met for patients with limited English proficiency.
Certified Medical Interpreter
This is the specific "Learning Diagnosis" for a patient starting a new medication.
Deficient Knowledge
"List," "Describe," and "Recall" are sample objective verbs for this domain.
Cognitive
These three physical or emotional "Internal Factors" can negatively impact readiness to learn.
Pain, anxiety, or fatigue
This type of question (like "Do you understand?") should be avoided during teach-back.
Closed-ended
This type of care fits a person’s life patterns, values, and system of meaning.
Culturally Congruent Care (Transcultural Care)
When planning, a nurse should always progress from this level of concept to complex.
Simple
This domain involves physical movement, coordination, and hands-on skills.
Psychomotor
A patient who responds "yes" to everything and asks no questions may have this limitation.
Low Health Literacy.
This occurs when a nurse switches topics because the patient brings up something difficult.
Changing the Subject
This is an ongoing, evolving process of learning and adapting to a patient's cultural heritage.
Self-Actualization.
This Maslow level is reached only after all lower-level needs are met.
Self-Actualization