chapter 6 patient education and drug therapy copyright © 2014 by mosby, an imprint of elsevier inc

Chapter 6

Patient Education and Drug Therapy

Copyright © 2014 by Mosby, an imprint of Elsevier Inc.

The Domains of Learning

Cognitive domain Affective domain Psychomotor domain

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. 2

Patient Education:Assessment

Adaptation to any illness Age Barriers to learning Cognitive abilities Coping mechanisms Cultural background Developmental status Education, including literacy level


Patient Education:Assessment (cont’d)

Emotional status Environment Folk medicine, home remedies,

alternative/complementary therapies Family relationships Financial status Health literacy Psychosocial growth and development



Health beliefs Information patient understands about past and

present medical conditions Language(s) spoken Level of knowledge about current medications Misinformation about drug therapy Limitations (physical, psychologic, cognitive,

motor)



Current medications, including over-the-counter and herbal medications

Mobility Motivation Nutritional status Past and present health behaviors Past and present experience with drug regimens

and other therapies Race and/or ethnicity



Readiness to learn Religious beliefs Self-care ability Sensory status Social support


Classroom Response Question

The nurse is caring for an 85-year-old patient in the hospital and teaching him how to use an inhaler. His 84-year-old wife attends the teaching sessions, and their daughter comes in to visit in the evenings. The patient is having trouble remembering the steps. The nurse should

A.provide the package insert that comes with the medication for the patient to read.

B.focus the teaching sessions on the patient’s wife.

C.provide small amounts of information at a time, repeating information frequently.

D.wait until the daughter comes in and teach the daughter instead.


Patient Education:Nursing Diagnoses

Deficient knowledge Impaired memory Ineffective self-health management Readiness for enhanced self-health

management Noncompliance Risk for falls Risk for injury Sleep deprivation



A patient with newly diagnosed type 1 diabetes mellitus has completed a diabetes education program. One month later, the patient confesses at a follow-up appointment that he “just didn’t feel like” giving himself the insulin injections. Which nursing diagnosis will the nurse assign the patient?

A.Deficient knowledge

B.Noncompliance

C.Impaired memory

D.Sleep deprivation


Patient Education:Planning

Goals and Outcome Criteria Measurable Realistic Based on patient needs Stated in patient terms Time frame


Patient Education:Implementation

Teaching-learning sessions Consideration of age-related changes Consideration of language barriers Safe administration of medications at home

Return demonstration with equipment For adults, it is recommended that materials be

written at an 8th grade level



A nurse is providing patient teaching for a community health center that serves a primarily Portuguese population. The nurse would best serve this patient population by

A. learning Portuguese.

B. always using interpreter services.

C. using the family member interpreter the patient provides.

D. finding a job in a different setting.


Patient Education:Evaluation

Validate whether learning has occurred Ask questions Have the patient provide a return demonstration Behavior, such as compliance and adherence to a

schedule Occurrence of few or no complications


Patient Education:Evaluation (cont’d)

Develop and implement new plan of teaching as needed for: Noncompliance Inadequate levels of learning



After providing education regarding medications to a patient who has been newly diagnosed with type 2 diabetes mellitus, the nurse would use which part of the nursing process to assess whether the patient understands these new instructions?

A. Assessment

B. Diagnosis

C. Implementation

D. Evaluation


chapter 6 patient education and drug therapy copyright © 2014 by mosby, an imprint of elsevier inc

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