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Fundamentals · chapter 17 · Patient and Family Education

Methods and Approaches to Learning and Teaching

The 14 things this section of the textbook says that you are most likely to be asked about — quoted word for word, not retold. Then 6 practice questions with the reasoning.

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Key points

  1. Learning domains

    Three methods or domains of learning have been identified: cognitive, affective, and psychomotor. Although each method is unique, they do not function in isolation; they work in concert with one another.
  2. Cognitive learning scope

    Understanding includes, but is not only, basic knowledge; it encompasses remembering through analysis and evaluation and, ultimately, generation or creation of new information (data, ideas, groupings, and evidence of learning) (Iowa State University Center for Teaching and Learning [hereafter, Iowa State University], n.d.).
  3. Teaching aids reinforce recall

    The supplemental written or visual tools give patients something to refer to after the teaching session, to recall what was taught, and reinforce what is remembered.
  4. Affective learning in nursing

    Helping patients and families identify and cope with new feelings about changes in health status, limitations to mobility, and pain, are examples of teaching and learning within the affective method of learning.
  5. Psychomotor learning integration

    In patient education, some tasks are taught through all three learning methods, and psychomotor learning may be the best example of combining them for success (Alqahtani, 2022).
  6. Patient-centered education planning

    Nurses need to incorporate topics of education that are important to the healthcare team, as well as the patient’s (and caregiver’s) interests, preferences, and priorities for information, by collaboration and mutual goal setting (Kuipers et al., 2021).
  7. Learner assessment

    Assessing the audience’s capability for learning, learning style, and health literacy is a valuable step for preparation of a teaching session. The patient’s physiological condition and availability of family or other members of their support team are also important considerations.
  8. Individual sensitive teaching

    When the topic of education is particularly sensitive, for example, teaching only the affected person is often favored.
  9. Group caregiver teaching

    In certain situations, such as a patient who is unable to make their own healthcare decisions, teaching should include the family or caregivers. Nurses will have to rely on family and/or friends to assist with reinforcing and reminding the patient of new behaviors or forgotten instructions.
  10. Group affective learning

    Affective learning can be nurtured through group interactions because some of the techniques used to establish and foster emotions, attitudes, and interests include storytelling, role-playing and simulation, and shared discussions.
  11. Teaching delivery methods

    Patient and family education can be delivered in different ways, including lecture, demonstration, handouts, or simulation. Understanding a patient’s learning preferences enables the nurse to have the right delivery method prepared.
  12. Lecture limitations

    Although it is efficient at delivery, it is less efficient at the receiving end, because much of the information is unlikely to be retained (Baylor University, n.d.; Berkeley Center for Teaching and Learning [hereafter, Berkeley], n.d.; Bosnich Lee, 2022). Verbal instructions may also be misunderstood or quickly forgotten.
  13. Plain language preparation

    Ensuring that medical terms and concepts are fully defined in plain language prior to delivery of a large amount of information is an important step.
  14. Demonstration return practice

    The patient and/or family member is expected not only to demonstrate the task back to the nurse but reiterate steps and entertain questions while performing the skill.

Terms to know

cognition
The process of knowing, thinking, perceiving, or understanding is called cognition.
cognitive learning
Learning based on the process of understanding, or cognition, is called cognitive learning.
metacognition
A more comprehensive definition is that metacognition is an elevated level of thinking that allows comprehension, examination, and command of thoughts and the thinking process.
affective learning
Centered on feelings, including attitudes, interests, and values, affective learning fosters the ability to recognize and address a person’s own emotions and morals, and one’s aptitude and comfort when facing ethical dilemmas and necessary decisions (Iowa State University, n.d.).
psychomotor learning
The development of organized patterns of muscular activities guided by signals from the environment is called psychomotor learning.
direct instruction
Learning that involves active engagement of the educator and learners is called direct instruction (Austin Peay State University, n.d.).
indirect instruction
On the other hand, indirect instruction involves learners using learned tools to fulfill an assignment, with limited involvement from the educator (Austin Peay State University, n.d.).

Practice questions

Stuck on select-all-that-apply? How to take them one option at a time.

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Every question here, with the answer

  1. A nurse is teaching a patient about a new part of the care plan and notices the patient looks overwhelmed by medical terminology. Which nursing action best supports cognitive learning and retention?

    1. Ask the patient to wait until the next visit because health-specific information cannot be simplified.
    2. Shift the session to role-play because cognitive learning is not useful for patient education.
    3. Continue giving all information verbally so the patient hears the complete plan at one time.
    4. Define medical terms in plain language and use written or visual aids the patient can review later.

    Answer: Define medical terms in plain language and use written or visual aids the patient can review later.

    Cognitive learning involves understanding, and the section emphasizes plain language and supplemental written or visual tools to reinforce recall. Continuing with large amounts of verbal information alone may lead to misunderstanding or forgetting, and role-play is more closely described as a technique for affective learning.

  2. A nurse is preparing a planned education session for a patient and caregiver. Which factors should the nurse assess before choosing the teaching approach? Select all that apply.

    1. The patient’s physiological condition
    2. The patient’s learning style
    3. The audience’s capability for learning
    4. The nurse’s preferred teaching style regardless of the learner
    5. The patient’s health literacy

    Answer: The patient’s physiological condition, The patient’s learning style, The audience’s capability for learning, The patient’s health literacy

    The section identifies capability for learning, learning style, health literacy, and the patient’s physiological condition as important preparation factors. The nurse’s preference alone is not the priority because patient-centered teaching includes the patient’s and caregiver’s needs, preferences, and priorities.

  3. A patient recently diagnosed with breast cancer needs teaching about incision care and multiple drains before surgery. Which teaching approach is most appropriate?

    1. Delay all teaching until after surgery because individualized teaching is not useful for difficult content.
    2. Provide private, one-to-one teaching that allows the patient to ask questions and set individualized goals.
    3. Place the patient in a large group class with several unrelated diagnoses to save time.
    4. Use only an assigned handout because sensitive topics should not be discussed directly.

    Answer: Provide private, one-to-one teaching that allows the patient to ask questions and set individualized goals.

    The section states that individual teaching is preferred when the topic is sensitive and allows specific concerns to be addressed. A large group or handout-only approach would not provide the same privacy, relationship, or individualized goal setting described in the section.

  4. A nurse wants to support affective learning for patients coping with changes in health status. Which activities are consistent with techniques described for affective learning? Select all that apply.

    1. Memorizing vocabulary terms only
    2. Participation in role-play activities
    3. Group discussions
    4. Simulation
    5. Journaling

    Answer: Participation in role-play activities, Group discussions, Simulation, Journaling

    The section lists journaling, simulation, group discussions, and role-play as techniques that heighten affective learning. Memorizing vocabulary terms alone aligns more with lower-level cognitive learning, not with identifying and processing feelings, attitudes, and values.

  5. A nurse is teaching a patient and family member how to perform ostomy care. After explaining the procedure, demonstrating it, and providing written information, which action best evaluates psychomotor learning?

    1. Assign the family member to watch a recorded lecture at home without practice.
    2. Have the patient or family member demonstrate the task back while verbalizing the steps and answering questions.
    3. Ask the patient to state whether the written material was easy to read.
    4. Give a longer lecture about normal and abnormal stoma findings.

    Answer: Have the patient or family member demonstrate the task back while verbalizing the steps and answering questions.

    Psychomotor learning involves learning and doing, and the section describes return demonstration with reiteration of steps as expected. Reading, lecturing, or recorded content may support learning but do not evaluate performance of the skill in the same way.

  6. A nurse educator is planning activities and wants to use direct instruction. Which activities match direct instruction as described in the section? Select all that apply.

    1. Submitting a paper with limited educator involvement
    2. Sharing a video as part of nurse-led teaching
    3. A discussion about assigned readings led by the nurse
    4. A question-answer session with the nurse and learners
    5. A lecture led by the nurse

    Answer: Sharing a video as part of nurse-led teaching, A discussion about assigned readings led by the nurse, A question-answer session with the nurse and learners, A lecture led by the nurse

    Direct instruction involves active engagement of the educator and learners, with the teacher leading activities such as lecture, discussion, question-answer, or sharing a video. Submitting a paper with limited educator involvement is described as indirect instruction.

Where every quote comes from

Section 17.2 Methods and Approaches to Learning and Teaching of Fundamentals of Nursing by Christy Bowen, Lindsay Draper, Heather Moore, OpenStax, 2024. Read the whole section free at openstax.org.

The textbook is licensed under CC BY-NC-SA 4.0. This page quotes it word for word and adds the headings, the order and the practice questions; references to the book's figures and stray spaces left by its formatting are removed. The page is shared under the same licence. Nothing here is sold.