NR 351 Exam 3 Chapter 9: Teaching and
Counseling 2025 Latest Exam Update
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Chapter 9: Teaching and Counseling
USE TEACH
v Tune into the patient
v Edit, revise/update patient
information v Act on every teaching
moment v Clarify often
v Honor the patient as partner in the education process
Patient Education focuses on three (3) critical areas: v
Preparation for receiving care
v Preparation before discharge from healthcare facility
v Documentation of patient education activity
Family/caregiver support networks: COPE Model Box 9-3 v
Creativity v Optimism v Planning v Expert Information
,Ask Me 3 Questions: These are the questions client come in with. Plan/know what
client is going to ask.
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?
Three Learning Domains: The ability of patients to manage their daily life &
resume former roles depends on: v Cognitive—storing & recalling of new
knowledge in the brain; the thinking domain– thinking through information and
be able to comprehend it
v Affective—the feeling domain–involves the client’s feelings regarding values,
attitudes, and beliefs; changing attitudes, values, & feelings
v Psychomotor—the doing domain– the physical or mental activities required
to learn skills; learning a physical skill, involving the integration of mental
and muscular activity
Methods:
v Lecture- cognitive v
Discussion- affective v Panel
discussion- cognitive v
Demonstration- psychomotor
v Discovery- cognitive v Role
playing- affective
The teach-back method is important in evaluating the patient education.
,Materials: v Audiovisual
materials
v Printed materials – 4th- 6th grade
level v Programmed instruction v
Web-based instruction
Considerations for Successful Patient Teaching v
Forming contractual agreements (consent) v
Considering time constraints v Scheduling
(15-30 minutes) v Group vs. individual
teaching v Formal vs. informal teaching
v Manipulating the physical environment (TEACH and COPE)
Promoting Adherence/Compliance
Adherence/Compliance v Extent to which a behavior corresponds with the
agreed-upon recommendations from HCP, uses a team approach to the
treatment plan, reflects the patient’s right to choose, and supports inclusive
and active patient role
v Instructions are clear and support patient goals, patient/caregivers are
partners in the process, interactive teaching strategies are used, and strong
interpersonal
relationships are developed with the patient and their families
Nonadherence/Noncompliance v Defined as failure
to act in accordance with a plan
v Client nonadherence can be a serious challenge to positive health outcomes
v Some client noncompliance issues are a result of challenges outside of the
client’s control
v Nurses dealing with a nonadherent client should document all resources used,
communication attempts, and follow-ups with the client
Nursing Process v Assess the source of
the information
v Establishing relationships and identifying readiness for
change v Identifying opportunities, issues, and concerns v
Establishing patient-centered goals
, v Creating the structure of the coaching interaction v
Empowering and motivating patients to reach goals v
Assisting the patient to determine progress toward
goals v Outcomes & Planning:
§ Involves the development of a teaching plan
§ Determine patient learning outcomes and teaching content
§ Determine teaching methods and materials
Documentation of the Teaching–Learning Process v
Summary of the learning need v The plan
v The implementation of the
plan v Methods of evaluation v
Timing of evaluation
v Reinforcing and celebrating
learning v Evaluating teaching v
Revising the plan v Document
Types of Counseling v Short-term: For situational crisis, when a patient faces an
event or situation that causes a disruption in their life. (surgery)
v Long-term: For developmental crisis, when a person is going through a
developmental stage or passage. (menopause)
v Motivational interviewing: Evidence-based approach that involves discussing
feelings and incentives. (weight loss program)
Chapter 10: Leading, Managing, Delegating
Leadership
v The ability to direct or motivate a person or group to achieve set goals v
Leaders have power to influence a group which depends on their leadership
style and how the person fulfills the leadership responsibilities
§ Explicit: power by virtue of position
§ Implied: power due to other factors, such as personality
Leadership Qualities v Charismatic: possessing an extraordinary ability to attract;
"a charismatic leader” v Dynamic: energetic v Enthusiastic: Having or showing
Counseling 2025 Latest Exam Update
With 100% Accurate Questions &
Answers | Download To Pass |
Guaranteed Success
Chapter 9: Teaching and Counseling
USE TEACH
v Tune into the patient
v Edit, revise/update patient
information v Act on every teaching
moment v Clarify often
v Honor the patient as partner in the education process
Patient Education focuses on three (3) critical areas: v
Preparation for receiving care
v Preparation before discharge from healthcare facility
v Documentation of patient education activity
Family/caregiver support networks: COPE Model Box 9-3 v
Creativity v Optimism v Planning v Expert Information
,Ask Me 3 Questions: These are the questions client come in with. Plan/know what
client is going to ask.
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?
Three Learning Domains: The ability of patients to manage their daily life &
resume former roles depends on: v Cognitive—storing & recalling of new
knowledge in the brain; the thinking domain– thinking through information and
be able to comprehend it
v Affective—the feeling domain–involves the client’s feelings regarding values,
attitudes, and beliefs; changing attitudes, values, & feelings
v Psychomotor—the doing domain– the physical or mental activities required
to learn skills; learning a physical skill, involving the integration of mental
and muscular activity
Methods:
v Lecture- cognitive v
Discussion- affective v Panel
discussion- cognitive v
Demonstration- psychomotor
v Discovery- cognitive v Role
playing- affective
The teach-back method is important in evaluating the patient education.
,Materials: v Audiovisual
materials
v Printed materials – 4th- 6th grade
level v Programmed instruction v
Web-based instruction
Considerations for Successful Patient Teaching v
Forming contractual agreements (consent) v
Considering time constraints v Scheduling
(15-30 minutes) v Group vs. individual
teaching v Formal vs. informal teaching
v Manipulating the physical environment (TEACH and COPE)
Promoting Adherence/Compliance
Adherence/Compliance v Extent to which a behavior corresponds with the
agreed-upon recommendations from HCP, uses a team approach to the
treatment plan, reflects the patient’s right to choose, and supports inclusive
and active patient role
v Instructions are clear and support patient goals, patient/caregivers are
partners in the process, interactive teaching strategies are used, and strong
interpersonal
relationships are developed with the patient and their families
Nonadherence/Noncompliance v Defined as failure
to act in accordance with a plan
v Client nonadherence can be a serious challenge to positive health outcomes
v Some client noncompliance issues are a result of challenges outside of the
client’s control
v Nurses dealing with a nonadherent client should document all resources used,
communication attempts, and follow-ups with the client
Nursing Process v Assess the source of
the information
v Establishing relationships and identifying readiness for
change v Identifying opportunities, issues, and concerns v
Establishing patient-centered goals
, v Creating the structure of the coaching interaction v
Empowering and motivating patients to reach goals v
Assisting the patient to determine progress toward
goals v Outcomes & Planning:
§ Involves the development of a teaching plan
§ Determine patient learning outcomes and teaching content
§ Determine teaching methods and materials
Documentation of the Teaching–Learning Process v
Summary of the learning need v The plan
v The implementation of the
plan v Methods of evaluation v
Timing of evaluation
v Reinforcing and celebrating
learning v Evaluating teaching v
Revising the plan v Document
Types of Counseling v Short-term: For situational crisis, when a patient faces an
event or situation that causes a disruption in their life. (surgery)
v Long-term: For developmental crisis, when a person is going through a
developmental stage or passage. (menopause)
v Motivational interviewing: Evidence-based approach that involves discussing
feelings and incentives. (weight loss program)
Chapter 10: Leading, Managing, Delegating
Leadership
v The ability to direct or motivate a person or group to achieve set goals v
Leaders have power to influence a group which depends on their leadership
style and how the person fulfills the leadership responsibilities
§ Explicit: power by virtue of position
§ Implied: power due to other factors, such as personality
Leadership Qualities v Charismatic: possessing an extraordinary ability to attract;
"a charismatic leader” v Dynamic: energetic v Enthusiastic: Having or showing
