Chapter 14: Health Education in the Community
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
MULTIPLE CHOICE
1. A member of a community weight-loss group has maintained a healthy weight for 2 years through hea
daily exercise. Which of the following steps of the affective domain is this participant demonstrating?
a. Analysis
b. Application
c. Evaluation
d. Knowledge
ANS: C
Steps in the affective domain have the learner doing the following in this sequence: knowledge, compr
analysis, synthesis, and evaluation. During evaluation, the learner adopts behaviors consistent with the
the individual has adopted the behavior, and this has resulted in the ability to maintain the value of a h
affective domain have the learner doing the following in this sequence: (1) knowledge: receives the inf
comprehension: responds to what is being taught; (3) application: values the information; (4) analysis:
information; (5) synthesis: organizes the information; (6) evaluation. None of the other options are con
2. A nurse just finished teaching breast self-examination to a large group of women at a professional conf
the nurse distributed literature and used culturally appropriate visual aids. However, the session was no
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
ANS: C
The learner must have opportunities to practice the new skills being learned. Provide practice sessions
because many people may not have the time, facilities, motivation, and/or support to practice at home
Because breast self-examination is a psychomotor skill, the emphasis should be placed on the learner h
the skill after the conference. The most important aspect should be the time for practice in this situatio
questions. The nurse would not need to explain to the audience why culturally appropriate images are a
should have been incorporated into the session. Having printed materials is important so that the learne
leaving the conference.
3. A nurse is providing an educational program about testicular self-examination (TSE). Which of the fol
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.
ANS: C
If the goal is to learn TSE, the best goal is for the person to be able to do TSE correctly. Being able to
a helpful first step, as is practice on a model, but to be sure the person can really do the procedure, you
and feedback until the person can demonstrate the procedure properly.
4. A nurse planned a presentation about the latest trends in disaster planning for the senior nursing studen
However, when the nurse began to share the information, the students were talking to one another and
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.
ANS: B
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6. A nurse uses lecturing as the primary method of educating clients. Which part of the education process
a. Evaluation
b. Experience
c. Participation
d. Understanding
ANS: C
Educators should include participation. Lack of participation is a barrier to learning. Merely sitting and
are not as effective as discussion, even when the presentation is stimulating, interesting, and dynamic.
of the education; evaluation is not necessarily missing when an educator uses lecture as the primary m
may be able to include experiences as part of the lecture when educating clients. It may be difficult to
lecture is the primary method of education; however, the nurse should be able to use nonverbal clues to
the use of lecture does not mean that understanding is missing from the process.
7. The nurse gives a very informative and engaging presentation and then gives everyone in the audience
presentation. Later, the nurse discovers that many of the handouts were thrown away before the audien
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.
ANS: B
Most health information is printed at a tenth-grade reading level, which is too difficult for almost half
United States. If people cannot read or understand the material, they discard it. Although visual images
not explain why the handouts were discarded. Audience’s expectations of the use of PowerPoint or vid
too much information too fast do not explain why the handouts were thrown away. If the nurse covered
likely that the participants may have been more inclined to keep the handout.
8. 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.
ANS: A
The Health Belief Model includes six components that attempt to answer the question of what motivat
something. These components are perceived susceptibility, perceived severity, perceived benefits, perc
action, and self-efficacy. The Health Belief Model does not indicate the number of methods of educati
pre-contemplation stage is part of the Transtheoretical Model. Maintenance is part of the Precaution A
9. A nurse is planning an educational program about cardiovascular disease. Which of the following wou
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
ANS: D
Not only should learners receive feedback but the educator should also elicit feedback from learners th
process. On the basis of the feedback that the educator receives from learners, the implementation and
educational program can be modified. Obtaining feedback only at one point in time during the program
enough feedback as to what is happening throughout the presentation. In order for the educator to mod
and better meet the learner’s needs, evaluation data should be obtained at multiple points in time.
10. When evaluating an educational program, the nurse discovers that only 25% of community members m
Which of the following parts of the program should be improved?
a. Educator
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