Question 1

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:

Accepted Answer

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. B

Question 2

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:

Accepted Answer

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. B

Question 3

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.)

Accepted Answer

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." A, C, D

Question 4

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

Accepted Answer

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 5

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

Accepted Answer

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

Question 6

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.)

Accepted Answer

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 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.)

Accepted Answer

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 8

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:

Accepted Answer

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 9

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

Accepted Answer

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

Question 10

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):

Accepted Answer

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

Question 11

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:

Accepted Answer

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 12

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

Accepted Answer

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 13

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.

Accepted Answer

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

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:

Accepted Answer

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 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:

Accepted Answer

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

Question 16

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?

Accepted Answer

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 17

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:

Accepted Answer

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

Question 18

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:

Accepted Answer

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 19

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:

Accepted Answer

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."

Question 20

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.)

Accepted Answer

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

Exam 10: Teaching and Learning in the 21st Century