The Basics
The common approach nurses use to teach patients is known as....
A. Self Directed
B. Informal
C. Formal
D. At Discharge
B. Informal
Define the purpose of a learner assessment
A learner assessment is used initially when admitted to the hospital.
The nurse can see how they learn best.
Give a example of the "telling" teaching approach
- Telling a patient about what to expect for a diagnostic procedure
Is the LPN scope of practice independent or dependent?
Dependent
A nurse is caring for a patient who has type 1 diabetes and an ulcer on the big toe of the right foot. The nurse identifies that the patient is a kinesthetic learner. Which teaching strategy is most appropriate for the nurse to use with this patient?
1. Give verbal instructions and encourage a discussion
2. Provide occasions to touch and handle equipment
3. Present pictures and illustrations
4. Use models and videos
2. Provide Occasions to touch and handle equipment
Define Cognitive Learning Domain
Cognitive - Gaining knowledge about a situation.
Name some barriers to learning
Finances
Lack of support
Frequent interruptions
Hunger
Pain
Lethargy
etc.
Define the "entrusting" teaching approach
The patient manages their self care. You guide them through it
The LPN agency can add to the scope of practice
FALSE
The LPN's agency CANNOT add to the scope of practice, they can however take away from the scope of practice.
A nurse is teaching an older adult how to perform a dressing change. Which nursing action is most important to address a developmental stress of older adults?
1. Speak louder when talking to the patient.
2. Use terminology understandable to the patient.
3. Have the patient provide a return demonstration.
4. Allow more time for the patient to process information.
4. Allow more time for the patient to process information.
Reaction time will slow as one ages; therefore, older adults need more time to process and respond to information or perform a skill. In addition, some older adults may have less energy, experience more fatigue, and may need shorter, frequent learning sessions.
Define Psychomotor Learning Domain
Psychomotor - Doing - manipulating a skill
Why does a patient need to be motivated in order to learn?
Motivation influences the belief that they need to know something.
What is the most common approach of teaching that a LPN will use?
Reinforcement
Does the LPN have permission to do the initial teaching?
NO RN does the initial teaching and learner assessment. The LPN can assist.
A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people
a. Meet standards of the Nurse Practice Act.
b. Achieve optimal levels of health.
c. Become dependent on the health care team.
d. Provide self-care only in the hospital.
ANS: B
The goal of educating others about their health is to help individuals, families, or communities achieve optimal levels of health
Define Affective Learning domain
How the patient feels about a subject.
How can you assess their readiness to learn?
Do they want to change and are they ready to change?
Define Return Demonstration
At the end of a session the patient will perform a return demonstration in which the nurse will watch to ensure they have done the skill correct.
Can a LPN reinforce education after the RN has done initial teaching?
Yes
. A nurse provides teaching about coping with long-term impaired functions. Which situation serves as the best example?
a. Teaching a family member to give medications through the patient's permanent gastric tube
b. Teaching a woman who recently had a hysterectomy about her pathology reports
c. Teaching expectant parents about physical and psychological changes in childbearing women
d. Teaching a teenager with a broken leg how to use crutches
A.
Permanent gastric tube = long term
What are two things a patient can do for you when you teach them a new skill that will ensure they know how to do the skill effectively?
1. Return Demonstration
2. Teach Back Method
How do you assess their ability to learn? What would you need to know?
Their developmental stage - Refer to eriksons stages of psychological development
Compare and contrast preparatory instruction VS
Demonstrations
Preparatory instruction --> describe what to expect and what to feel during a skill, procedure, or intervention
Demonstrations --> showing them the skill, procedure, or intervention
Can a LPN teach a skill to another healthcare personnel such as a CNA?
NO - teaching nursing activities to health care personnel is BEYOND the scope of a LPN.
A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute. In which domain did learning take place?
a. Kinesthetic
b. Cognitive
c. Affective
d. Psychomotor
B. Cognitive - knowledge was added