Chapter 9, Transitions, Teaching and Counseling Study Guide
Summer, 2025
I. Core Concepts of Teaching and Counseling
Aims of Teaching and Counseling: Maintaining and promoting health
Preventing illness
Restoring health
Facilitating coping
Promoting optimal wellness and self-care
Disease prevention/early detection
Quick recovery with minimal complications
Enhanced adjustment to life changes and illness
Nurse as Teacher: Key Teaching Concepts: Listen, every interaction is an opportunity,
patient-centered, begin teaching at first encounter, engage and motivate.
Nurse as Counselor: Focuses on improving coping, reinforcing healthy behaviors,
fostering positive interactions, preventing illness/disability.
Involves family/caregivers; requires comfortable environment; formal/informal.
Employs warmth, friendliness, openness, empathy; caring is fundamental.
II. Factors Affecting Patient Learning
Age and Developmental Level: Child and Adolescent Learners: Pedagogy (teaching
children).
Adult Learners (Andragogy): Knowles' (1990) Four Assumptions:
1. Self-concept shifts from dependence to independence.
2. Previous experience is a rich resource.
3. Readiness to learn relates to developmental tasks/social roles.
4. Orientation to learning is immediate usefulness.
Older Adult Learners: Identify barriers, allow extra time, short sessions, accommodate
sensory deficits, reduce distractions, relate new info to familiar activities.
Family/Caregiver Support Networks & Financial Resources: Consider financial
resources in planning care.
Cultural Influences and Language: Understand patient's culture, work with
multicultural team, be aware of biases, understand core values, provide materials in
preferred language.
Health Literacy: Nurses must identify patients/families with limited health literacy; use
strategies like "Teach back."
III. Learning Domains
Cognitive: Storing and recalling new knowledge (e.g., facts, information).
Psychomotor: Learning a physical skill involving mental and muscular activity (e.g.,
performing a procedure).
Affective: Changing attitudes, values, and feelings (e.g., valuing a healthy lifestyle).
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Summer, 2025
I. Core Concepts of Teaching and Counseling
Aims of Teaching and Counseling: Maintaining and promoting health
Preventing illness
Restoring health
Facilitating coping
Promoting optimal wellness and self-care
Disease prevention/early detection
Quick recovery with minimal complications
Enhanced adjustment to life changes and illness
Nurse as Teacher: Key Teaching Concepts: Listen, every interaction is an opportunity,
patient-centered, begin teaching at first encounter, engage and motivate.
Nurse as Counselor: Focuses on improving coping, reinforcing healthy behaviors,
fostering positive interactions, preventing illness/disability.
Involves family/caregivers; requires comfortable environment; formal/informal.
Employs warmth, friendliness, openness, empathy; caring is fundamental.
II. Factors Affecting Patient Learning
Age and Developmental Level: Child and Adolescent Learners: Pedagogy (teaching
children).
Adult Learners (Andragogy): Knowles' (1990) Four Assumptions:
1. Self-concept shifts from dependence to independence.
2. Previous experience is a rich resource.
3. Readiness to learn relates to developmental tasks/social roles.
4. Orientation to learning is immediate usefulness.
Older Adult Learners: Identify barriers, allow extra time, short sessions, accommodate
sensory deficits, reduce distractions, relate new info to familiar activities.
Family/Caregiver Support Networks & Financial Resources: Consider financial
resources in planning care.
Cultural Influences and Language: Understand patient's culture, work with
multicultural team, be aware of biases, understand core values, provide materials in
preferred language.
Health Literacy: Nurses must identify patients/families with limited health literacy; use
strategies like "Teach back."
III. Learning Domains
Cognitive: Storing and recalling new knowledge (e.g., facts, information).
Psychomotor: Learning a physical skill involving mental and muscular activity (e.g.,
performing a procedure).
Affective: Changing attitudes, values, and feelings (e.g., valuing a healthy lifestyle).
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