Question 1

A nurse is teaching a client how to perform her own insulin injections.Which of the following should the nurse assess first to determine the client's experiential readiness to learn?

Accepted Answer

The client's ability to learn can most easily be assessed by determining the client's educational level.Direct questioning related to years of formal education is useful but does not always provide complete and accurate information.Reading ability and learning disabilities should also be considered.

Question 2

How can nurses best help expand availability of health education programs?

Accepted Answer

Although nurses can volunteer,join other people in requesting health education programs,or teach such programs as nurse entrepreneurs,the best way to expand the availability of such programs is to influence public policy regarding development and funding of health education programs.Although it is not clearly stated in Chapter 20 (all the answers are recommended in the text),the book as a whole emphasizes the importance of political action for more extensive influence.

Question 3

Which audience comment best demonstrates self-efficacy?

Accepted Answer

Self-efficacy is the belief that the learner is capable of engaging in the desired action.Stating "I believe I can learn to do this" demonstrates the belief by the learner that implementation is possible.

Question 4

When teaching an educational program to an adult audience,which of the following actions should a nurse take to best meet their educational needs?

Accepted Answer

To best meet the needs of the audience,it is important to use different teaching methods so that each member of the audience can learn by his or her preferred method,whether that is hearing,reading,discussing,or another activity.Thus,the use of only a PowerPoint presentation may not meet the needs of all the members of the audience.In addition,it is helpful to include all three domains of learning,which is usually necessary to incorporate a new health behavior into the learner's life.The best choices include opportunities for learning the material by preferred learning style,expressing feelings,and applying material,which represent the cognitive,affective,and psychomotor aspects.

Question 5

The nurse had a peer evaluation completed in order to improve her teaching expertise.Which of the following best describes this evaluation?

Accepted Answer

All of the options are possible evaluation mechanisms,but peer evaluation is having a peer-in this case,another professional nurse-observe and give feedback.

Question 6

Which comment to the nurse best demonstrates a successful health education program?

Accepted Answer

The overall goal is to teach a health-promoting activity that can be incorporated into the learner's lifestyle.Assessment of learner outcomes has traditionally been based on achievement of the behavioral objectives.If the objectives are properly written,each objective is measurable.Planning to take a daily walk demonstrates intention to incorporate the program content into personal lifestyle.

Question 7

A nurse began by asking the audience,"What do you want me to discuss?" All responses were written on the chalkboard and then,as specific points were discussed,the nurse erased the item.However,the nurse often added material that was not requested.Why would the nurse add more content?

Accepted Answer

The presentation should include not only what the audience wants to learn but also what the nurse,on the basis of previous experience,knows would be useful to them.

Question 8

Behavioral objectives should be

Accepted Answer

Although all of the responses are consistent with careful planning,the plan will not be workable unless the objectives are measurable and the nurse is able to observe changes in learning,attitudes,or behavior.Because the objectives convey intent to other people,such as external evaluators,they must also be communicable.If clearly stated,the objectives can also be used for evaluation purposes.

Question 9

A community/public health nurse is planning an educational program about healthy choices to prevent heart disease.Which of the following variables will be the primary influence as the nurse selects content for the program?

Accepted Answer

The nurse certainly must function within the constraints of the health care system,including policies of the employing agency and third-party payers;in a specific planned program,however,the actual content depends on the learning needs of the target group,as determined by a needs assessment.

Question 10

In what way is the Predisposing,Reinforcing,Enabling,Causes in Educational Diagnosis,and Evaluation (PRECEDE)model helpful when health education programs are implemented?

Accepted Answer

The PRECEDE model begins with the presence or absence of health problems that are linked to quality-of-life issues,with the question "What are the general concerns of the population?" Such assessment helps ensure that the intervention is based on diagnosis of the community's need.

Question 11

A nurse educator wanted to be certain that the program participants not only learned the content but also had time to practice these new behaviors.Which of the following must the nurse be sure to include in the program?

Accepted Answer

All of the answers are positive teaching behaviors,but to most effectively help the participants change both their attitudes and their behaviors,role-playing provides exploration of attitudes and use of problem-solving skills.

Question 12

The nurse distributed written materials with culturally appropriate pictures to the small groups in the audience and began to lecture on the important content before the planned discussion period.However,no one was listening.What should the nurse have done differently?

Accepted Answer

Wait to make group assignments and to give handouts for group activity until after you have given the final instructions;otherwise,people will be reading instead of listening to you.

Question 13

For whom are patient education programs very helpful?

Accepted Answer

Patient education describes teaching-learning activities for people with an identified alteration in health.Health education focuses on helping healthy groups maintain or improve their health.

Question 14

What strategies will a nurse include when planning an educational program for adults that ensures student learning?

Accepted Answer

Small group discussions promote active participation and engagement with the material, allowing for prompt feedback and application of the new knowledge. This approach has been shown to be effective in adult education. Other strategies, such as individual tutorials and multimedia technologies, can also be useful, but may not be as effective in ensuring student learning as small peer group discussions. Large group lectures may not promote active learning and may not be as effective as other strategies.

Question 15

Which of the following factors most influences a client's ability to learn from a health education program?

Accepted Answer

Learning depends primarily on emotional readiness,which is reinforced primarily by internal motivation.The learner must be willing to put forth the effort needed to learn.Internal motivation is self-directive and long lasting and is based on the belief that the client's action will be useful or enjoyable.

Question 16

Which of the following statements best demonstrates an appropriately written behavioral objective?

Accepted Answer

Behavioral objectives focus on the learner and what the learner demonstrates in terms of knowledge,attitudes,or beliefs.Understanding is not observable,whereas an accurate verbal explanation is observable.

Question 17

Which of the following would be the best question for a nurse to ask to determine whether an educational intervention had any effect?

Accepted Answer

Only "How are you going to apply these ideas at home?" will elicit responses that demonstrate whether the learner understood what was said and is willing to use the information in his or her life.It is also an excellent discussion question.Assessment of learner outcomes has traditionally been based on achievement of the behavioral objectives.

Question 18

Toward which individuals and their families are health education programs primarily aimed?

Accepted Answer

Health education focuses on helping healthy groups maintain or improve their health.Patient education describes teaching-learning activities for people with an identified alteration in health.

Question 19

In preparing to give a presentation on breast self-examination,a nurse went to the American Cancer Society and obtained a variety of handouts to use during the presentation.Which possibly erroneous assumption is the nurse making?

Accepted Answer

The use of handouts and other written materials is based on the assumption that the audience can read,but research has shown that approximately 50% of Americans lack basic literacy and math skills.

Question 20

Which of the following criteria must be met in order for an educational program to receive third-party reimbursement?

Accepted Answer

Insurance companies pay for illness,not wellness,and so they will pay for patient teaching regarding an existing illness only when it is prescribed by a physician.

Quiz 20: Health Teaching