NR 222 Unit 4 Week 4 Case Study Questions and Answers with Rationales

Name: Date: NR 222/Unit 4/Week 4 Case Study/Rationales Chapter 25 Perry/Potter Jane Moore is a 60-year-old sales clerk who recently retired because of increasing chronic health concerns. At her visit last week to her primary care practitioner (PCP), she learned that her type 2 diabetes is going to require taking insulin at nighttime. She has never had to give herself injections and is reluctant to start. The PCP sent her to the diabetic clinic to learn more about caring for her diabetes and giving injections. Her diabetes had been controlled with diet and metformin up until this visit. She is not compliant with her diet and has recently gained 7 lb. Mrs. Moore lives alone; her husband died 2 years ago. She has two children who live in the same town and are very close to her. Mrs. Moore is attending a class today on understanding diabetes as a chronic disease that is being taught by Robert, a nursing student from the local university. 1. Robert based his teaching on understanding diabetes on which domain of learning and why? What are the best teaching methods for this domain? Answer: He based his teaching on the cognitive domain, and the best teaching methods are lecture and discussion. Rationale: To teach information that allows the learner to acquire knowledge and then further apply it, the best method is to use the cognitive domain, which includes teaching methods such as lecture and discussion. 2. Robert notices that Mrs. Moore is not paying attention to the class he is teaching. What may be some reasons that she does not appear to be listening? Answer: As an adult learner, she is going to be motivated to learn what she does not already know. Because she has diabetes, her main need is to learn about giving herself injections. Rationale: The adult learner is self-directed. The adult is motivated by meeting the learning needs that apply most to his or her needs. Adults base their learning needs on their life experiences.