Deck 10: Teaching and Learning in the 21st Century

Question 1

A nursing school wants to invest in expensive simulation equipment.The college president resists,asking why so much money is needed for a computerized simulation mannequin and programs instead of just having students practice in the skills lab.The best response the nursing dean can offer to justify this expense is:

A)"A day doing simulations can substitute for clinical when census is low."
B)"Actively engaging in scenarios will improve students' ability to learn."
C)"Routinely practicing skills in the lab is helpful but boring to students."
D)"Because other colleges use simulations,we need them to stay competitive."

Answer 1

"Actively engaging in scenarios will improve students' ability to learn."

Question 2

A patient needs to make several challenging life changes to cope with a serious chronic illness.Instead of teaching the patient,the nurse spends time visiting with the patient and inquiring about family life,work,and hobbies.When a new nurse asks the reason for "wasting so much time" with the patient,the first nurse explains,

A)"All patients like to feel important and that you are interested in them."
B)"I like to establish rapport first before just jumping in and teaching."
C)"Knowing more about the patient informs me about possible motivators."
D)"When patients view you as friendly,they are more likely to respond."

Answer 2

"Knowing more about the patient informs me about possible motivators."

Question 3

A student nurse is teaching a patient from an unfamiliar culture about diabetic self-care.The patient is willing and able to take blood glucose readings and give insulin injections but will not use the sliding scale insulin protocol the physician has ordered.Which action by the student would be most beneficial?

A)Ask why the patient is unwilling to follow the scale.
B)Assess the patient's health-related value system.
C)Call the physician and ask for a simplified regimen.
D)Have someone else try to teach the sliding scale.

Answer 3

Assess the patient's health-related value system.

Question 4

A nurse has spent time teaching a patient and has provided several pamphlets along with written discharge orders in anticipation of discharge from the hospital in the morning.The patient appears bored and says,"I can't find my glasses." The best action by the nurse is to

A)ask the patient why he or she is bored.
B)come back later when the patient is ready.
C)inquire gently about reading ability.
D)stop teaching and find the patient's glasses.

Question 5

According to the cone theory of learning,the least effective method for learning is

A)discussing.
B)listening.
C)reading.
D)writing.

Question 6

A faculty mentor is explaining to a new faculty member how to assess affective objectives.The mentor states that the individual needing to make a health-related behavior change first needs to accomplish

A)accepting.
B)receiving.
C)responding.
D)valuing.

Question 7

A nursing faculty member wants to use Internet-based synchronous learning to make up a class that was missed because of school closure.The instructor would plan to create a(n)

A)electronic drop box.
B)e-mail discussion.
C)slide presentation.
D)web conference.

Question 8

A clinical faculty member stresses "see one-do one-teach one" as a teaching methodology.When asked about this technique,the instructor explains that

A)doing all three things covers several learning styles.
B)it gives the students a feeling of mastery of the topic.
C)people retain a high percentage of what they teach.
D)teaching others helps develop leadership in students.

Question 9

A mentor is working with a new faculty member to design learning activities and explains that using Bloom's taxonomy is helpful to

A)describe changes in the learner's biases and values.
B)distinguish Cognitive Levels based on complexity.
C)level text material based on year in nursing school.
D)organize assessment data into the nursing process.

Question 10

The technology-savvy nurse often refers patients to interactive online learning resources for health care information.What issue does this nurse need to consider as a priority when using this method of instruction?

A)Divide between people with technology and those without it
B)Learning style most receptive to using Internet resources
C)Relative lack of information on specific disease topics
D)The types of devices on which patients access these sites

Question 11

A faculty member is preparing a class that covers very sophisticated and difficult material.This faculty member uses the cognitive learning theories predominantly.To use cognitive theory to teach this material,the faculty member would most likely

A)assess students' knowledge first because they may need to "unlearn" other material.
B)assign a case study that requires group collaboration and problem solving.
C)prepare a detailed lecture complete with informative slides and handouts.
D)require students to read heavily on their own and give minimal information.

Question 12

A diabetic nurse educator teaches according to the principles of the cone of experience theory.Which activity planned by this nurse would best demonstrate the concepts in the theory when teaching a patient with diabetes to self-administer insulin injections?

A)Demonstrate and then allow plenty of practice and return demonstrations.
B)Find out the client's motivating factors and design rewards that fit these motivators.
C)Identify the learning styles of individual clients and tailor teaching to his or her style.
D)Use teaching styles that stimulate all five senses,limiting environmental distractions.

Question 13

A nurse is teaching a patient who is a recent immigrant from an Asian culture.The patient listens politely to discharge instructions and agrees to follow them.Two days later,the patient is readmitted,and the nurse is surprised to find none of the discharge instructions have been followed.The nurse would most likely conclude the patient

A)did not have the resources to adhere to the directions.
B)is noncompliant or he or she would have asked questions.
C)lacked enough knowledge to follow through the instructions.
D)was too embarrassed to indicate a lack of understanding.

Question 14

A nurse is directing a patient to information on the Internet and recommends the site Health on the Net (HON).The nurse explains that this site

A)evaluates the reliability of Internet health information.
B)presents a variety of health care topics written for lay people.
C)is a telehealth site with online health care consultations.
D)uses a program to determine the reading level of text.

Question 15

A patient has been attending an outpatient diabetes education group.On assessing the patient after several sessions,the nurse determines that the patient's knowledge is far below what the diabetic educator expects.The patient states,"I can't stand that group! All that talk mixes me up." The nurse concludes the most likely reason for this response is that the patient

A)is not an auditory learner and is frustrated.
B)should give the group experience more time.
C)really does not like the people in the group.
D)would respond better to personal discussion.

Question 16

A nurse working with professionals in continuing education understands that the learning theory that probably will be most useful in this job is a __________ theory.

A)behaviorist
B)change
C)cognitive
D)humanistic

Question 17

A nurse has planned a detailed and individualized teaching plan for a patient who had a double mastectomy.While working with her,the nurse notes that the patient seems distracted and unable to remember what was just taught;also,her skill at changing her dressings is poor.The nurse is frustrated and consults a colleague,who explains that the most likely reason for this behavior is

A)denial of the need to learn self-care.
B)inadequate pain relief or treatment.
C)lack of emotional readiness to learn.
D)not enough time to perform the skills.

Question 18

A nursing professor has three students from Africa in class.None of them is doing well,but they rebuff invitations to come to the professor's office with questions about the material.What action by the nursing professor would best address this problem?

A)Find a mentor from their own culture who can help them be successful.
B)Meet with them in a neutral spot and have discussion questions for them.
C)Reassure them that the professor is available during office hours for questions.
D)Send them to the academic skills specialist in the college for more help.

Question 19

A nursing dean is telling an applicant for a nursing faculty position that the school uses "learning-centered education" in which students are responsible for active learning and faculty members serve as guides.The potential faculty member labels the style of teaching at this college as based on __________ theories.

A)behaviorist
B)change
C)cognitive
D)humanistic

Question 20

A nurse educator recognizes that presenting course content in a logical progression from simple concepts to more complex ones is a characteristic of __________ theories.

A)behaviorist
B)change
C)cognitive
D)humanistic

Question 21

A patient has been readmitted to the hospital,and the admitting nurse discovers that the patient did not follow through with previous discharge instructions.The nurse also discovers that the patient understood the directions and had all the necessary supplies.The nurse would gain the most valuable information by asking the patient about (Select all that apply. )

A)how important the patient thought the self-care was.
B)whether the patient felt capable of actually performing self-care.
C)whether the patient realizes the consequences of noncompliance.
D)whom the patient can call when he or she has questions about care.
E)why the patient was unwilling to perform self-care measures.

Question 22

A nurse who runs a pulmonary rehabilitation program wants to incorporate an educational component designed to facilitate patients' ownership of their own health.To accomplish this goal,the nurse would most likely create sessions based on

A)individual counseling.
B)group discussions.
C)lectures.
D)role-playing.

Question 23

A patient states that she uses the Internet to look up everything related to her medical condition and treatment and so does not need the teaching prepared by the nurse.What aspects of health literacy are especially important for the nurse to assess in this patient? (Select all that apply. )

A)Ability to condense a huge amount of information
B)Ability to determine what information is reliable
C)Motivation of the patient to do her own research
D)Reason the patient prefers learning on the Internet
E)Trust in the nurse to provide accurate information

Question 24

A faculty member who has substantially changed the way he conducts classes and presents content now wishes to evaluate the effectiveness of the new strategies.To best meet this goal,the faculty member should plan to

A)ask the students which method of instruction they liked best.
B)compare final examination grades for this class and previous classes.
C)give pop quizzes periodically throughout the course of the class.
D)have an experienced faculty member conduct a peer evaluation.

Question 25

A faculty member is experienced and has taught the same material successfully for several semesters.This year's class is having more difficulty than usual.The faculty member would most likely conclude that

A)admissions standards may have been relaxed recently.
B)students are less prepared for college than in the past.
C)texts should be updated to reflect enhanced technology.
D)unknown barriers exist that are hindering the learning.

Question 26

A nurse has finished teaching a patient about self-management of a new disease just diagnosed.What statements by the patient indicate to the nurse that the patient's health literacy may be a barrier to learning? (Select all that apply. )

A)"Can you write down the instructions step by step?"
B)"I can't read this brochure you gave me yesterday."
C)"I got admitted because I didn't know which doctor to call."
D)"These instructions mix me up and frustrate me."
E)"This new medication is too expensive for me to take."

Question 27

A nurse is assessing a patient before developing a teaching plan.What questions or statements will best obtain data on this patient related to health literacy? (Select all that apply. )

A)Have you missed appointments because you misunderstood the instructions?
B)How well are you able to read?
C)How would you look for information on your diagnosis?
D)Tell me how you compare two similar products.
E)What would make you go to the emergency department?

Question 28

A student is meeting with a faculty member for a midterm clinical evaluation.The faculty member explains that this type of evaluation is

A)finalized.
B)formative.
C)professional.
D)summative.