NR 222 Unit 4 Week 4 Case Study Rationales. Latest Update 2020/21. Chamberlain College Of Nursing

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NR 222 Unit 4 Week 4 Case Study Rationales. Latest Update 2020/21. Chamberlain College Of Nursing. Chapter 25 Perry/Potter Jane Moore is a 60-year-old sales clerk who recently retired because of incr... easing chronic health concerns. At her visit last week to her primary care practitioner (PCP), she learned that her type 2 diabetes is going to require taking insulin at nighttime. She has never had to give herself injections and is reluctant to start. The PCP sent her to the diabetic clinic to learn more about caring for her diabetes and giving injections. Her diabetes had been controlled with diet and metformin up until this visit. She is not compliant with her diet and has recently gained 7 lb. Mrs. Moore lives alone; her husband died 2 years ago. She has two children who live in the same town and are very close to her. Mrs. Moore is attending a class today on understanding diabetes as a chronic disease that is being taught by Robert, a nursing student from the local university. 1. Robert based his teaching on understanding diabetes on which domain of learning and why? What are the best teaching methods for this domain? Answer: He based his teaching on the cognitive domain, and the best teaching methods are lecture and discussion. Rationale: To teach information that allows the learner to acquire knowledge and then further apply it, the best method is to use the cognitive domain, which includes teaching methods such as lecture and discussion. 2. Robert notices that Mrs. Moore is not paying attention to the class he is teaching. What may be some reasons that she does not appear to be listening? Answer: As an adult learner, she is going to be motivated to learn what she does not already know. Because she has diabetes, her main need is to learn about giving herself injections. Rationale: The adult learner is self-directed. The adult is motivated by meeting the learning needs that apply most to his or her needs. Adults base their learning needs on their life experiences. 3. Robert meets with Mrs. Moore after the class to further assess her learning needs. He determines that she prefers to read material. What is important to include in her learning plan knowing this? Answer: He would need to determine her health literacy and any learning disabilities and individualize the plan to this. The education pamphlets he chooses to provide her should be appropriate for her reading level and be based on layman’s terminology. He can ask her questions about the material after she has read it to evaluate the effectiveness of the material. Rationale: For learners who prefer written material, it is important to assess their literacy level because there is a direct correlation between literacy level and overall health of the patient. If the patient does not understand the material, then he or she cannot use it. Evaluation of the learning must take place to have a positive learning outcome. 4. At her next visit to the diabetic clinic, Mrs. Moore is scheduled for a one-on-one session to learn to give herself injections. Which domain does Robert need to use to teach this and explain how the teaching session should be [Show More]

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