assignment 19 test physical health

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Chapter 19: Teaching AND Learning - Physical Examination & Health Assessment

Physical assessment (nur-181), bergen community college.

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Chapter 19: TEACHING AND LEARNING I. Teaching A. Interactive process that promotes learning B. Involves planning and implementing instructional activities to meet intended learner outcomes C. Teachers must have effective communication skills to 1. Adequatley convey information 2. Asess verbal and nonverbal feedback 3. Accommodate various learning stles D. Deliberate set of actions II. Learning A. Purposeful acquisition of knowledge, attitudes, behaviors, and skills B. Learners: clients, families, and others who care for client C. Learning need

Gap between information and the information necessary to perform a specific task III. Standards A. To promote healthy behaviors B. Encourage client’s involvement in the delivery of health care and decisions to improve outcomes C. Show evidence of successful education (documentation) IV. Purpose A. Health maintenance B. Promotion of illness prevention C. Improved coping with impaired function D. Helps develop positive health practices V. Domains of Learning A. Cognitive- understanding, includes all intellectual behaviors and requires thinking

Includes memorization, recall, comprehension and ability to analyze, synthesize, apply and evaluate ideas

I client is able to report names and doses of the meds he is taking B. Affective- deals with expressions of feelings, values, and attitudes

Includes receiving and responding to new ideas, demonstrating commitment to or preference for new ideas and integrating new ideas into a value system

I client asks questions about upcoming procedure C. Support groups- Discussion D. Psychomotor- involves acquiring skills that require mental and muscular activity

Includes sensory awareness of cues involved in learning, as well as imitation and performance of skills and creation of new skills

I client independently changes her complex dressing VI. Five Rights of Teaching A. Time, context, goal, content, method VII. Factors that influence learning A. Motivation

Motivation is the desire to learn. Best if patient recognizes a need and believes the need will be met through learning B. Attentional set C. Readiness

Learner is both motivated and able to learn at a specific time D. Timing

Present information at a time when the learner is open to learning E. Repetition

Client more likely to retain information and incorporate it into his life if content is repeated F. Feedback

Information about the learner’s performance i test grades G. Use of Theory

may require the patient to change attitudes. Nursing interventions are always based on theory H. Psychosocial adaptation

Must assess readiness to learn I. Learning Environment J. Amount and Complexity of Content K. Active participation

Facilitates learning by involving the patient VIII. Teaching should match the developmental level of the learner at all ages A. Preoperational Stage : 2-7 yrs old; language skills though sympols and pictures B. Concrete Operational (7-11 yrs old); can classify tangible objects in 2 or more ways; logical thinking begins and understands relationships C. Formal Operational Stage (11 yrs +); abstract thinking and reasoning.

When teaching children: gain trust, reduce anxiety, promote cooperation and enchance emotional readiness to learn. IX. Health Literacy: capacity to obtain, process and understand basic health information and services needed to make appropriate healthcare decisions A. Understand that some patients cannot understand health jargon (health illiteracy) X. Health Belief Model A. Attempts to identify pts who will or will not be agreeable to treatment by looking at several factors

Perception of SEVERITY of illness 2.. Perception of Susceptibility to illness and is consequences

The VALUE and consequences of treatment

The consideration of the barriers to treatment, such as degree of social support, expense, regiment complexity. Length of treatment and side effects

Cost of treatment in both physical and emotional terms

What CUES stimulate action taken for treatment of illness, such as illness in family or friends, television ect

• Multiple Choice

Course : Physical Assessment (NUR-181)

University : bergen community college.

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