Deck 11: Using Health Education and Groups in the Community

Question 1

A nurse is planning an educational program about cardiovascular disease. Which of the following would be the optimal time for the nurse to elicit feedback from program participants?

A)At the beginning of the program
B)At the program midpoint
C)Immediately following program completion
D)Throughout the program

Answer 1

Throughout the program

Question 2

Which of the following strategies should be used when providing educational programs for children? (Select all that apply.)

A)Emphasize how to build learning from previous experiences.
B)Use simple words to enhance understanding.
C)Use objects to help increase their attention.
D)Emphasize the importance of the long-term consequences.

Answer 2

Use simple words to enhance understanding.
Use objects to help increase their attention.

Question 3

A nurse just finished teaching breast self-examination to a large group of women at a professional conference. During the session, she distributed literature and used culturally appropriate visual aids. However, the session was not as effective as it could have been. Which of the following was the most important thing omitted by the nurse?

A)Time for audience members to ask questions and clarify the information
B)Explanation of why culturally appropriate images are more acceptable
C)Opportunity for the women to practice what they learned
D)Use of simple language instead of printed material

Answer 3

Opportunity for the women to practice what they learned

Question 4

A group of teenagers with diabetes become upset and angry because they cannot agree on whether or not to have meetings during summer vacation. Which of the following should the nurse do to be effective in helping the teenagers resolve the conflict?

A)Admit that it is difficult for everyone to agree on everything; then ask whether the group can try to decide how to agree on the issue.
B)Assume adult authority and announce that meetings will be suspended until fall.
C)Recognize that most of the teenagers want to have the meetings, but two are being stubborn; ask the two deviant members to leave the group.
D)Suggest that the group avoid discussing it further but rather think about it over the next week and try to discuss the situation more rationally next week.

Question 5

A nurse is using the technique of motivational interviewing when working with a client. Which of the following statements by the client indicates the client is ready to make the change?

A)"I should change."
B)"I am willing to change."
C)"It's important to change."
D)"I want to change."

Question 6

A nurse is providing an educational program about testicular self-examination (TSE). Which of the following would be the best learning objective for this program?

A)Each participant will state why TSE is important and explain how to do it.
B)Each participant will describe how to do TSE and discuss the dangers of testicular cancer.
C)90% of the men will correctly demonstrate testicular self-examination.
D)100% of the men will do a testicular examination correctly on a model.

Question 7

A member of a community weight-loss group has maintained a healthy weight for 2 years through healthy eating and daily exercise. Which of the following steps of the affective domain is this participant demonstrating?

A)Analysis
B)Application
C)Evaluation
D)Knowledge

Question 8

A nurse established an ongoing group meeting of teenagers with diabetes. In the early stages, the nurse was very directive in arranging location, providing low-carbohydrate drinks and snacks, steering the discussion, and trying to meet all the teenagers' needs. After the group had been meeting for about 3 months, the nurse noticed that the group members no longer simply accepted everything the nurse suggested. Instead, the teenagers began making decisions themselves, and eventually, the nurse no longer controlled the group. Which of the following most likely happened to cause this shift?

A)The group became cohesive enough to share leadership tasks.
B)Teenagers don't like feeling dependent on adults with power.
C)Teenagers often rebel against adult authority.
D)The nurse was overwhelmed and lost control of task process.

Question 9

A nurse planned a presentation about the latest trends in disaster planning for the senior nursing students at the local college. However, when the nurse began to share the information, the students were talking to one another and essentially ignoring the nurse. Which of the following actions should be taken by the nurse?

A)Ask the students why they are being so rude.
B)Explain why the information is crucial to their current clinical practice.
C)Nothing; let the instructor of the course handle the problem.
D)Tell a joke to get the students' attention.

Question 10

A nurse is meeting to discuss problems and solutions with a group of teenagers who have been newly diagnosed with diabetes. One teenager states, "My mom found this particular brand of popcorn that has only 15 carbohydrates in the whole giant bag." Which of the following best describes the group purpose that is being served by the teenager's statement?

A)Maintenance function of encouraging everyone to continue the discussion
B)Maintenance function of helping everyone feel comfortable talking about food
C)Task function of resolving problems about what to nibble during movies
D)Task function of sharing information and resources

Question 11

A nurse uses lecturing as the primary method of educating clients. Which part of the education process is missing?

A)Evaluation
B)Experience
C)Participation
D)Understanding

Question 12

The leader of an Alzheimer's support group surveys the members of the group to determine the best time for the group to meet. Which of the following norms is being supported through this action?

A)Group norms
B)Task norms
C)Maintenance norms
D)Reality norms

Question 13

A nurse has been making ongoing visits to a preschool to help the staff teach the children important skills, such as brushing their teeth after meals. Now the nurse is scheduled to teach carbohydrate counting to adults newly diagnosed with diabetes. Which of the following actions will the nurse need to take when teaching this population? (Select all that apply.)

A)Appeal to the need for autonomy and choice.
B)Emphasize that anyone with diabetes must know this information.
C)Explain how to cope with being a guest at a dinner.
D)Recognize that this audience will depend on the instructor to set goals for learning.

Question 14

A nurse invited all the teenagers who were newly diagnosed with diabetes to a group meeting to discuss issues they all had in common. One teenager replied, "I don't know if I want to share all the problems I'm having with strangers." Which of the following is the best nurse response?

A)"Don't share anything with anyone until you're comfortable doing so."
B)"I can understand what you are saying."
C)"No one will require you to do anything you don't want to do."
D)"The purpose of the group is to have a safe place to share problems with others who may be having similar problems."

Question 15

The nurse gives a very informative and engaging presentation and then gives everyone in the audience a handout that outlines the presentation. Later, the nurse discovers that many of the handouts were thrown away before the audience left the building. Which of the following educational principles has the nurse forgotten?

A)Audiences expect PowerPoint or video presentations, not lectures.
B)Many Americans do not have a high reading level.
C)People want photographs and images, not wordy outlines.
D)The nurse gave them too much information too fast for them to want to cope with it all.

Question 16

Which of the following characteristics must a learner possess to successfully master psychomotor learning? (Select all that apply.)

A)The necessary ability to perform the skill
B)An open mind to learning the new skill
C)A sensory image of how to perform the skill
D)Opportunities to practice the skill

Question 17

A patient tells a nurse, "I know all about this already. I read about it on the Internet." The patient then summarizes what he has learned. Because some of this information seems incorrect, what questions would be effective for the nurse to ask? (Select all that apply.)

A)Were you able find what you wanted easily on the website?
B)Did the website say when the information was updated?
C)Did the website state who was responsible for the information?
D)Did you enjoy reading the material on the website?

Question 18

A man says, "I just can't get myself to leave the house and go for a 30-minute walk each day. I wish I could think of some way to motivate myself." Which of the following would be the best action for the nurse to take?

A)Establish a written contract between him and his employer that states walking is required each day.
B)Recognize the reasons why 30 minutes of walking each day is one of the best health promotion activities he can choose.
C)Join a group that walks early each morning.
D)Set up rewards for himself, such as a nice snack after he gets back from walking.

Question 19

When evaluating an educational program, the nurse discovers that only 25% of community members met the learning objectives. Which of the following parts of the program should be improved?

A)Educator
B)Content
C)Learners
D)Objectives

Question 20

Which of the following statements regarding the Health Belief Model is accurate?

A)Cues to action are an important component of the model.
B)Multiple methods of education should be used when implementing this model.
C)The first stage experienced in this model is the pre-contemplation stage.
D)To successfully implement this model, ongoing maintenance of the behavior must be considered.