HEALTH EDUCATION

FINAL EXAM

Multiple Choice
Coverage: Modules 1-4

1. What is the primary goal of patient education for the nurse educator?

A. To prepare the client for self-care management

B. To determine the trends in the delivery of high-quality care

C. To understand the forces affecting nurses’ responsibilities in practice

D. To maintain the client’s sense of value and self-worth

2. The broad purpose, benefit, and goal of providing patient education is:

A. to predetermine client outcomes to accomplish the goals of care.

B. to improve the efficiency and effectiveness of practice.

C. to ensure client/family compliance with therapeutic regimens.

D. to increase the competence and confidence of the learner

3. Which statement concerning nurses as educators is false?

A. It is predicted that the growth of managed care will impact negatively on the nurse’s

responsibility for health education of clients.

B. During the past few decades, client and staff teaching have begun to be recognized as

independent nursing functions.

C. Nurses must be prepared to teach colleagues, staff, and students effectively.

D. The role of the nurse as educator has changed from a disease-oriented approach to a

health-promotion approach

4. Which is not a reason why nurses are in a key position to carry out health education?

A. Nurses have continuous contact with clients and families.

B. Nurses are accessible as sources of information for the consumer.

C. Nurses have expertise in the principles of teaching and learning.

D. Nurses believe that education improves the health and well-being of clients.

5. In comparing the nursing process to the education process, which statement is false?
A. The nursing process appraises physical and psychosocial needs, while the education

process ascertains cognitive needs of the individual.

B. Both processes focus on mutual goal setting as well as a partnership in establishing

objectives to meet the needs of the client.

C. Carrying out nursing interventions is done in the implementation phase of the nursing

process, and performing the act of teaching is done in the implementation phase of the

education process.

D. Determining the extent of physical and psychosocial care required constitutes the

evaluation phase only of the nursing process, and determining which instructional

methods and tools are best constitutes the evaluation phase of the education process.

6. Nurse educators are taught to simplify their presentations to patients by providing clear

explanations that allay fears, relates directly to them, and provides familiar experiences.

Which cognitive theoretical perspective on learning is reflected by this example?

A. Humanistic

B. Gestalt

C. Psychodynamic

D. Behaviorist

7. Which are two ways to decrease a behavior or response?

A. Avoidance conditioning and escape conditioning

B. Punishment and nonreinforcement

C. Positive reinforcement and punishment

D. Punishment and escape conditioning

8. Which two theories emphasize that learners are keenly motivated to seek pleasure and

rewards?

A. Behaviorist and cognitive

B. Cognitive and psychodynamic

C. Gestalt and social learning

D. Psychodynamic and behaviorist

9. Which of the following is not a helpful instructional strategy for the associative stage of

motor learning?

A. Increasing task complexity

B. Emphasizing problem solving

C. Increasing guidance and feedback

D. Encouraging learners to practice on their own

10. How does anxiety affect emotional readiness to learn?

A. As the level of anxiety increases, emotional readiness peaks and then begins to

decrease.

B. The optimal time for learning is when a person experiences a low level of anxiety.

C. A person is most ready to learn when his or her anxiety is on either end of the

continuum, either mild or severe.

D. Moderate anxiety interferes with a person’s readiness to learn.

11. Which type of learner exhibits preferences for logical thinking, critical analysis, verbal

instructions, adherence to rules, neatness and organization, set schedules, and sequential

problem solving?

A. A learner who has right-brain dominance

B. A learner who has left-brain dominance

C. A learner who has field-independent perception

D. A learner who has field-dependent perception

12. All of the following statements are true about learning styles except:

A. Learning style theory assists the nurse educator to ensure that each individual learner

is given an equal opportunity to learn.

B. Nurse educators tend to prefer abstract and unstructured approaches to teaching.

C. No single mode describes someone’s learning style because each person is unique and

comes with other factors that are equally important in learning.

D. Preference for a particular style of learning tends to change very little over time

13. Who is the noted expert in defining the key milestones of psychosocial development?

A. Erikson

B. Havighurst

C. Knowles

D. Piaget

14. Which principle pertaining to the role of family in patient education is most influential in

reaching positive outcomes of care?

A. The educator should teach as many family members as possible to ensure

understanding of information.

B. The educator should determine for the client the most appropriate person in the family

to take responsibility as the primary caregiver.

C. The role of the family is similar in function across each developmental stage.

D. The family is the educator’s greatest ally in preparing the patient for independence in

self-care.

15. Which of the following statements incorrectly matches the developmental stage and the

motivating factor to learn?

A. The toddler is motivated by the need to satisfy his or her curiosity.

B. The adolescent is motivated to take action by desire for social acceptance.

C. The young adult is internally motivated to the task of maintaining and enhancing

oneself.

D. The middle-aged adult is focused on determining occupational goals and social roles.
16. Which of the following is essential when implementing a teaching plan?

A. Teaching plans must address stage-specific competencies of the learner.

B. Families must decide whether to participate in patient education prior to patient

discharge.

C. The client is required to initiate education about his or her diagnosis.

D. The nurse must provide patient education in written form.

17. The nurse educator is preparing a class for a group of middle-aged adults. Based on the

developmental stage of this group, which topic should the nurse select for this class to meet

the immediate needs of these learners?

A. Accident prevention

B. Stress reduction

C. Chronic illness management

D. Treatment of acute illnesses

C. Chronic illness management

D. Treatment of acute illnesses

18. Which is the best statement for describing a procedure to a preschooler?

A. “The doctor will open your belly.”

B. “We’ll cover your sore with a dressing.”

C. “A Band-Aid will cover the spot we fixed.”

D. “An X-ray is like having your picture taken.”

19. Which is not a characteristic of the school-aged child?

A. Reasons deductively and inductively

B. Grows physically at variable rates

C. Understands consequences of actions

D. Blames self for illness

20. Which are teaching strategies appropriate for the learner who is in the cognitive stage of

formal operations and the psychosocial stage of ego integrity versus despair?
A. Use coaching, use clues for retrieval of information, keep explanations brief.

B. Focus on establishing normal life patterns, assess sources of mid-life stress, provide

information to coincide with life problems.

C. Allow for self-direction, focus on immediacy of application of information, recognize

importance of social role.

D. Use peers for support, ensure privacy and confidentiality, identify the locus of control.

21. Which principle is not applicable to adult learning?

A. Learning is self-controlled and self-directed.

B. Learning is person-centered and problem-centered.

C. The nature of learning activities remains stable over time.

D. Learning is reinforced by application and prompt feedback.

22. What is the best definition for the term motivation?

A. The premise on which an understanding of a phenomenon is based

B. A submission or yielding to a predetermined goal

C. A psychological force that moves a person toward some kind of action

D. An observable behavior that can be directly measured

23. All of the following statements are true about motivational factors except:

A. Factors that influence motivation can serve as incentives or obstacles to achieve

desired behaviors.

B. The learner can be influenced by the educator, who can act as a motivational facilitator

or blocker.

C. A motivational incentive for one learner may be a motivational obstacle for another

learner.

D. Facilitating or blocking factors that shape motivation to learn are classified into three

major categories that are mutually exclusive of one another.

24. What is the term for the premise on which an understanding of a phenomenon is based?
A. Assessment

B. Axioms

C. Goals

D. Motivation

25. Which model is used in health screening programs to predict preventive health behavior?

A. Health belief model

B. Health prevention model

C. Compliance

D. Motivation outcomes

26. Which are the primary interacting components of the health belief model?

A. Age, sex, and race

B. Individual perceptions, modifying factors, and likelihood of action

C. Sociopsychological variables, structural variables, and cues to action

D. Prevention, promotion, and maintenance interventions

27. What are the three facilitating or blocking factor categories that can shape motivation to

learn?

A. Values, beliefs, and emotions

B. Personal attributes, environmental influences, and learner relationship systems

C. Personality, social class, and peer pressure

D. Knowledge about diseases, advice from others, and prior experience with an illness

28. Which is the primary model used in nursing that relates to health-promoting lifestyles?

A. Health promotion model

B. Health belief model

C. Self-actualization model

D. Self-efficacy theory
29. Which belief is part of the therapeutic alliance model?

A. Compliance implies that the nurse educator has equal power with the client.

B. The client is viewed as having self-determination.

C. Alliance indicates that the client is obedient and counter-dependent.

D. The noncompliant client has greater power than the nurse educator.

30. Which client statement is an example of internal locus of control?

A. My family has a lot to do with my becoming sick or staying healthy.

B. When I get sick, I do what the doctor tells me to do.

C. If I get sick, I look for information to help me get better.

D. If it’s meant to be, I will stay healthy.

31. How is functional illiteracy best defined?

A. Difficulty reading and comprehending materials written at the fifth- to eighth-grade

level

B. Lack of fundamental reading, writing, and comprehension skills needed to operate

effectively in society

C. Difficulty reading or writing below the fifth-grade level

D. Inability to speak and write with fluency, clarity, and correct grammar

32. Illiteracy is generally interpreted as having reading skills at or below which grade level?

A. Fourth

B. Fifth

C. Seventh

D. Eighth

33. Which is a false assumption about individuals who are illiterate or low literate?

A. Many have been found to have a normal or above normal IQ.

B. They come from very diverse backgrounds.

C. They react to complex learning situations by withdrawal or avoidance.

D. Many have reading abilities that correlate with the number of years of schooling

completed.

34. When comparing male and female brain functioning, which ability is consistently done

better by males than females and currently is thought to have a genetic origin?

A. Problem-solving ability

B. Spatial ability

C. Verbal ability

D. Mathematical ability

35. A 75-year-old woman has been hospitalized for five days for treatment of ovarian cancer.

She has been a homemaker all of her adult life, raising four children and helping to care for

12 grandchildren. She has lived alone since her husband died two years ago. The primary

nurse is preparing discharge instructions for the client on self-care activities at home. The

client tells the nurse that she completed high school but did not have the time nor interest to

pursue any additional formal education. Which is the best approach for the nurse when

educating this client?

A. Provide her with printed instructional materials commonly used on the unit for patient

education.

B. Look for clues that she may be low literate and will have trouble using the typical

printed education materials available to help her learn.

C. Assume that her readability skills are minimal and that the nurse will have to rely on

instructional tools other than written materials for teaching.

D. Test her comprehension level by asking her to recall an example of health instruction

she received on the day of admission.

Prepared by:
RAQUEL PONELAS, RN MAN
Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition
Susan Bastable

Test Bank

B. A plan and an implementation of instructional activities and experiences to meet

intended learner outcomes

C. A special form of communication that encompasses knowledge about a particular

subject to produce learning

D. A systematic, sustained effort of mutually desired behavior changes for a participatory,

shared approach to teaching and learning

11. How is learning best defined?

A. The gap in knowledge that exists between a desired level of performance and the

actual level of performance

B. A change in behavior that can be observed or measured

C. An outcome by which learners demonstrate more confidence in what they are

expected to do

D. The manner by which an individual perceives and processes information

12. In comparing the nursing process to the education process, which statement is false?

A. The nursing process appraises physical and psychosocial needs, while the education

process ascertains cognitive needs of the individual.

B. Both processes focus on mutual goal setting as well as a partnership in establishing

objectives to meet the needs of the client.

C. Carrying out nursing interventions is done in the implementation phase of the nursing

process, and performing the act of teaching is done in the implementation phase of the

education process.

D. Determining the extent of physical and psychosocial care required constitutes the

evaluation phase only of the nursing process, and determining which instructional

methods and tools are best constitutes the evaluation phase of the education process.

13. In addition to giving information, according to the principles of teaching and learning, all

nurses should be prepared to:

A. assess learning needs, readiness, and styles.

B. determine whether the information has been received and understood.

C. revise the approach to teaching if the client does not comprehend the information.

D. All of these are correct.

14. Barriers to teaching can be best described as factors that

A. negatively impact on the learner’s efforts to establish a mutual partnership with the

nurse educator.

B. interfere with the learner’s ability to attend to and process information.

C. impede the nurse’s ability to deliver educational services to the learner.

D. limit the nurse’s focus to conducting only formal, intended teaching and learning

encounters.

15. The common factor that serves as both a barrier to education as well as an obstacle to

learning is:

A. lack of privacy to carry out teaching and learning in the hospital environment.

B. lack of time to teach and to learn.

C. inadequate administrative support for teaching and learning.

D. inadequate reimbursement to cover the costs of teaching and learning.