A patient newly diagnosed with diabetes needs to learn how to use a
glucometer. Use of a glucometer constitutes:
A) affective learning
B) cognitive learning
C) motivational learning
D) psychomotor learning Ans✓✓✓ D. Psychomotor learning.
Access to health care system factors Ans✓✓✓ - transportation (access)
- language (understanding)
- economics (financing/living conditions)
- cultural beliefs and practices (view of health and health care)
Assessment of learning ability Ans✓✓✓ - see through the patient's
eyes
- teaching is patient-centered
Assess the patient's learning needs:
- information or skills needed to perform self-care and to understand
the implications of a health program.
- patient experiences that influence the need to learn.
- information that family caregivers need to support patient needs.
,- motivation to learn
- readiness and ability to learn
- teaching environment
- resources for learning
- health literacy
Basic learning principles: ability to learn Ans✓✓✓ - developmental
capability
- learning in children
- developmental stage
- adult learning
- health literacy and learning disabilities
- physical capability
- learning environment
Basic learning principles: Motivation to learn 1 Ans✓✓✓ - An internal
state that helps arouse, direct, and sustain human behavior.
- influenced by the belief of the need to know something.
Motivational interviewing:
- a counseling and educational techniques that is focused on patient
goals and is goal directed and patient centered.
, Goal: to help the patient resolve his or her ambivalence about adopting
new self-care behaviors, develop some momentum, and believe that
behavioral change is possible.
Basic learning principles: Motivation to learn 2 Ans✓✓✓ - use of
theory to enhance motivation and learning
- social learning theory
Cultural factors:
- ACCESS model
- active participation
- readiness to learn
- attentional set
Caring for yourself: Ans✓✓✓ - take care of yourself so that you can
take care of others.
- compassion fatigue- affects all aspects of nursing care.
- focus on health promoting behavior and healthy choices.
- GET ENOUGH SLEEP
- good coping skills (take time for you)
Case management Ans✓✓✓ RN case manager coordinates the patient
care throughout the course of an illness, usually for chronically ill, long-
term, high cost cases.