NR 226 Exam 1 Complete Study Guide With
Questions And Answers (Summer 2022)
Standards for client education
Clients have a right to information
Nurses have a legal mandate to provide client education
-JC, Nurse Practice Acts, ANA, AHA
Nurser Practice Acts
Legally mandate client education by nurses
ANA's standards of clinical nursing practice
Nurses are responsible for "educating clients about their illness, treatment, health-
promotion, and self-care activities"
Patient Care Partnership (AHA)
Clients have the right to make informed decisions about their care
Purpose/Benefits of client education
Help individuals, families, or communities achieve optimal levels of health
-Wellness promotion
-Disease/illness prevention
-Restoration of health or function
-Promotion of coping
Client education also has cost containment benefits
Teaching
An interactive process that promotes learning
Learning
The purposeful acquisition of knowledge, skills, behaviors, and attitudes
Nurse as a teacher
Teaching is major aspect of nursing practice
Teaching mostly informal
Required skills:
-Knowledge of subject matter
-Teaching and communication skills
-Empathy
Domains of learning: Cognitive
Includes all intellectual behaviors and requires thinking
Domains of learning: Affective
Deals with expression of feelings and acceptance of attitudes, opinions, or values
Domains of learning: Psychomotor
Involves acquiring skills that require integration of mental and muscular activity
Pain
An unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Factors that facilitate learning
Readiness
Motivation
Active involvement
, Relevance
Feedback
Nonjudgmental support
Simple to complex
Repetition
Timing
Factors that inhibit learning
Physiological factors
Psychological factors
Cultural factors
Environmental factors
Socioeconomic factors
Adult learning principles
Malcolm Knowles
-Adults learn best when there is a perceived need
-Teaching of adults should progress from the known to the unknown
-Teaching of adults should progress of simpler concepts to more complex
-Adults learn best using active participation
-Adults require opportunities to practice new skills
-Adults need behavior reinforced
-Immediate feedback and correction of misconceptions increases learning
Teaching clients of different cultures
-Do not use slang words or colloquialisms
-Do not assume that a client who nods, uses eye contact, or smiles is indicating an
understanding of what is being taught
-Invite and encourage questions during teaching
-When explaining procedures or functioning related to personal areas of the body, may
be appropriate to have a nurse of the same gender do the teaching
Autonomy
Independence; self-determination
Beneficence
The ethical tenet that the physician has a responsibility to act in the patient's best
interest.
-To do good
Non-maleficence
To do no harm
Justice
Fairness; rightfulness
Fidelity
Faithfulness to obligation, duty, or commitment
Professional nursing code of ethics
-Established by American Nurses Association (ANA)
-Last revised in 2015
-Serves as guide to assist nurses when questions arise about correct action or behavior
Nursing related principles
Questions And Answers (Summer 2022)
Standards for client education
Clients have a right to information
Nurses have a legal mandate to provide client education
-JC, Nurse Practice Acts, ANA, AHA
Nurser Practice Acts
Legally mandate client education by nurses
ANA's standards of clinical nursing practice
Nurses are responsible for "educating clients about their illness, treatment, health-
promotion, and self-care activities"
Patient Care Partnership (AHA)
Clients have the right to make informed decisions about their care
Purpose/Benefits of client education
Help individuals, families, or communities achieve optimal levels of health
-Wellness promotion
-Disease/illness prevention
-Restoration of health or function
-Promotion of coping
Client education also has cost containment benefits
Teaching
An interactive process that promotes learning
Learning
The purposeful acquisition of knowledge, skills, behaviors, and attitudes
Nurse as a teacher
Teaching is major aspect of nursing practice
Teaching mostly informal
Required skills:
-Knowledge of subject matter
-Teaching and communication skills
-Empathy
Domains of learning: Cognitive
Includes all intellectual behaviors and requires thinking
Domains of learning: Affective
Deals with expression of feelings and acceptance of attitudes, opinions, or values
Domains of learning: Psychomotor
Involves acquiring skills that require integration of mental and muscular activity
Pain
An unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Factors that facilitate learning
Readiness
Motivation
Active involvement
, Relevance
Feedback
Nonjudgmental support
Simple to complex
Repetition
Timing
Factors that inhibit learning
Physiological factors
Psychological factors
Cultural factors
Environmental factors
Socioeconomic factors
Adult learning principles
Malcolm Knowles
-Adults learn best when there is a perceived need
-Teaching of adults should progress from the known to the unknown
-Teaching of adults should progress of simpler concepts to more complex
-Adults learn best using active participation
-Adults require opportunities to practice new skills
-Adults need behavior reinforced
-Immediate feedback and correction of misconceptions increases learning
Teaching clients of different cultures
-Do not use slang words or colloquialisms
-Do not assume that a client who nods, uses eye contact, or smiles is indicating an
understanding of what is being taught
-Invite and encourage questions during teaching
-When explaining procedures or functioning related to personal areas of the body, may
be appropriate to have a nurse of the same gender do the teaching
Autonomy
Independence; self-determination
Beneficence
The ethical tenet that the physician has a responsibility to act in the patient's best
interest.
-To do good
Non-maleficence
To do no harm
Justice
Fairness; rightfulness
Fidelity
Faithfulness to obligation, duty, or commitment
Professional nursing code of ethics
-Established by American Nurses Association (ANA)
-Last revised in 2015
-Serves as guide to assist nurses when questions arise about correct action or behavior
Nursing related principles
