Question 1

A nurse is working for a public health department as the community health educator.Which of the following is a potential barrier that a nurse may experience?
A) Working with clients with a low literacy level
B) Memorizing the information that is to be taught
C) Having a limited vocabulary
D) Lacking knowledge about how to gain participation

Accepted Answer

Educators may lack knowledge about how to gain participation.Participation can be fostered by asking open-ended questions,inviting participation,and planning small-group activities whereby a person responds based on the group rather than presenting his own information.Clients with low literacy levels and limited vocabularies are considered to be a learner-related barrier,not a barrier of the educator.Memorizing the information to teach may cause problems with the presentation but would not be a barrier for the educator.

Question 2

What is the purpose of providing education across the three levels of prevention? Education:
A) enables clients to attain optimal health.
B) identifies and treats health problems early to eliminate disability.
C) enables populations to break into individuals.
D) teaches people about Healthy People 2020.

Accepted Answer

Health education enables clients to attain optimal health,prevent health problems,and identify and treat health problems early to minimize disability.Elimination of disability may not be possible.Health education does not teach about the Healthy People 2020 document or break populations into individuals.

Question 3

The nurse is teaching a new diabetic client how to give himself an insulin injection.Which of the following domains would be used?
A) Developmental
B) Cognitive
C) Affective
D) Psychomotor

Accepted Answer

The psychomotor domain includes the performance of tasks that require some degree of neuromuscular coordination and emphasizes motor skills.Developmental domain is not one of the domains of learning.The cognitive domain includes memory,recognition,understanding,reasoning,and problem solving.The affective domain is used to attempt to influence what individuals,families,communities,and populations feel,think,and value.

Question 4

A community health nurse is writing an objective.Which of the following would be most appropriate for the nurse to write?
A) Each member of the family will give an insulin injection to the client with accurate dosage 100% of the time for 10 consecutive trials.
B) The client will perform a blood sugar test on herself with an accurate blood sugar reading.
C) The community will take their children to receive immunizations within 1 month of the immunization due date.
D) Fifty percent of the eligible women seen in the clinic will return for their scheduled mammogram appointment.

Accepted Answer

Objectives are specific,short-term criteria that need to be met as steps toward achieving the long-term goal.They are written as statements of an intended outcome or expected change in behaviors and should be defined in measurable terms.The objective "each member of the family will give an insulin injection to the client with accurate dosage 100% of the time for 10 consecutive trials" contains the components of a written objective."The client will perform a blood sugar test on herself with an accurate blood sugar reading" does not provide any measureable terms."The community will take their children to receive immunizations within 1 month of the immunization due date" does not provide a measurable percentage of the members of the community."Fifty percent of the eligible women seen in the clinic will return for their scheduled mammogram appointment" focuses on a long-term goal,rather than a short-term objective and does not provide a time frame for when this would be measured.

Question 5

A nurse is using the educational process of selecting appropriate educational methods when planning a community health program.Which of the following steps of the nursing process does this action most resemble?
A) Assessment
B) Evaluation
C) Implementation
D) Planning

Accepted Answer

Assessment would be identifying educational needs,evaluation would be evaluating educational process,and implementation would be implementing the educational plan.Planning is similar to selecting appropriate educational methods.

Question 6

During a class on newborn care given at a local health department,a nursing student asks the participants to practice with baby dolls.Which of the following steps of promoting effective education is the student using?
A) Eliciting performance
B) Assessing performance
C) Enhancing retention and transfer of knowledge
D) Gaining attention

Accepted Answer

The step of eliciting performance includes encouraging the learners to demonstrate what they have learned.Gaining attention occurs at the beginning of the program.Assessing performance occurs at the end of the program.Enhancing retention and transfer of knowledge occurs as the learners are asked to apply the information to their lives and situations (not to the care of the dolls).

Question 7

A nurse is developing a goal for a client who is learning how to care for an ostomy.Which of the following would be most appropriate to develop?
A) The client will look at his stoma without disgust each time his ostomy bag comes off.
B) The client will be able to independently take care of his ostomy bag within three months.
C) The client will gather all ostomy supplies correctly each time his ostomy bag needs to be changed.
D) The client will successfully describe to the nurse how to care for his ostomy when he is asked.

Accepted Answer

Goals are broad,long-term expected outcomes.The correct answer describes something that will happen over a long period of time.The other choices describe objectives.

Question 8

A health educator is trying to change a client's attitudes about smoking.Which of the following domains would be used?
A) Cognitive
B) Affective
C) Psychomotor
D) Developmental

Accepted Answer

The affective domain is used to attempt to influence what individuals,families,communities,and populations feel,think,and value.The cognitive domain includes memory,recognition,understanding,reasoning,and problem solving.The psychomotor domain includes the performance of skills that require some degree of neuromuscular coordination and emphasizes motor skills.Developmental domain is not one of the domains of learning.

Question 9

The cognitive domain includes:
A) changes in attitudes and the development of values.
B) the performance of skills.
C) memory, recognition, understanding, reasoning, and problem solving.
D) memorization of one set of skills before moving on to the next.

Accepted Answer

The cognitive domain includes memory,recognition,understanding,reasoning,and problem solving.The affective domain includes changes in attitudes and the development of values.The psychomotor domain includes the performance of skills that require some degree of neuromuscular coordination and emphasizes motor skills.Memorization of skills is only one part of the cognitive domain.

Question 10

A nurse is teaching a client about how to complete a wound dressing change.Which of the following conditions must be met before learning will occur?
A) Must be able to memorize the instructions, relay this information to a partner, and demonstrate the dressing change
B) Must master the dressing change at the time it is taught, repeat the demonstration for the nurse, and teach another person
C) Must be able to speak the language of the nurse, have time to practice the dressing change, and master the dressing change in a short time
D) Must have the necessary ability, a sensory image of how to carry out the dressing change, and an opportunity to practice the dressing change

Accepted Answer

Before psychomotor learning occurs,the learner must have the necessary ability,a sensory image of how to carry out the skill,and an opportunity to practice the skill.This is the only option that contains all of the necessary requirements of the learner.

Question 11

A nurse uses Healthy People 2020 as a guide when planning health education in the community.Which of the following actions would be taken by the nurse?
A) Focus on avoiding cigarette smoking and using alcohol in moderation
B) Educate clients using primary and secondary levels of prevention
C) Use Bloom's taxonomy when planning educational objectives
D) Design health fairs aimed at individuals

Accepted Answer

Healthy People 2020 focuses on implementing health promotion in priority areas using primary and secondary prevention.Understanding the three learning domains is crucial in providing effective health care.Health fairs targeted at specific populations can provide a venue for providing primary and secondary prevention.

Question 12

A nurse has evaluated the learning needs of a community support group.Which of following steps should the nurse take when developing an educational program for them?
A) Consider any potential barriers to learning
B) Establish goals and objectives for the program
C) Select appropriate materials for the program
D) Assess the dynamics of the group

Accepted Answer

Instructional objectives need to be evaluated before a teaching program is designed.The five steps of the educational process are: (1)identifying educational needs,(2)establishing educational goals and objectives,(3)selecting appropriate educational methods,(4)implementing the educational plan,and (5)evaluating the educational process.

Question 13

A nurse is implementing a community health education program at a local church.Which of the following educational principles should the nurse implement when providing this education?
A) Refer to trustworthy sources
B) Use an active voice
C) Create the best learning environment
D) Accentuate the positive health behaviors of the participants

Accepted Answer

The environment must be conducive to learning for educational programs to be effective.The environment should be free of distractions and consistent with the message.The other strategies may assist with the educational program,but are not one of the major educational principles discussed in the textbook.

Question 14

A nurse is working with an individual who has a low literacy level.Which of the following barriers to learning should the nurse anticipate?
A) Asking for additional clarification of materials
B) Requesting to read the information later
C) Having a high level of anxiety
D) Being overly dependent on others

Accepted Answer

Individuals with a limited literacy may have a limited vocabulary and general knowledge and do not ask for clarification.They may focus on details and deal in literal or concrete concepts versus abstract concepts.They may select responses on a survey without necessarily understanding them and may be unable to understand math.They may have a low motivation to engage in learning or may drop subtle clues that they cannot read by stating they will look at information later or take it home.The level of anxiety may vary among these individuals; it is more common for these individuals to request to read it later.

Question 15

A nurse is teaching a postpartum mother how to breastfeed her infant.The nurse notes that the mother is alert and agrees that breastfeeding is important to her and beneficial to her baby.The nurse outlines the expectations of breastfeeding for the mother and the baby.Considering the events of instruction,which of the following should the nurse do next?
A) Ask the mother about her previous experience with breastfeeding
B) Demonstrate how to position the baby for breastfeeding
C) Show the mother a video about breastfeeding
D) Have the mother demonstrate breastfeeding

Accepted Answer

Asking the mother about her previous experience with breastfeeding identifies her educational needs.Using the TEACH mnemonic,the first thing the nurse should do is "Tune in": listen before starting to teach; the client's needs should direct the content.Thus,this should be done before the nurse does any demonstration,showing of audiovisual resources,or return demonstration.

Question 16

A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections.Which of the following formats would be most appropriate for the nurse to use?
A) Demonstration
B) Health fair
C) Lecture
D) Non-native language session

Accepted Answer

Demonstration also includes return demonstration.Giving injections can best be learned by seeing the behavior being done.Health fairs target specific populations and are held in a variety of locations.Non-native language sessions are a way to adapt the health fair to a population that does not speak English.Lecture is a non-interactive method of teaching.

Question 17

Which statement about education is true?
A) It emphasizes the provider of knowledge and skills.
B) It emphasizes the recipient of knowledge and skills.
C) It is a process of gaining knowledge and expertise.
D) It results in behavioral change.

Accepted Answer

Education is the establishment and arrangement of events to facilitate learning.Education emphasizes the provider's role in providing knowledge and skills.Learning emphasizes the recipient of knowledge and skills.Education does not necessarily result in change,as change is typically not easy for most people.Education is designed to effect changes in the knowledge,skills,and attitudes,not necessarily expertise.

Question 18

A nurse is implementing an educational program about the importance of being physically active.Which of the following steps would the nurse complete first?
A) Provide learning guidance
B) Present the stimulus
C) Gain the learner's attention
D) Ask learners to recall prior learning

Accepted Answer

Gaining the learner's attention must happen first before learning can take place.The following steps of implementation include telling the learners the objectives of the instruction,asking learners to recall previous knowledge,presenting the essential materials,helping the learners apply the information,encouraging learning to demonstrate what they have learned,and providing feedback to help learners improve their knowledge and skills.

Question 19

A nurse is working with a group of clients diagnosed with diabetes and is teaching a class about avoiding the long-term effects of diabetes.The nurse begins the class by reviewing the basic physiology of diabetes,which was taught the week before.Which of the following principles of effective education is the nurse using?
A) Stimulating recall of prior learning
B) Gaining attention
C) Presenting the material
D) Providing learning guidance

Accepted Answer

The educator should have the learners recall previous knowledge related to the topic of interest.The principle of gaining attention should have been applied as the program started the week before.Recall should be done before new material is presented and before learning guidance is provided.

Question 20

A nurse prepares for a presentation to a group of adults using strategies appropriate for adult learning.Which of the following concepts is being applied?
A) Authoritarianism
B) Learning style
C) Pedagogy
D) Andragogy

Accepted Answer

Andragogy is a term and model developed by Malcolm Knowles to describe learning strategies for adult learners.In pedagogy the teacher assumes full responsibility for making decisions about what will be learned,and how and when it will be learned.In authoritarianism the leader controls group movement and progress through interpersonal power.Learning style refers to how someone learns best.

Quiz 16: Changing Health Behavior Using Health Education with Individuals, Families, and Groups

A nurse is working for a public health department as the community health educator.Which of the following is a potential barrier that a nurse may experience?

What is the purpose of providing education across the three levels of prevention? Education:

The nurse is teaching a new diabetic client how to give himself an insulin injection.Which of the following domains would be used?

A community health nurse is writing an objective.Which of the following would be most appropriate for the nurse to write?

A nurse is using the educational process of selecting appropriate educational methods when planning a community health program.Which of the following steps of the nursing process does this action most resemble?

During a class on newborn care given at a local health department,a nursing student asks the participants to practice with baby dolls.Which of the following steps of promoting effective education is the student using?

A nurse is developing a goal for a client who is learning how to care for an ostomy.Which of the following would be most appropriate to develop?

A health educator is trying to change a client's attitudes about smoking.Which of the following domains would be used?

The cognitive domain includes:

A nurse is teaching a client about how to complete a wound dressing change.Which of the following conditions must be met before learning will occur?

A nurse uses Healthy People 2020 as a guide when planning health education in the community.Which of the following actions would be taken by the nurse?

A nurse has evaluated the learning needs of a community support group.Which of following steps should the nurse take when developing an educational program for them?

A nurse is implementing a community health education program at a local church.Which of the following educational principles should the nurse implement when providing this education?

A nurse is working with an individual who has a low literacy level.Which of the following barriers to learning should the nurse anticipate?

A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections.Which of the following formats would be most appropriate for the nurse to use?

Which statement about education is true?

A nurse is implementing an educational program about the importance of being physically active.Which of the following steps would the nurse complete first?

A nurse prepares for a presentation to a group of adults using strategies appropriate for adult learning.Which of the following concepts is being applied?