NURSING 1025 EXAM 1 STUDY GUIDE
Chapter 21, 24, 25
1. Building a Nursing Team
a. Empowered team begins with nurse executive
b. Executive, nurse manager, staff nurse collaborate to create an
empowering environment
2. Delivery Methods:
3. Decentralized Decision Making occurs at the unit level
4. Five Rights of Delegation Box 21-6 p. 310
a. Right task
b. Right circumstances
c. Right Person
d. Right Direction/Communication
e. Right Supervision
5. **The JC sets standards for client and family education.
6. Purposes of client education:
a. The goal of educating others about their health is to assist individuals,
families, or communities in achieving optimal levels of health
b. Maintenance and promotion of health and illness prevention
i. Allows clients to assume responsibility for health
ii. Greater knowledge =better health maintenance habits
iii. More likely to seek early diagnosis of health problems
c. Restoration of health
i. Clients recovering from and adapting to changes resulting from
illness often seek info about their conditions
ii. Some clients find this difficult. Become passive & disinterested
in learning
d. Coping with impaired functions
i. Permanent health alterations
ii. Family’s ability to provide support results in part from
education
iii. Families can provide assistance with health care management
(i.e. giving meds) and & psychosocial support
, 7. **Teaching is more effective than learning when it responds to the
learner’s needs
8. Role of nurse in teaching and learning:
a. Nurses have an ethical responsibility to teach their clients & families
what they need to know
b. Joint Commission’s “Know Your Rights” campaign
i. Clients who ask questions and are aware of their rights have a
greater chance of getting the care they need when they need it
9. Domains of Learning: NEED TO KNOW THESE!
a. Cognitive: intellectual, requires thinking
i. Knowledge, comprehension, application, analysis, synthesis,
evaluation
ii. Teaching Strategies: lecture, panel, discovery, written
materials
b. Affective: expression of feelings and acceptance of attitudes, opinions,
or values
i. Receiving, responding, valuing, organizing, characterizing
ii. Teaching Strategies: role modeling, discussion, audiovisual
materials
c. Psychomotor: integration of mental &muscular activity
i. Perception, set, guided response, mechanism, complex overt
response, adaptations, origination
ii. Teaching Strategies: demonstration, discovery, printed
materials
10.Which of the following is an example of cognitive learning?
a. A patient describes how to portion food to maintain within a
prescribed calorie range
i. CIGNITIVE LEARNING INVOLVES STORING AND RECALLING
MEMORY IN THE BRAIN
11. What is motivation?
a. Addresses the client’s desire or willingness to learn
i. Motivation to learn is determined by:
ii. The clients’ attitudinal (mental state) set,
iii. Their readiness to learn, and
iv. Their willingness to participate actively
v. What would hinder motivation??
vi. What does it mean to “promote compliance?”
vii. What is self-efficacy Ability to be efficient themselves
12.Developmental capability
a. Learning in children: Depends on maturation
b. Adult learning: Draw on life experiences
c. Physical capability
i. Don’t overestimate the pt’s physical development or status
(size, strength, coordination, sensory acuity)
ii. Allow for rest
13. Nursing Process
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