Medical-Surgical Nursing Lewis Chapter 4

What are the general goals of patient teaching? Correct Answers include health promotion, disease prevention, management of illness, and appropriate selection and use of treatment options What are some of the adult learning principles applied to patient teaching? Correct Answers - need to know - readiness to learn - prior experience - motivation to learn - orientation to learning - self concept Stages of change in Transtheoretical Model Correct Answers - pre contemplation - contemplation - preparation - action - maintenance - termination Stage 1: Pre-contemplation Correct Answers Patient Behavior: Is not considering a change. Is not ready to learn. Nursing Implication: Provide support, increase awareness of condition. Describe benefits of change and risks of not changing. Stage 2: Contemplation Correct Answers Patient Behavior: Thinks about a change. May verbalize recognition of need to change. Says "I know I should," but identifies barrier Nursing Implication: Introduce what is involved in changing the behavior. Reinforce the stated need to change. Stage 3: Preparation Correct Answers Patient Behavior: Starts planning the change, gathers information, sets a date to initiate change, shares decision to change with others. Nursing Implication: Reinforce the positive outcomes of change, provide information and encouragement, develop a plan, help set priorities, and identify sources of support. Stage 4: Action Correct Answers Patient Behavior: Begins to change behavior through practice. Tentative and may experience relapses.