Lesson 12, 14-18

A community health nurse is working with clients to make long-standing, health-related changes using the transtheoretical model. Place the stages of the transtheoretical model in order from first to last. (Move the stages into the box on the right, placing them in order from first to last. Use all the stages.) 1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance

1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance

A community health nurse is planning a health education initiative for clients who have type 2 diabetes mellitus. The nurse should identify which of the following as the goal of client education? a. Behavioral change b. Knowledge retention c. Modifying beliefs and values d. Learning new skills

A a. Behavioral change Health education is aimed at influencing behavioral changes in clients. b. Knowledge retention Knowledge retention is important. However, it is what the client does with the knowledge that matters most. c. Modifying beliefs and values Change in belief and value systems are important, but ultimately the goal is a change in behavior. d. Learning new skills Learning new skills is important, but ultimately the goal is a change in behavior.

A community health nurse is developing an education activity for a client who is a tactile-kinesthetic learner. Which of the following activities would support a tactile-kinesthetic learner? a. Practicing taking their own blood pressure measurements b. Looking at pictures demonstrating basic exercise moves c. Listening to a presentation about nutrition d. Writing down key points during a presentation about diabetic foot exams

A a. Practicing taking their own blood pressure measurements Practicing taking their blood pressure is a hands-on activity that supports tactile-kinesthetic learners. b. Looking at pictures demonstrating basic exercise moves A visual learner would benefit from looking at pictures. c. Listening to a presentation about nutrition Auditory learners benefit from listening to presentations and recordings. d. Writing down key points during a presentation about diabetic foot exams Taking notes helps visual learners.

A community health nurse is developing an educational activity for clients who have type 2 diabetes mellitus. Which of the following activities would support a visual leaner? (Select all that apply.) a. Taking notes on when to check their blood glucose levels b. Watching a video presentation on healthy foods to prepare c. Drawing up insulin in a syringe d. Having a discussion about the importance of daily exercise e. Setting up a glucometer

A,B Taking notes on when to check their blood glucose levels is correct. Taking notes helps visual learners. Watching a video presentation on healthy foods to prepare is correct. A visual learner would benefit from watching a video presentation. Drawing up insulin in a syringe is incorrect. Practicing drawing up insulin in a syringe is a hands-on activity that supports tactile-kinesthetic learners. Having a discussion about the importance of daily exercise is incorrect. Auditory learners benefit from listening to presentations and recordings, as well as participating in discussions. Setting up a glucometer is incorrect. Practicing setting up a glucometer is a hands-on activity that supports tactile-kinesthetic learners.

A community health nurse is planning a health education initiative and wants to incorporate the humanistic learning theory. Which of the following are principles of the humanistic learning theory? (Select all that apply.) a. Learning a holistic process b. Knowledge should be formally evaluated c. The learner should feel physically, mentally, and emotionally safe d. Incentives are necessary to motivate the learner e. The learner needs to have behaviors modeled for them

A,C Learning is a holistic process is correct. Humanistic learning theory states that learning is a holistic process. Knowledge should be formally evaluated is incorrect. Humanistic learning theory does not emphasize evaluation of knowledge. The learner should feel physically, mentally, and emotionally safe is correct. Humanistic learning theory values a safe learning environment. Incentives are necessary to motivate the learner is incorrect. Behavioral learning theory incentivizes learners. The learner needs to have behaviors modeled for them is incorrect. Social learning theory suggests that individuals learn from the actions and subsequent consequences of others.

A community health nurse is planning an event for community members. Which of the following actions should the nurse take first? a. Decide on a topic to present b. Identify the target audience and their learning needs c. Create goals and learning objectives d. Pick a venue to host the event

B a. Decide on a topic to present Deciding on a topic to present is not the first action the nurse should take. b. Identify the target audience and their learning needs he nurse should first identify the target audience and their learning needs c. Create goals and learning objectives Creating goals and learning objectives comes after identifying the target audience and their learning needs. d. Pick a venue to host the event Selecting a venue comes after gathering information about who will be attending, identifying their learning needs, and choosing the format that will be used to teach.

A community health nurse is working with a client who has a chronic condition that requires management. The nurse should use which of the following to determine the client's readiness to change? a. Health Belief Model b. Transtheoretical Model c. Cultural Care Theory d. Health Promotion Model

B a. Health Belief Model The health belief model is used to determine what motivates an individual to make health-related changes. b. Transtheoretical Model A client's readiness to change can be measured using the transtheoretical model. c. Cultural Care Theory Cultural care theory is used to provide culturally congruent care to clients. d. Health Promotion Model The health promotion model assesses an individual's self-efficacy.

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following statements is true regarding health literacy? a. The nurse should provide a list of definitions for medical jargon b. The nurse should use plain language c. Clients who have college education do not require assistance d. Asking a client for return demonstration is not necessary if they say they understand

B a. The nurse should provide a list of definitions for medical jargon Medical jargon should be avoided entirely. b. The nurse should use plain language The nurse should use plain language and avoid medical jargon when interacting with clients. c. Clients who have college education do not require assistance A college education does not guarantee that an individual can understand health information. d. Asking a client for return demonstration is not necessary if they say they understand Teach-back or return demonstration is the best way to assess if a client understands what has been taught to them.

A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical model. Which of the following statements from the client indicates they are in the action stage? a. "I know that I need to start exercising again" b. "I have signed up with a community walking group that meets three times a week" c. "I have been jogging every morning for the last three months" d. "Over the last year, I have increased my intake of fresh fruits and vegetables"

C a. "I know that I need to start exercising again" This statement indicates that the client is in the contemplation stage because they are thinking about changing. b. "I have signed up with a community walking group that meets three times a week" This statement indicates that the client is in the preparation stage and will likely act on their plans in the next 30 days. c. "I have been jogging every morning for the last three months" This statement demonstrates that the client has taken action and has been consistent for less than 6 months. d. "Over the last year, I have increased my intake of fresh fruits and vegetables" This statement indicates that the client is in the maintenance stage because they have been consistent with eating healthier for 12 months.

A community health nurse is teaching a group of clients at a diabetes mellitus clinic about carbohydrate counting. Which of the following should the nurse include as an example of a long-term client outcome? a. Demonstrating how to check their blood pressure b. Listing foods to avoid hyperglycemia c. No hospital readmissions over the next 14 months d. Explaining in their own words how to count carbohydrates correctly

C a. Demonstrating how to check their blood pressure Demonstrating how to check their blood pressure is a part of the teach-back method, which is a short-term evaluation method. b. Listing foods to avoid hyperglycemia Listing foods to avoid hyperglycemia is a part of the teach-back method, which is a short-term evaluation method. c. No hospital readmissions over the next 14 months No hospital readmissions over the next 14 months is a long-term outcome. d. Explaining in their own words how to count carbohydrates correctly A client explaining what they have learned in their own words is a part of the teach-back method, which is a short-term evaluation method.

A community health nurse is preparing to give a presentation about heart health to a small group at a local community center. Which of the following is considered an educator-related barrier to learning? a. The nurse's age b. Having to do research prior to the presentation c. Lack of expertise in the subject area d. Not being able to answer a client's question

C a. The nurse's age While lack of experience or expertise might be a barrier, age is not. b. Having to do research prior to the presentation Research is not a barrier. Researching a subject beforehand is a way for nurses to improve their credibility and confidence. c. Lack of expertise in the subject area A lack of expertise in the subject area can be a barrier. Researching the subject matter beforehand can help combat this. d. Not being able to answer a client's question Nurses do not have to have all the answers and they are not expected to. They are, however, expected to be able to get back to clients with an answer or direct them to someone who can provide an answer.

A community health nurse is working with clients to make long-standing, health-related changes. The nurse should know that the health belief model is used to determine which of the following? a. A client's knowledge and skill level b. A client's self-efficacy c. A client's readiness to change d. A client's motivation

D a. A client's knowledge and skill level While the health belief model might look at factors such as education level, the model is not focused on knowledge and skill level. b. A client's self-efficacy The health promotion model measures self-efficacy, which is the belief within someone that they can be successful in their efforts. c. A client's readiness to change A client's readiness to change can be measured using the transtheoretical model. d. A client's motivation The health belief model is used to determine what motivates an individual to make health-related changes.

A community health nurse is planning to host a local health fair. Which of the following statements is true regarding community engagement? a. Health education initiatives do not need to provide funding b. Education initiatives should be focused on what the nurse believes to be important for the community members to learn c. Nurses partnering with community members can convince them to view health issues from their perspective d. Underserved communities are often left out of decision-making

D a. Health education initiatives do not need to provide funding Health education initiatives do not need to provide funding. b. Education initiatives should be focused on what the nurse believes to be important for the community members to learn Education initiatives should be client-centered and inclusive of community norms. c. Nurses partnering with community members can convince them to view health issues from their perspective Nurses should aim to view health issues from community members' perspective. d. Underserved communities are often left out of decision-making Community members often report that they feel left out of the decision-making process.

A community health nurse is planning a health education initiative for a client who responds well to incentives. Which of the following learning theories should the nurse use when planning education activities for the client? a. Social learning theory b. Cognitive learning theory c. Experiential learning theory d. Behavioral learning theory

D a. Social learning theory Social learning theory is the idea that when a specific behavior is modeled for the learner, they will either imitate or avoid that behavior depending on the consequences. b. Cognitive learning theory Cognitive learning theory looks at a person's thought process. c. Experiential learning theory Experiential learning theory focuses on learning from experienc d. Behavioral learning theory Behavioral learning theory suggests that learning is influenced mostly by external forces. Positive reinforcement is an example of an external force; the learner is more likely to complete a task if an incentive is a part of the deal.

A community health nurse is gathering data to plan an event in the community. Which of the following activities are ways to collect primary data? (select all that apply.) a. Conducting a windshield survey b. Researching mortality rates c. Observing and interacting with community members d. Interviewing a local priest e. Reading the notes from a recent town hall

a. Conducting a windshield survey c. Observing and interacting with community members d. Interviewing a local priest Conducting a windshield survey is correct. A windshield survey is a way for nurses to collect primary data. Researching mortality rates is incorrect. Data that has already been collected, such as mortality rates, is secondary data. Observing and interacting with community members is correct. Participant observation is a way to collect primary data. Interviewing a local priest is correct. Conducting an interview is a way to collect primary data. Reading the notes from a recent town hall is incorrect. Data that has already been collected, such as meeting notes, is secondary data

A community health nurse is discussing how to draw up and inject insulin with a group of clients at a diabetes mellitus clinic. Which of the following is true regarding the teach-back method? (select all that apply.) a. The teach back method is most effective as a short term evaluation method b. The teach back method is better for return demonstration of a new skill c. The teach back method might not be practical for long term evaluation d. Using the teach back method allows the nurse to clarify misconceptions by the client e. The client should recite what the nurse said during the session

a. The teach back method is most effective as a short term evaluation method c. The teach back method might not be practical for long term evaluation d. Using the teach back method allows the nurse to clarify misconceptions by the client

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following strategies should the nurse plan to implement? (Select all that apply) a. Give short, curt responses, so they can get through all of the clients questions b. Provide literature that is translated in the language in which the client is proficient c. Keep written literature, such as brochures and flyers, at no more than a fifth grade level d. Limit supplemental instructional methods, such as videos and pictures e. Limit the amount of content covered to prevent overwhelming the client

b. Provide literature that is translated in the language in which the client is proficient c. Keep written literature, such as brochures and flyers, at no more than a fifth grade level e. Limit the amount of content covered to prevent overwhelming the client