Lifespan Interactive Modules 3-4

Which is true about health education in groups?

The nurse is not the only expert in the group.

Which is a good example of a nurse "reflecting" back what a client says using the OARS technique?

"I hear you saying that you would like to increase your walks from one day a week to three days a week."

The nurse is asked what advantage there is including measurable objectives in a health education program. What is the best answer?

"Measurable objectives ensure easier evaluation."

The nurse is asked why it is important to teach psychomotor skills. What statement is the best answer?

"Most health topics involve some sort of "self-care" that the learner will need to be able to do following the class."

What activities can the nurse use when performing a summative evaluation at a home visit?

A final role-play that incorporates elements taught during the home visits. A discussion of changes the individual or family has made over the course of the home visits. An observation of skills obtained, such as diabetes insulin administration. A final verbal quiz that incorporates elements taught during the home visits.

What is an example of an intrinsic motivational factor?

A personal feeling of accomplishment

What principles can the nurse apply to maximize the teaching-learning process?

Adapt teaching to the client readiness level. Determine client attitudes toward the subject matter. Make subject matter relevant to the client's interests.

A public health nurse is developing an educational brochure on diabetes for the community clinic. Which group has a higher propensity toward the health disparities of cancer and diabetes?

African American

During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being born in Colombia. What is the best action for the nurse to take?

Apologize for the cultural insensitivity and make a mental note to be more careful in the future.

A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indentation on the client's abdomen. The nurse is aware the client is not from the United States. What is the nurse's next best action in assessing this client?

Ask the client to describe usual health beliefs and practices when the client becomes sick.

While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations?

Biological variations

What technique of group facilitation can the nurse use to encourage creative ideas within a group?

Brainstorming

A home health nurse is creating a care plan for an individual who recently had surgery. Which tasks does the home health nurse understand as health responsibilities of the family?

Care provision and management for the chronically ill, disabled, and aging family members. Emotional support for the client and guidance during life cycle transitions.

The nurse wants to use the domains of effective teaching to help organize a teaching plan. What domains should the nurse consider?

Cognitive Affective Psychomotor

What are factors learners should consider when evaluating a teacher?

Communication skills Quality of chosen materials Listening comprehension Use of assessment in class Preparation

How can the nurse create an environment that is conducive to learning?

Create an atmosphere of helpfulness. Restrict free expression. (this is wrong: the explanation states "promotes free expression)

A community health nurse is working with the nearby American Indian reservation to develop a program to reduce health disparities. What is a known health disparity of the American Indian that the nurse will want to address?

Diabetes

During a family assessment, the community health nurse must examine both the internal and external structure of the family. What factors will be assessed to determine the internal structure of the family?

Each member's gender The family composition

What is the most important role of the community health nurse?

Educator

What are some characteristics of motivational interviewing?

Evokes the client's own motivation for change Respectful and honors the client's autonomy Specifically targeted for change

What role does the "opinion-giver" perform within a health education group?

Facilitates the honest and open sharing of diverse views and information

A community nurse is preparing to develop a plan to work with families as the clients in a local community. What reasons would a family assessment need to be completed with the families prior to developing the plan?

Families are a significant building block of the local community. Community health nurses sometimes make visits to clients and their families. Families often have unique values and needs.

In completing a developmental family assessment, what question would the community health nurse include?

How do family members cope with transitions and attachments within the family?

The fourth principle of motivational interviewing, self-efficacy, includes which of these ideas?

If a client believes that he or she has the ability to change, it is motivating and greatly increases the likelihood of change.

A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate cultural sensitivity toward this new client population?

Interview some of the new members and inquire about cultural values. Demonstrate a genuine interest in the lives and culture of the new clients.

In regards to groups, which role is the group member who helps maintain harmony by conciliating different points of view and suggesting solutions?

Mediator

While working in the free clinic, the public health nurse is assessing a migrant farm worker who has an infection of the right hand. The nurse cleans the wound, applies antibiotic cream, and wraps the area to keep it clean. The nurse is conducting an assessment to determine if the client has any contributing factors related to health disparities. Which of these are contributing factors to health disparities?

No means of transportation A diagnosis of schizophrenia Language barriers

Which of these techniques should the nurse use for introverted or shy personalities within a group?

Nominal group technique

Which is true of Tuckman and Jenson's five stages of group formation?

Not all groups reach the "performing" stage

What are the categories of faculty structure evaluation?

Peer evaluation Leaner evaluation Self-evaluation

What stage of Lewin's Change Theory describes when the change is integrated and stabilized into practice?

Refreezing

What is the role of the nurse when using the adult learning model to bring about a change in patient's health behaviors?

Reinforcement of the goal as the change is being made

In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community?

Safety, security and sense of belonging

When working with a patient who is attempting to change a health-related behavior, what will the nurse reinforce?

The health-related benefits of changing the behavior Problem-solving techniques needed to achieve the change The patient's ability to make the change The need for the actual change in behavior

A public health nurse is developing a program based on the goals of the government initiative Healthy People 2020. What is a health indicator the nurse may use as part of the program?

Substance abuse Exercise frequency Tobacco usage

What is the definition of family in community health?

Two or more people who identify themselves as a family and rely on each other to some extent to meet basic needs.

Which group is more susceptible to health disparities and discrimination in health care systems?

Unemployed persons Runaway teenagers Ethnic or racial minorities

What stage of Lewin's Change Theory represents the period when the desire for change develops due to motivation either intrinsically or by some external force, causing disequilibrium?

Unfreezing

The nurse is conducting a summative evaluation of a learning experience. This is also known as:

outcome evaluation