Module 5: Roles Basic to Nursing Care

Exam 2

Teaching Acronym: TEACH

T - Tune in to the client

E - Edit client information to what is relevant and understandable

A - Act on teaching opportunities

C - Clarify often and check understanding

H - Honor the pt as a partner

Three learning domains

Cognitive, psychomotor, affective

Cognitive learning domain

acquiring, understanding, and recalling knowledge.

EX: discussion, brief lecture, written or digital materials, etc

Psychomotor learning domain

learning and performing a skill

EX: demonstration, guided practice, return demonstration

Affective learning domain

attitudes, values, beliefs, and feelings

EX: discussion, reflection, role modeling, motivational interviewing

COPE Model

Model to help family members to cope with what is happening to the pt. Includes creativity, optimism, planning, expert information.

Creativity

Encourage family members to be flexible, generate alternatives to overcome obstacles

Optimism

Build confidence in caregiving abilities

Planning

anticipate problems and create backup plans

Expert information

know how and when to obtain guidance from the healthcare team

Primary prevention

prevent from actually occurring

EX: vaccination, nutrition, exercise, etc

Tertiary prevention

already has a disease but want to prevent it from getting worse

EX: medication, self-management, reabilitation, complication prevention

Secondary prevention

Screening or detecting for a disease to catch it as soon as possible and stop it from getting worse

EX: screening, early detection, follow up of abnormal findings

Methods of communication in nursing

documentation, reporting and handoff, consultation and interprofessional communication

Nursing documentation should accurately and honestly describe…

what occurred, when it occurred, and who provided care

Focus Charting: DAR

D- Data: relevant subjective and objective findings

A - Action: nursing intervention and communication

R - Response: client response and evaluation

Charting by Exception

Nurse documents significant findings or deviations from the defined norm

Handoff

transfer and acceptance of client-specific information and responsibility from one caregiver to another