Question 1

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.

Accepted Answer

To attain behavior changes,the person being taught must value the information and the behavior change.
The person must feel confident in his or her ability to perform the self-care measures;if the person does not believe that he or she has the ability to do the activity,the person may not even attempt it.
Using such threatening language as "the consequences of noncompliance" probably would make the patient feel defensive.Although this needs to be assessed (in a more gentle fashion),it is not the priority and can be addressed later.
It is important to know what resources,including other people,the patient has available,but this is not likely the most important area to assess.
Assuming the patient is unwilling is judgmental;in fact,the patient may have been very willing but felt unable to perform the activity.Other stresses may have interfered as well.

Question 2

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.

Accepted Answer

Group sessions in which individuals all have a common concern-in this case,pulmonary disease-offer the participants a chance to share information and opinions and provide the best opportunity for people to take responsibility for learning about their health needs.
Counseling and education are not synonymous.Counseling would not necessarily accomplish the goal of teaching material and having patients take responsibility of their health.
Lectures are a good format when basic material needs to be presented first.This is not the best answer in this situation.
Role-playing helps people understand the feelings and reactions to situations.Because the participants all have the experience in common,this strategy would not best meet the goal.

Question 3

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

Accepted Answer

Health literacy includes the ability to obtain,process,and understand basic health information and services needed to make appropriate health decisions.If the patient can condense the enormous amount of information on the Internet and determine what is reliable,she has a reasonable degree of health literacy.Motivation,the rationale for the patient's preference,and trust are not related to health literacy,although they might be important pieces of information to obtain.

Question 4

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.

Accepted Answer

Performing a summative evaluation at the end of the semester would allow the faculty member to determine which instructional method might be best.Comparing final examination results would provide this information,although the instructor needs to consider other influencing factors as well.
If the faculty member were assessing student satisfaction,this would be a valid answer;however,the faculty member wants to assess learning effectiveness.
Pop quizzes would be a type of formative evaluation,allowing for shifts in teaching style so that students could better meet objectives.
A peer evaluation can provide important feedback,but this will not provide definitive information on which teaching method worked best.

Question 5

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.

Accepted Answer

Because the teacher is experienced and has been successful in the past,he or she should assess the students for unknown barriers such as stress,lack of time,lack of support,or other personal characteristics of the learners.
Even if it were true that admission standards had been relaxed,this would only explain one type of barrier to learning.Before assuming this,further assessment would need to be made.
It is possible that current students are less prepared for college than past students,but this is too narrow to be the correct answer.
Students who are younger and more capable with technology may prefer "texts" that are web based or web enhanced,but this in itself would not prevent students from learning.

Question 6

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."

Accepted Answer

Health literacy includes the ability to understand instructions on prescription drug bottles,appointment slips,medical education brochures,doctor's directions and consent forms,and the ability to negotiate complex health care systems.Needing instructions written down step by step,not knowing what health care provider to call,and getting mixed up and frustrated over instructions demonstrate this patient's lack of the capacity to obtain,process,and understand basic health information and services needed to make appropriate health decisions.Not being able to read well and not being able to afford medications are certainly barriers to explore,but they are not related to health literacy.

Question 7

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?

Accepted Answer

Health literacy is not just the ability to read;it also includes the ability to understand instructions on prescription drug bottles,appointment slips,medical education brochures,doctor's directions and consent forms,and the ability to negotiate complex health care systems.Asking questions related to missing appointments,looking for information,comparing products,and making decisions would yield good information on the state of this patient's health literacy.Reading level is important but is not the best indicator.

Question 8

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.

Accepted Answer

This type of evaluation is called formative and occurs while the learning activity is still taking place.
Finalized is not one of the three major types of evaluations.
Professional is not one of the three major types of evaluations.
A summative evaluation occurs after the learning activity has occurred.

Quiz 10: Teaching and Learning in the 21st Century

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