lOMoARcPSD|17003590 Nurse as Educator; test bank nursing education (King Saud University) StuDocu is not sponsored or endorsed by any college or university Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 1 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 1 Multiple Choice and Matching Items 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 defines the nurse educator’s legal mandate to teach? A. TJC guidelines B. AHA recommendations C. State nurse practice acts D. ANA standards 5. Which nursing organization first observed the importance of health teaching as a function of the nurse’s professional role? A. American Association of Colleges of Nursing (AACN) Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 2 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. National League for Nursing (NLN, formerly NLNE) C. American Nurses Association (ANA) D. International Council of Nurses (ICN) 6. What does the term training the trainer mean? A. Educating nurses to assume the role of faculty in nursing education programs B. Exposing nursing students to teaching and learning theory to raise their awareness of the role of the nurse as educator C. Preparing nursing staff to maintain and improve their clinical and teaching abilities D. Convincing physicians of the important role nurses play in educating clients 7. 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. 8. Which best defines the term teachable moment? A. The moment when the nurse feels educationally prepared to teach B. The moment when the patient views new and difficult situations as challenges rather than defeats C. The moment when illness suddenly forces an individual to take a less active role in his or her care D. The moment when an informed patient complies with medical treatment plans 9. Which step is not included in the education process? A. Modifying learner behavior through counseling and psychotherapy B. Conducting an assessment of client needs, readiness to learn, and learning styles C. Developing a teaching plan based on mutually predetermined outcomes as objectives D. Choosing methods and tools to convey information in a manner that the learner can understand 10. Which best describes the term education process? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 3 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. A purposeful activity with a definite planned goal to be achieved in a specified period of time 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. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 4 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 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. 16. The home care nurse is making an initial visit to a mother and baby as routine follow-up for maternal/ child assessment. The client was discharged from the hospital 24 hours ago after the birth of her first child. The client is 17 years old, single, in the 11th grade, and staying at home with her parents and younger sibling until she can make alternative living arrangements. The client is uncertain about keeping the baby because she doesn’t know whether she wants to commit to the responsibilities of single parenthood at such a young age. Based on this information, which is a primary obstacle that may interfere with the client’s potential for learning? A. Low literacy B. Knowledge deficit C. Lack of social support D. Lack of readiness to learn For items 17–20, match the organization with the correct description. Organization 17. ___ The Joint Commission 18. ___ Institute of Medicine 19. ___ PEW Commission 20. ___ American Nurses Association Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 5 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Description A. Delineates nursing standards for patient education in a variety of healthcare settings B. Recommended a set of health-profession competencies for the 21st century C. Issued an important report on the future of nursing in a healthcare system transformed by the Affordable Care Act D. States the functions, standards, and qualifications for nursing practice Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 6 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Answer A D A C B C C B A D B D D C B D A C B D Cognitive Domain Level comprehension comprehension comprehension knowledge knowledge comprehension comprehension knowledge knowledge knowledge knowledge application comprehension knowledge comprehension application comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level easy medium medium easy easy hard medium medium medium medium medium medium medium hard medium medium easy easy easy easy 7 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. The terms education and teaching are often used interchangeably even though they are not synonymous. Define each of these terms and differentiate between their meanings. 2. The nursing profession and accrediting bodies for healthcare agencies have set standards and legal mandates formalizing the nurse’s responsibility to teach. A. Identify four social and/ or economic factors within the healthcare system that have resulted in increased attention to the need for patient education. B. Explain four reasons why the nurse is uniquely suited and most qualified to carry out the responsibility for patient education. 3. Choose three professional organizations or agencies that have put forth standards or legal mandates regarding the role and responsibilities of the nurse as educator and describe the impact of these regulatory standards or mandates on the present and future practice of nursing. 4. Identify four barriers to patient and/ or staff education and briefly describe why they are barriers. 5. Identify three goals of patient education. 6. Compare the education process to the nursing process by citing the similarities of as well as the differences between the two processes. 7. Identify four obstacles to learning and briefly describe why they are obstacles. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 8 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 2 Multiple Choice and Matching Items 1. The belief that choices should be made that result in the greatest good for the greatest number of people represents which approach to ethical decision-making? A. Bioethical B. Constitutional C. Deontological D. Teleological 2. Which of the following statements is true regarding ethical principles as guides to human behavior? A. They are enforceable by law through threat of punishment or penalty. B. They are rooted in natural law and internalized as moral values that are expressed as external behaviors. C. They constitute an internal value system of norms or standards of behavior. D. They are common laws that are synonymous with moral and legal rules of conduct. 3. Which is a characteristic of nurse practice acts? A. They are based on a code of ethical behavior. B. They are enforceable by the police authority of each state. C. They spell out the ethical and moral obligation of the nurse to provide care for the client. D. They are nonenforceable by anyone outside the nursing profession. 4. The American Hospital Association’s Patient’s Bill of Rights refers to: A. the patient’s right to be admitted to a hospital or long-term care facility. B. a code of behavior for healthcare institutions in each state. C. federal standards of care dictating humane treatment of patients. D. rights of the patient related to quantity and quality of healthcare services delivered. 5. When a nurse serves as an expert witness, which ethical principle is being operationalized? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 9 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. Autonomy B. Beneficence C. Justice D. Veracity 6. Malpractice is different from negligence in that malpractice: A. is limited to specific professions that require a high level of skill and intensive technical training. B. refers to the doing, or not doing, of an act or service related to the duties of any reasonable person functioning under the same circumstances. C. is an act or failure to act that causes injury to another person or his property. D. is an operational principle that measures improper or wrongful conduct by anyone performing an activity. 7. If nurses discuss their patients’ conditions with colleagues over lunch, they may be violating which ethical principle? A. Autonomy B. Confidentiality C. Discrimination D. Justice 8. How can the principle of beneficence be operationalized? A. By sufficiently documenting the scope and depth of skilled services rendered to patients B. By adhering to institutional policies and to critical tasks and duties of one’s job description C. By equally distributing goods and services to patients in any healthcare setting D. By nurses being adequately committed to providing services to patients 9. Breach of contract, or failure to perform one’s duties based on client diagnosis, cultural background, race, or sexual preference, is a violation of which ethical principle? A. Autonomy B. Beneficence C. Justice D. Nonmalfeasance Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 10 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 10. The nurse is preparing a client for gallbladder surgery. The client has signed the consent document. Which action should the nurse carry out to verify that the client understands the procedure? A. Check whether the client’s reading level is equivalent to the level of the consent form. B. Talk to a family member or the nurse who witnessed the client’s signature on the consent form. C. Ask the client to explain the procedure in his own words. D. Discuss with the client’s physician what the client was told about the procedure. 11. Which statement is false when determining the cost of providing an educational program? A. Variable costs depend on volume of use, whereas fixed costs are predictable and remain constant over time. B. Personnel salaries and employer benefits are fixed direct costs. C. Physical space, utilities, housekeeping, and security are direct costs. D. Indirect costs are fixed costs usually related to institutional overhead expenses. For items 12 to 15, choose the correct definition of each term. 12. Autonomy 13. Veracity 14. Nonmalfeasance 15. Confidentiality A. Truth telling B. Do no harm C. A social covenant D. Self-determination For items 16 to 20, choose the correct example for each economic method of measuring the success of educational programs. 16. Cost savings 17. Cost benefit Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 11 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 18. Cost recovery 19. Cost-benefit analysis 20. Cost-effectiveness analysis A. Client, family, or third-party reimbursement pays a fee for client education. B. Increased client satisfaction leads to return utilization of health agency services. C. The differences between two programs are compared when a monetary value cannot be assigned. D. Hospital stays are shortened, and utilization of service is decreased. E. Comparison of program costs in relation to economic gains, as measured on the same scale, by a health-care institution Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 12 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer D B B D D A B B C C C D A B C D B A E C Cognitive Domain Level knowledge comprehension comprehension comprehension application comprehension comprehension application knowledge application comprehension knowledge knowledge knowledge knowledge comprehension comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium medium medium easy medium medium easy hard easy hard hard easy easy easy easy medium medium medium hard hard 13 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. The financial stability of any healthcare facility is dependent upon its third-party reimbursements and cash flow. Based on this fact, discuss the nurse’s inherent responsibility to provide patient education, taking into account both direct and indirect costs to the healthcare facility. 2. Specific ethical and legal ramifications are associated with patient education for both the healthcare facility and the nurse. A. Identify and explain the ethical principles that underscore the patient’s right to education. B. Identify the legal entities that legitimize the educational role of the nurse. C. Discuss the fiscal ramifications for the healthcare facility for neglect of this important service. 3. Shrinking healthcare reimbursement dollars have, in many instances, resulted in numerous nurse vacancies in healthcare facilities across the country. In light of staffing shortages and increasing patient loads, nurses may determine that they have no time for patient education. Explain the legal impact of negligence on the nursing staff and on the healthcare facility if patient education is omitted. 4. Political and economic upheavals around the world have led to an increase in immigrant families in the United States. The majority of these families do not speak English, and they have no health insurance. From an ethical, legal, and economic vantage point, analyze and explain the responsibility of the healthcare facility and the role of the nurse in the provision of healthcare services to these various groups. 5. Identify the legal and professional nursing mandates that require nurses to provide patient education. Also discuss the underlying differences between what constitutes legal imperatives and professional expectations for the provision of patient education. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 14 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 3 Multiple Choice and Matching Items 1. Which statement best describes the contribution of educational psychology to nursing practice? A. Tests theories to determine the most appropriate learning theory for each individual B. Identifies precisely how individuals learn and under which conditions learning takes place C. Provides diverse theoretical perspectives and alternative explanations that can be tested about how individuals learn and change D. Provides philosophical discussions, debates, and opinions about the best way to teach 2. Which of the following is not a perspective within cognitive theory? A. Systematic desensitization B. Social constructivism C. Information-processing D. Developmental 3. 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 4. Which statement is false about the social constructivist perspective? A. Learning is a rational process involving the attention to stimuli, the incorporation of information, and action based on the information. B. Learning is accomplished most effectively by working with others. C. Society and culture strongly influence human development and the learning process. D. A person’s knowledge does not necessarily reflect external reality because it has been influenced by the culture and by his or her interpretations of events. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 15 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 5. Which learning theory represents a combination of behaviorist and cognitive principles of learning? A. Gestalt B. Developmental C. Attribution D. Social learning 6. 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 7. 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 8. In the three-stage sequential model of motor learning by Fitts and Posner, which is the correct order of the stages? A. Autonomous–Associative–Cognitive B. Cognitive–Associative–Autonomous C. Cognitive–Autonomous–Associative D. Associative–Cognitive–Autonomous 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 Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 16 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Encouraging learners to practice on their own For questions 10–14, match the learning theory with an example of its application to health care. Choose from: (A) psychodynamic, (B) humanistic, (C) behaviorist, (D) cognitive, (E) social learning. 10. The psychiatric nurse tells the staff to give minimal attention to patients who complain a lot but to pay a lot of attention to patients when they behave in an independent manner and express positive attitudes about their health. 11. The nursing staff attends a workshop about stress given by a psychologist. The psychologist says that the perception of stress is strongly influenced by what people tell themselves about some demanding event. The psychologist also notes that those nurses who define demands as “challenges” rather than as “problems” have less physical and emotional wear and tear from stress. 12. One of the biggest complaints patients have about their health care is that physicians and nurses treat them like an object rather than as a person. In such cases, health professionals, consciously or unconsciously, may be protecting their own emotional needs by focusing on the patients’ diseases or problems and ignoring the patients’ human qualities. 13. Both patients and staff are fond of Dr. Cara. She consistently appears attuned to people’s feelings, and she encourages terminally ill patients and their families to get in touch with their feelings and to discover personal growth and learning from their experiences. 14. A number of hospitals train or orient recently hired staff by having the new staff member work closely with an experienced staff member who serves as a role model for practicing desirable nursing skills. For items 15 to 17, match the learning theory with its basic tenet about learning and changing behavior. Choose from: (A) psychodynamic, (B) humanistic, (C) behaviorist, (D) cognitive, (E) social learning. 15. To change behavior, change a person’s perceptions and thoughts. 16. To change behavior, change the stimulus conditions in the environment and a person’s responses to the environment. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 17 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 17. To change behavior, change a person’s subjective feelings about the self. For items 18 to 20, match the learning theory with its conception of motivation. Choose from: (A) psychodynamic, (B) humanistic, (C) behaviorist, (D) cognitive, (E) social learning theory. 18. Individuals are motivated by their needs and their desire to grow in positive ways. 19. People may be unaware of their motivations or why they behave as they do. So, observe their behavior carefully; their actions, nonverbal behavior, and slips of the tongue may disclose their true wishes. 20. To be motivated, individuals need to be in a state of deprivation; there needs to be something that they want. Thus, giving children everything they want when they want it may undermine their motivation to perform. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 18 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer C A B A D B D B C C D A B E D C B B A C Cognitive Domain Level comprehension knowledge application knowledge comprehension comprehension comprehension knowledge comprehension application application application application application knowledge knowledge knowledge application application application Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium easy hard medium medium hard medium medium medium medium medium medium medium medium easy easy easy medium medium medium 19 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Give an example of how motor learning is of particular interest to the nurse trying to help a patient relearn a particular skill. Focus on prepractice, practice, and feedback. 2. The nurse educator at a hospital is asked to develop a program to teach new staff members how to function at the hospital. Describe the nurse educator’s plan for the program using social learning theory. Be sure to include how external and internal processes will affect both teaching and learning. 3. Using the cognitive model of information processing, describe a teaching procedure that a nurse could use to educate older adult patients about taking their medications safely. Mention a key consideration for teaching each of the four stages in the model: (1) Attention, (2) Processing, (3) Memory Storage, and (4) Action. Also include a diagram of information processing, which you refer to in your explanation. Then give an example of how this model might be affected from a social constructivist perspective. 4. Identify a behavior, either in patients or staff, that you would like to change. Give an example of the use of each of the following operant-conditioning procedures to change the behavior: (1) positive reinforcement, (2) avoidance conditioning, (3) escape conditioning, (4) punishment, and (5) nonreinforcement. 5. Describe how using contextual interference effects can improve acquisition of the skill of learning to get out of the hospital bed and into a chair. In what way would the nurse vary the practice routine even if it seems counterintuitive? 6. Briefly describe how each of the behaviorist techniques of positive reinforcement and systematic desensitization could be used to reduce a patient’s pain. Indicate exactly what a nurse might do to teach a patient to experience less pain using the two techniques. 7. Give two criticisms (weaknesses or cautions) for each of these learning theories: behaviorist, psychodynamic, cognitive, humanistic, and social learning. Be sure to explain each criticism clearly. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 20 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 4 Multiple Choice and Matching Items 1. Learning needs can best be defined as: A. gaps in knowledge that exist between a desired level of performance and the actual level of performance. B. the manner by which an individual perceives and processes information. C. an outcome by which learners demonstrate more confidence in what they are expected to do. D. an interest and an ability in learning the type and degree of information or skills necessary to maintain optimal health. 2. A nurse educator is conducting a learning needs assessment prior to teaching a group. To collect information quickly while safeguarding individual privacy, the nurse educator should use which method? A. Structured interviews B. Focus groups C. Questionnaires D. Observations 3. A 47-year-old Hispanic-American patient has colitis. The nurse educator has to teach him a nutrition and dietary regimen. The patient speaks very little English and relies on his daughter, who is fluent in English, to attend the teaching sessions to translate information between the nurse and the patient. Which type of readiness to learn is reflected in this situation? A. Emotional B. Experiential C. Motivational D. Physical 4. How does anxiety affect emotional readiness to learn? A. As the level of anxiety increases, emotional readiness peaks and then begins to decrease. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 21 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 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. 5. 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 6. According to Witkin’s cognitive domain style of learning, how does a field-independent learner structure and process information from the environment? A field-independent learner: A. relies on external reinforcement and the social context of information. B. prefers to know the individual parts in sequence prior to looking at the expected overall outcome. C. prefers to know the end result of the learning encounter prior to concentrating on the details. D. relies on facts and is affected by criticism from others. 7. Based on Dunn and Dunn’s learning style inventory, which learning style criteria should be considered for selecting a room for a workshop? A. Number of learners who can fit into the room B. Ability to control the temperature, lighting, and design of the room C. Location of room, and convenience to home, school, or work D. Cost, structure, and design of the room 8. Based on the Myers-Briggs Type Indicator, which teaching strategies will best meet the needs of the introverted sensing type of learner? A. Time to reflect before acting, realistic models, and return demonstrations B. Group work, faced-paced learning, and role playing C. Self-instruction and distance learning supplemented with games and models Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 22 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Brainstorming sessions and group discussions supplemented with videotapes 9. According to the VARKcategories, which type of learner would prefer lectures, small group discussion, and study groups? A. Aural learners B. Kinesthetic learners C. Visual learners D. Read/ write learners 10. Which teaching strategies would best meet the needs of Kolb’s assimilator style type of learner? A. Demonstration and return demonstration supplemented with handouts and diagrams B. Role playing and gaming supplemented with computer simulations C. Lecture and one-to-one instruction supplemented with reading materials D. Self-instruction and distance learning supplemented with games and models 11. A child needs to learn about self-care related to a recent diagnosis of rheumatoid arthritis. Which assessment question, based on Gardner’s eight types of intelligence, should the nurse ask the child’s parents to determine the child’s preferred learning style? A. What subjects does your child like best in school? B. What are the books your child prefers to read? C. Does your child eat a healthy breakfast? D. Is your child difficult to handle at times? 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. For items 13 to 16, match the primary focus or intent of the patient education model to the corresponding name of the model. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 23 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 13. ___ To assess learning styles of children 14. ___ To identify multiple readiness to learn factors 15. ___ To describe learning style types for sequential teaching 16. ___ To prioritize human needs for learning A. PEEK B. Gardner’s C. 4MAT D. Maslow’s For items 17 to 20, match the name of each learning style to its corresponding strength according to Kolb’s Learning Style Inventory. 17. ___ Diverger 18. ___ Assimilator 19. ___ Converger 20. ___ Accommodator A. Prefers to use logic; relies on experts; focuses on ideas and concepts; uses inductive reasoning; combines modes of abstract conceptualization and reflective observation B. Prefers hands-on experience; likes to experiment; willing to take risk; acts on intuitive feelings; combines modes of concrete experience and active experimentation C. Prefers technical tasks; likes structure; focuses on finding solutions to problems; uses deductive reasoning; combines modes of abstract conceptualization and active experimentation D. Prefers generating ideas; likes to personalize information; imaginative; understands people; likes to brainstorm; combines modes of concrete experience and reflective observation Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 24 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Answer A C B A B C B A A C A B B A C D D A C B Cognitive Level knowledge comprehension comprehension comprehension comprehension comprehension comprehension application comprehension comprehension application knowledge k n o wl e d g e knowledge knowledge knowledge comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level easy medium hard medium medium hard easy medium medium medium medium easy ea s y easy easy easy medium medium medium medium 25 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Identify and discuss one gender difference between males and females related to their readiness to learn, learning styles, or cognitive thinking processes. Be sure to make a comparison between males and females as learners. 2. Identify and briefly describe the three determinants of learning that should be addressed when conducting an education assessment. 3. Describe the different levels of anxiety from low, to moderate, to high and explain the effect of each level on the motivation to learn. Include a graph and give an example of a patient situation to illustrate the effect of anxiety on motivation to learn. 4. Identify and describe three principles that have emerged from research about learning styles. Explain the impact of each principle on your educational assessment of the learner and your selection of teaching strategies. 5. Identify three of the seven methods that can be used to assess learning needs and, for each method chosen, explain why the method is important and how and when you would use each method identified. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 26 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 5 Multiple Choice Items 1. Which is the best predictor of a person’s learning abilities based on cognitive, physical, and psychosocial attributes? A. Chronological age B. Level of education C. Developmental stage D. Motivational level 2. The term andragogy corresponds to which assumption about the learner, according to stage-specific characteristics? The learner: A. desires information for immediate application to life circumstances. B. focuses on information that is subject-centered. C. is motivated to learn by the desire for social acceptance. D. bases learning on precausal, concrete, and literal thinking. 3. Who is the noted expert in defining the key milestones of psychosocial development? A. Erikson B. Havighurst C. Knowles D. Piaget 4. 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. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 27 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 5. Jane is a young adult who is newly diagnosed with multiple sclerosis. Which strategy should the educator implement in teaching Jane about her condition? A. Use analogies to illustrate concrete information. B. Allow her participation to be self-directed. C. Present her with one concept at a time. D. Reassure her not to blame herself or others. 6. Which are developmental characteristics of school-aged children? A. Their thinking is egocentric, ritualistic, and animistic. B. They understand causation and reason syllogistically. C. They have active imaginations and are prone to fears. D. They are internally motivated and preoccupied with themselves. 7. 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. 8. It is most appropriate for the nurse educator to focus on active participation in health promotion for clients at which developmental stage? A. Adolescence B. Young adulthood C. Middle-aged adulthood D. Older adulthood 9. Which of the following best describes the “personal fable” that is typical of early adolescent thinking? Adolescents believe that: A. they are part of a fairy tale. B. everyone is watching them. C. others know what they are thinking and feeling. D. they are invincible despite the risks they take. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 28 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 10. Which statement is true about crystallized intelligence? A. It is the kind of intelligence that increases with experience as people age. B. It is the kind of intelligence that declines as degenerative changes occur. C. It results in slower processing time, altered time perception, and decreased short-term memory. D. It changes significantly in the younger years of development but then remains static after the stage of middle adulthood. 11. At which developmental stage can the learner begin to understand that illness is related to cause and effect? A. Preschooler B. School-aged child C. Adolescent D. Young adult 12. Which of the following is not a typical change occurring in older adulthood? A. Diminished color perceptions B. Increased reaction time C. Distorted depth perception D. Increased pupil size 13. 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. 14. 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 Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 29 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank C. Chronic illness management D. Treatment of acute illnesses 15. 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.” 16. 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 17. Which are the most appropriate teaching strategies for adolescents? A. Promote self-study, use a problem-centered focus, provide organized material, promote active participation. B. Use negative reinforcement, build trust, stimulate senses, promote an imaginary audience. C. Negotiate, use contracts, arrange group sessions, employ experimentation. D. Set an agenda, use analogies, use authority pressure, provide repetition. 18. Which is a common teaching strategy that should be used for groups of learners of all ages and maturation levels? A. Establish trust and rapport. B. Involve family or significant other(s). C. Provide concrete, “nice to know” information. D. Allow learners to set their own pace. 19. 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. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 30 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 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. 20. 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. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 31 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer C A A D B B D B D A B D A B C D C A A C Cognitive Domain Level knowledge comprehension knowledge comprehension application knowledge comprehension comprehension comprehension knowledge comprehension knowledge comprehension comprehension application knowledge comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level easy medium easy easy medium medium medium easy medium medium easy hard hard easy hard hard hard medium hard medium 32 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Choose three different developmental stages. For each stage, describe how cognitive and psychosocial attributes affect the abilities and needs of the learner. 2. For each developmental stage, list two teaching strategies appropriate for that stage. 3. For each developmental stage, describe the role of the family in the teaching/ learning experience. 4. Compare and contrast the learning needs and teaching strategies for two different developmental stages, focusing on one childhood stage and one adulthood stage of development. 5. Describe the personal fable as an adolescent characteristic. Use an example to explain how the personal fable impacts on learning and how the educator can use it to benefit the learner’s ability to incorporate healthy behaviors into his or her lifestyle. 6. Explain the difference between fluid intelligence and crystallized intelligence. How does this difference affect learning? 7. Choose one scenario from those given below. Then describe the process necessary for planning and carrying out a teaching plan. Include at least three characteristics of the developmental stage that will affect the teaching/ learning experience. A. A three-year-old child is scheduled for a tonsillectomy. B. A 15-year-old girl comes to the school nurse with a report of having been raped. C. A 38-year-old woman is experiencing infertility. D. A 78-year-old man with a fractured hip is being discharged from the hospital to return home. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 33 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 6 Multiple Choice and Matching Items 1. 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 2. 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. 3. What is the term for the premise on which an understanding of a phenomenon is based? A. Assessment B. Axioms C. Goals D. Motivation 4. What does the attention, relevance, confidence, and satisfaction (ARCS) model focus on? A. Maintaining and rewarding compliance B. Monitoring and correcting behavior problems C. Observing and supporting expected behaviors of compliance D. Creating and maintaining motivational strategies 5. Which model is used in health screening programs to predict preventive health behavior? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 34 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. Health belief model B. Health prevention model C. Compliance D. Motivation outcomes 6. 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 7. 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 8. 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 9. Which model or theory explains behavioral change in terms of threat and coping? A. Therapeutic alliance model B. Health belief model C. Health promotion model D. Protection motivation theory 10. Which theory or model should nurse educators use to design educational programs aimed at changing or predicting a specific health behavior? A. Theory of prediction Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 35 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. Theory of compliance C. Theory of reasoned action D. Health promotion model 11. Age, gender, emotional state, and cognitive functioning are components of which motivation category? A. Environmental influences B. Personal attributes C. Situational factors D. Interpersonal influences 12. When a nurse educator observes a client adhering to a prescribed medication regimen, the nurse educator can directly measure which behavior? A. Compliance B. Motivation C. Manipulation D. Outcome attainment 13. Which model or theory would recommend modeling, demonstration, and verbal reinforcement as educational strategies to improve participation in an employee physical activity program? A. Health belief model B. Self-efficacy theory C. Stages of change model D. Therapeutic alliance model 14. Which are the components of the therapeutic alliance model? A. Compliance, adherence, and alliance B. Assessment, planning, implementation, and evaluation C. Beliefs, attitudes, and norms D. Induction, competency, and outcomes 15. Which belief is part of the therapeutic alliance model? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 36 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 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. 16. 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. For items 17 to 20, match the primary focus of intent with the corresponding health behavior model or theory: 17. ___ Predicts the likelihood of preventive action based on the premise that clients are willing to participate and value health highly 18. ___ Uses approach behaviors rather than avoidance of disease behaviors as factors influencing health potential and the level of well-being 19. ___ Focuses on a person’s expectations relative to a specific course of action from a socio–cognitive perspective 20. ___ Changes the focus of the client from passive-dependent learner to active learner to strive for the goal of self-care A. Therapeutic alliance model B. Health belief model C. Health promotion model D. Self-efficacy model E. Stages of change model Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 37 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer C D B D A B B A D C B A B A D C B C D A Cognitive Domain Level knowledge comprehension knowledge comprehension comprehension knowledge comprehension comprehension comprehension application knowledge comprehension comprehension knowledge application application application application application application Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level easy medium easy medium medium easy medium medium hard hard easy easy medium easy medium medium hard hard hard medium 38 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Discuss the differences between motivation and compliance. 2. Identify and describe the comprehensive parameters for motivational assessment of the learner. 3. Describe what is meant by “state of optimal anxiety.” 4. Select a model for health behaviors of the learner and give rationale for use of this model in a health education situation in your practice. 5. Explain the functional utility of the health promotion model. 6. Using a comparative analysis approach, explain the similarities and differences among the models used for health education. 7. Describe the roles of the nurse as facilitator, contractor, organizer, and evaluator. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 39 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 7 Multiple Choice Items 1. 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 2. Illiteracy is generally interpreted as having reading skills at or below which grade level? A. Fourth B. Fifth C. Seventh D. Eighth 3. 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. 4. Which statement about literacy in the adult U.S. population is accurate? A. Adult illiteracy is on the rise despite public and private efforts to address the issue. B. Literacy levels are an issue in teaching healthcare practices to patients as well as to nursing staff populations. C. The initiation of appropriate interventions for patients with low literacy skills has become a subject of considerable concern by healthcare providers. D. Government initiatives in the last two decades have raised media attention about the literacy issue. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 40 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 5. 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. 6. According to the Patient Protection and Affordable Care Act of 2010, Title V, health literacy is the degree to which an individual has the capacity to: A. read patient education materials or make an appointment. B. obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. C. demonstrate strong reading and writing skills. D. understand health decisions made by healthcare providers. 7. How is comprehension best defined? A. The ease with which written or printed information can be read B. The degree to which individuals understand what they have read C. The ability to read numbers and accurately pronounce printed words D. The ability to accurately interpret the spoken word and oral instruction 8. Which is not a factor that correlates significantly with levels of illiteracy and low literacy in the U.S. population? A. A rise in the number of illegal immigrants B. An increase in the number of older adults over 65 years of age C. Advances in technology and the complexity of information Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 41 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. The growing number of students in public schools 9. The nurse should assess a client’s: A. e-health literacy. B. health literacy. C. comprehension of printed materials only. D. Both A and B, above 10. Which readability formula has been validated repeatedly over more than 50 years? A. Flesch-Kincaid scale B. Fog index C. Fry formula D. SMOG formula 11. The Fog index depends on which two elements to evaluate written materials? A. Percent of prepositional phrases and percent of personal words B. Average sentence length and number of multisyllabic words C. Complexity of grammar and complexity of sentence punctuation D. Length of words and difficulty of vocabulary 12. The WRAT and the REALM are two screening tests that are used to determine the reader’s ability to: A. comprehend vocabulary. B. recognize words. C. recall information. D. understand concepts. 13. Which is a guideline for developing and administering the Cloze test? A. Systematically delete every fifth word from sentences in a passage, keeping the first and last sentence intact. B. Allow the reader approximately five minutes to take the test, but allow the reader a few more minutes if needed. C. Choose educational materials that previously have been familiar to the reader. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 42 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Use words of equal length to substitute for the blank spaces that the reader will see in a given paragraph. 14. Why is the SMOG formula a particularly useful measurement tool? A. It is one of the most valid tests of readability. B. It can be applied to printed materials containing less than thirty sentences. C. It calculates the readability of printed materials from kindergarten to college level. D. It assesses grade level of the reader based on 75% comprehension of the material. 15. Which rule is considered to be the most important technique to reduce the level of reading difficulty and to improve the comprehension of what is read? A. Write in a conversational style that uses an active voice and the personal pronoun “you.” B. Use short words that contain no more than three syllables. C. Spell out words rather than use abbreviations or acronyms. D. Include a glossary of terms at the end of a text to define technical and unfamiliar words. 16. Which of the following sentences is considered to be at the lowest reading level? A. Smoking causes your blood vessels to narrow, your heart rate to increase, and your blood pressure to go up. B. People who sunburn easily and have fair skin with red or blond hair are most prone to developing skin cancer. C. By following a low-cholesterol diet, the chances of having a heart attack or stroke are reduced. D. Walking for one hour every day helps you to keep your weight at a normal level. 17. The SAM (Suitability Assessment of Materials) instrument is useful in evaluating all of the following except: A. the quality of videotaped and audiotaped instructions. B. the cultural appropriateness of pictures and illustrations. C. the clarity of symbolic formulas and numeric scores. D. the literacy demand of written materials. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 43 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 18. Which tool is specifically designed to measure a person’s ability to recognize medical and health-related vocabulary? A. Cloze test B. Listening test C. REALM D. WRAT 19. Which teaching strategy is not aimed at increasing motivation and compliance in individuals with low literacy skills? A. Tailoring B. Cuing C. Repetition D. Asking open-ended questions 20. Which two formulas or tests are designed specifically to measure comprehension? A. Cloze and listening tests B. WRAT and REALM tests C. SMOG and FOG formulas D. Fry and Spache formulas Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 44 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer B A D A B B B D C A B B A A A D C C D A Cognitive Domain Level knowledge knowledge comprehension comprehension application comprehension knowledge comprehension knowledge knowledge comprehension knowledge comprehension comprehension comprehension application knowledge knowledge comprehension knowledge Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium easy easy hard hard medium easy easy medium medium medium medium medium hard hard hard medium easy medium medium 45 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Discriminate between the terms literacy, illiteracy, health literacy, low literacy, and functional illiteracy. 2. Describe the scope of the illiteracy problem in the United States by citing the estimated numbers of adults affected, the causes of illiteracy, and the impact of the illiteracy problem on our society. 3. Identify four common myths associated with illiteracy that lead educators to either wrongly label someone as illiterate or to assume someone is literate based on stereotypical patterns. 4. Identify five behaviors that an educator may observe in illiterate or low literate clients that are indicators of reading and/ or writing deficiencies. 5. Explain three ways in which nurse educators can contribute to the resolution of the problem of illiteracy and low literacy in client populations. 6. Nurses are ethically and legally responsible to ensure that clients and their significant others are adequately informed to carry out self-care management. Describe the requirements of the Nurse Practice Acts, the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO), and the Patient’s Bill of Rights as they relate specifically to the accountability of nurses in the education of clients. 7. Evidence suggests that the problem of illiteracy and low literacy is on the rise in the United States. Present a cogent argument for whether you believe this problem will improve or worsen in the next twenty years. Include in your argument probable trends in demographics, education policy, and governmental and nongovernmental actions. 8. List five strategies to simplify printed educational materials (PEMs) for clients with low literacy skills. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 46 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 8 Multiple Choice Items 1. Which statement about differences in brain structure is correct? A. Males have about 20% fewer neurons in the temporal lobe of the brain than females have. B. The anterior commissure is smaller in females than in males. C. Female brains tend to be larger in size than male brains. D. Females tend to use their brains more holistically, calling on both hemispheres simultaneously. 2. Which statement about differences in cognitive abilities is correct? A. Girls often score higher than boys on intelligence tests in middle school and high school. B. Boys tend to develop verbal skills and math skills at an earlier age than girls develop these skills. C. Females are better able than males in the ability to discern and later recall the location of objects in a complex, random pattern. D. Males are more likely than females to attend to details and irrelevant cues in the surrounding field. 3. Based on the latest research findings, which statement about gender differences is true? A. Individual differences within a group are usually greater than between groups. B. Genetic differences can be separated from environmental influences when comparing the sexes on their behavioral patterns. C. Social sciences and nursing research have focused on gender differences from a teaching/ learning perspective. D. The gap in knowledge of what the sexes would be like if mankind were not exposed to behavioral conditioning has narrowed significantly in recent years. 4. 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? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 47 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. Problem-solving ability B. Spatial ability C. Verbal ability D. Mathematical ability 5. Which of the following indices is not used to measure social class? A. Occupation of parents B. Dependence on welfare C. Location of residence D. Educational level of parents 6. A family consists of a husband, wife, and three young boys. The husband has worked for 20 years as a coal miner in a rural community. Like his father and grandfather before him, the husband has labored long and hard to support his family. And like the two previous generations, the husband and his wife have had little formal education to qualify for jobs of higher pay, prestige, or intellectual demand. Their children are immersed in an environment that offers minimal hope for advancement. This family’s socioeconomic situation can best be described as an example of the: A. theory of economic deprivation. B. cycle of powerlessness. C. social isolation model. D. poverty circle. 7. Which factor is not a probable effect of low socioeconomic status on an individual’s ability to learn? A. Educational background B. Literacy level C. Susceptibility to illness D. Learning disorders 8. Teaching strategies for economically and socially deprived individuals should be developed based primarily on an assessment of the individuals’: A. healthcare skills for long-term benefits. B. indifference to symptoms of illness and feelings of wellness. C. particular strengths and weaknesses for learning unique to their life circumstances. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 48 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. viewpoints on health that differ from the perspectives of care providers. 9. Which statement is true about the LGBT population? A. It is overrepresented in health research. B. The first worldwide LGBT census was completed in 2012. C. U.S. estimates of the LGBT population are between 3 and 4 million. D. The U.S. Census routinely asks questions to identify LGBT orientation. 10. What is the definition of the term acculturation? A. Incorporation of cultural beliefs and values into one’s daily life B. Adherence to the practices and customs of one’s own cultural group C. A willingness to adapt or modify one’s own culture as a result of contact with another culture D. Transference from one cultural lifestyle to another set of cultural beliefs and values 11. Which is one of the six cultural phenomena? A. nurse–client relationship B. generational differences C. personal space D. educational background 12. What is the primary reason why healthcare providers in the United States have experienced difficulty in caring for clients whose cultural beliefs are different from their own? A. Formal educational preparation of healthcare providers focuses primarily on the unicultural, Western, biomedical paradigm. B. Large numbers of people from minority groups have alienated themselves from the care given by health providers. C. Minority groups are demanding specific approaches to health care that respect their cultural rights and beliefs. D. The number of legal and illegal immigrants coming into the United States continues to increase at exponential rates. 13. What is the purpose of the nurse–client negotiations model? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 49 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. To identify cultural barriers between the nurse and client B. To conduct cultural assessment and planning C. To negotiate cultural beliefs that impact health care D. To encourage the client to practice cultural beliefs 14. Some health professionals display these symbols as a sign of welcome to LGBT clients. A. Pink triangle and rainbow pride flag B. Blue circle and green triangle C. U.S. flag and rainbow pride flag D. Pink heart and black triangle 15. A staff of nurses is caring for a group of Laotian mothers and infants in an inner-city maternal/ child health clinic. Nursing interventions focus on well-baby care, women’s health issues, and illness prevention. The staff views all members of this client group as homogenous, with each person seen as adhering to all of the traditions, values, customs, and beliefs of the group to which they have affiliation. The nurses’ views are an example of: A. cultural awareness. B. cultural sensitivity. C. cultural adaptation. D. cultural stereotyping. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 50 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Correct Answer D C A B B D D C B C C A B A D Cognitive Domain Level knowledge comprehension comprehension comprehension knowledge application knowledge comprehension knowledge comprehension knowledge comprehension comprehension knowledge application Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium easy medium medium easy medium easy hard medium medium easy hard medium easy medium 51 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Describe gender variation in two areas of cognitive functioning and in three personality traits. 2. Based on the gender of the learner, explain what different approaches the nurse might use during a teaching session to meet the needs of an all-female group, an all-male group, and a transgender group. 3. Discuss two methods of preparing practitioners to provide culturally sensitive care. 4. Explain the term poverty circle in terms of its effect on individuals as learners. 5. Define the following concepts and briefly explain the importance of each concept in the delivery of culturally appropriate care: A. Cultural competence B. Ethnocentrism C. Cultural relativism D. Transcultural Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 52 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 9 Multiple Choice Items 1. What are the two categories of disabilities? A. Mental and physical B. Neurological and cognitive C. Sensory and motor D. Developmental and physiological 2. Individuals who have been deaf or severely hearing impaired since birth primarily rely on which modes of communication? A. Sign language and lip reading B. Reading and writing C. Hand gestures and facial expressions D. Sound augmentation and telecommunications 3. Approximately ________ of people who are legally blind have some degree of vision. A. 5% B. 15% C. 31% D. 90% 4. How is attention deficit disorder characterized? A. As a sensory deficit B. As an input disorder C. As a learning disability D. As an output disorder 5. The nurse is caring for a 16-year-old male client with a recent spinal cord injury. In planning a teaching program focusing on rehabilitation to help the client regain optimum functioning, the nurse will most likely encounter which obstacle to learning readiness in the client? A. The client’s level of denial Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 53 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. The client’s level of family/ peer support C. The client’s level of anxiety D. The client’s level of functional level of injury 6. Which is one of the most common mistakes that nurses make when teaching clients who have had strokes and residual problems with aphasia? A. Nurses speak too slowly and in simple sentences. B. Nurses repeat words and phrases. C. Nurses overestimate the understanding of speech. D. Nurses use facial expressions and gestures to convey a message. 7. Which communication disorder results from damage to the nerves or muscles associated with speech, including the mouth, tongue, larynx, or vocal cords? A. Apraxia B. Dysarthria C. Expressive aphasia D. Receptive aphasia 8. Which is the greatest obstacle that individuals with disabilities face in the use of computing technology? A. Being able to interpret output data B. Gaining access to a computer monitor and keyboard C. Obtaining proper training in the use of computers D. Finding adaptive devices that fit their special needs 9. Successful management of a chronic illness includes all of the following behaviors except: A. adjusting to dependence. B. managing a therapeutic regimen. C. preventing a medical crisis. D. planning for the resolution of the illness. 10. When planning a teaching session with the client who has a chronic illness and with the client’s family, the nurse should give primary consideration to assessment of the family’s: Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 54 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. availability. B. feelings. C. resources. D. roles. 11. Which statement about learning disabilities is a myth? Learning disabilities: A. refer to a heterogeneous group of central nervous system disorders affecting listening, speaking, reading, writing, reasoning, or mathematical abilities. B. affect almost 3 million children in the United States. C. affect boys more often than girls, but all children who receive help tend to eventually outgrow their intrinsic disabilities. D. occur in individuals who otherwise appear normal, and most of them have average, if not above-average, intelligence. 12. The nurse is planning instruction on disease management for a 45-year-old female client who has glomerulonephritis. The client has been severely hearing impaired since 18 months of age. The client’s family tells the nurse that the client is able to do some lip-reading and knows American Sign Language (ASL). Which is the best strategy for the nurse to follow in the role of educator? A. Enlist the support of the client’s family members to act as translators during the teaching sessions. B. Speak slowly to the client, facing her directly in sufficient light when you talk, and exaggerate your lip movements. C. Provide the client with detailed written materials to supplement your spoken words. D. With the client’s permission, secure the services of a professional interpreter qualified in ASL to convey information being taught. For items 13 to 15, identify the following statements as either (A) true or (B) false. 13. _____ Use the “hands-on” method when teaching a person with a language disability. 14. _____ Keep sessions short and frequent when teaching a client with a mental illness. 15. _____ Use tactile learning and be descriptive when teaching a person with a visual impairment. For items 16 to 20, match the following learning disorders as either an input disability (A) or an output disability (B). Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 55 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 16. _____ Visual perceptual disorders 17. _____ Integrated processing disorders 18. _____ Gross and fine motor disorders 19. _____ Short- or long-term memory disorders 20. _____ Spontaneous and demand language disorders Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 56 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Correct Answer A A D C A C B D D D C D A A A A A Cognitive Domain Level knowledge knowledge knowledge comprehension application comprehension knowledge comprehension comprehension application comprehension application knowledge knowledge knowledge knowledge knowledge Difficulty Level easy medium medium medium hard medium medium medium medium hard hard hard easy easy easy easy easy 18. 19. 20. B A B comprehension comprehension knowledge medium medium medium Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 57 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. How is disability defined under the Americans with Disabilities Act (ADA), and what are the two primary mandates of this law? 2. The nurse is asked to prepare a client education program for a person who is hearing impaired. Describe the four guidelines for communication suggested by Navarro & Lacour. 3. Explain the purpose of five federal laws dealing with appropriate education for children who have developmental disabilities. A. Developmental Disabilities Assistance and Bill of Rights Act of 2000 B. Public Law (PL) 94-142, Education of All Handicapped Children’s Act of 1975 C. Public Law (PL) 99-457 of 1986 D. Public Law (PL) 101-476 of 1990 4. State five of the seven guidelines for effective teaching of a person with a brain injury. 5. Discuss measures that the nurse may use to improve communication with a client who has lost the ability to communicate following a laryngectomy. 6. Define and describe the term learning disability, including etiology, incidence, types of disorders, and characteristics of individuals with special learning needs. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 58 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 10 Multiple Choice Items 1. Behavioral objectives are classified in a taxonomic hierarchy according to: A. type and complexity. B. quantity and knowledge level. C. preciseness and congruence. D. concepts and domains. 2. Which of the following statements is false with respect to the characteristics of goals and objectives? A. A goal is multidimensional and long-term. B. An objective describes the specific performance a learner must exhibit to be considered competent. C. An objective is unidimensional and short-term. D. A goal is the intended result of instruction that is derived from the stated objectives. 3. What is the purpose of writing clear and concise behavioral objectives? A. To specify what the teacher is expected to teach B. To specify what the learner is expected to be able to do C. To keep the learner motivated D. To allow the learner to achieve many possible outcomes 4. Which statement is false regarding the cognitive, affective, and psychomotor domains of learning? A. Each domain is ordered in a taxonomic form of hierarchy from a series of simple to complex behaviors. B. The cognitive, affective, and psychomotor domains are separate and unrelated, reflecting the development of skills, thinking, and feeling capabilities, respectively. C. The cognitive and psychomotor domains represent the degree of understanding and skill attainment, while the affective domain represents the degree of internalization and commitment to a feeling. D. The learner must be successful at demonstrating behaviors at the lower levels of any domain before being able to achieve behaviors at the higher levels in that domain. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 59 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 5. Which is a common argument by educators against the use of behavioral objectives for teaching and learning? A. Written objectives tailor teaching only to the learner’s particular circumstances and needs. B. Careful construction of objectives directs educators to keep their teaching targeted and learner-centered. C. Predetermined objectives force teachers and learners to attend only to specific objectives, thereby stifling creativity and freedom in teaching and learning. D. Mutual decision-making in establishing objectives requires effort on the part of both the teacher and the learner. 6. What should be included in the performance characteristic of a well-written behavioral objective? A. The testing situation or constraints under which the learner’s behavior will be observed B. With what accuracy, or to what extent, the learner will be able to carry out the behavior C. Who will do the learning, such as the patient, family member, or significant other D. What behavior the learner is expected to be able to do to demonstrate evidence of achievement 7. Which words in the behavioral objective below describe the criterion characteristic? “In the classroom and without using a calculator, the student will write the answers to 20 addition and subtraction problems within five minutes with 100% accuracy.” A. “in the classroom and without using a calculator” B. “the student will write the answers to 20 addition and subtraction problems” C. “within five minutes with 100% accuracy” D. “with 100% accuracy” 8. Which is a common mistake made when writing objectives? A. To include only one expected behavior in a single objective B. To use only terms that are action-oriented and measurable C. To expect a behavior that is above the ability level of the learner D. To include information that is very specific and goal-related Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 60 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 9. When writing behavioral objectives, it is best to avoid using which verbal because it is subject to many interpretations? A. To recall B. To recognize C. To know D. To differentiate 10. Which educational objective in the cognitive domain is at the highest level (most complex) in the taxonomic hierarchy? A. Describe three main purposes of the cough, turn, deep breath regimen following surgery. B. Assess whether nursing care within the home is meeting the client’s needs. C. Select a menu to include items from the four food groups. D. Apply principles of asepsis when changing a surgical dressing. 11. Which is an attribute of the affective domain? A. Receiving is the lowest level of behavior. B. Responding is the highest level of behavior. C. Organization and characterization is the least complex of the five levels of behavior. D. Receiving and valuing is the most complex of the five levels of behavior. 12. Which is a characteristic of psychomotor learning? A. Questioning and role playing are teaching strategies for helping the learner to acquire behaviors in this domain. B. It is egocentric, subjective, and requires concentration for skill mastery. C. Performance of a skill is a more permanent behavior, while learning a skill is more transitory. D. Mental practice and use of imagery interferes with learning motor skills. 13. While an adult client is in the process of learning to self-administer a parenteral medication, the nurse educator asks the client about the side effects and actions of the medication. The nurse also explores how the client feels about injecting herself. The nurse educator’s interventions violate which principle? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 61 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. Requiring only one response from the learner at any particular time during skill development B. Keeping psychomotor skill instruction separate from teaching in the cognitive and affective domains C. Helping the learner to concentrate on the mastery of one specific skill D. Teaching through step-by-step questioning as an effective technique in assisting the learner to perform a psychomotor skill 14. Which statement is an example of a poorly written objective? A. After a 30-minute teaching session, the patient will understand the necessity of a sodium-restricted diet prior to being discharged to home. B. After reviewing several low-calorie meal plans, the client will be able to choose ten snack foods that are low in fat, are tasty, and nutritious. C. Following a video on the administration of insulin, the patient will be able to recall the seven steps of self-injection in sequential order. D. With the assistance of the nursing staff, the mother of a five-year-old child will relate three or four feelings she has that are associated with caring independently for her child’s ileostomy bag at home. 15. A 12-year-old boy with newly diagnosed asthma needs to learn how to control his asthma with a proper diet and medication regimen. Which nurse/ patient established objective most likely would assist the client in achieving the goal of controlling his asthmatic condition? A. With the aid of an age-appropriate printed education material, the client will be able to recognize at least four types of exercise that can play a role in triggering an asthma attack. B. After watching a video about the possible causes of asthma, the client will be able to appreciate the importance of a proper diet to minimize the number of asthmatic episodes experienced. C. At the conclusion of a one-to-one instructional session lasting approximately 20 minutes, the client will demonstrate the proper technique in using the asthma inhaler. D. To help the client adjust to the new diet and medication regimen, the nurse will teach the client which foods to avoid and how to properly take the medication. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 62 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 16. During his first aerobic workout, a client learns a series of exercises to help maintain his weight and keep himself fit. The client senses that although he did quite well trying to learn the new exercise routines for the first time, he feels awkward performing them and thinks he still needs a lot more practice. Which type of immediate feedback has the learner received? A. Augmented B. Intrinsic C. Selective attention D. Supplemental 17. Evaluation of learner performance is a more complex process in the affective domain than in the other domains of learning because in the affective domain, evaluation of learner performance: A. is less overt, tangible, and observable. B. is a multidimensional, in-depth process. C. occurs informally in unstructured environments. D. usually happens under formal conditions in structured settings. 18. The primary criterion for judging the quality of a teaching plan is to determine whether the teaching plan: A. demonstrates a relationship in overall design between the eight basic parts for each domain of learning selected. B. organizes and presents the same information in a format that is externally consistent with other plans specifically designed for patients with similar diagnoses. C. contains more than three objectives to completely cover all the domains of learning necessary for the learner to achieve. D. includes multiple methods of teaching to meet the learning needs and styles of the learner. 19. What is the purpose of using learning contracts? A. To meet the needs of a very select audience of learners B. To share accountability for learning between the teacher and the learner C. To delineate general teaching and learning activities that should occur within an unspecified time frame D. To establish a moral agreement governing the terms of a verbal transaction Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 63 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 20. Which of the following statements is true about learning contracts? A. They are designed to provide the learner with the option of self-directed study or guided learning. B. They are non-negotiable once the behavioral objectives and target dates for achievement of the objectives have been established. C. They require the nurse educator to be responsible for evaluation of the learner’s progress in meeting predetermined objectives. D. They require assessment of the learner prior to establishing and carrying out the steps of implementing a contract. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 64 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Answer A D B B C D C C C B A B B A C B A A B D Cognitive Domain Level knowledge comprehension comprehension comprehension comprehension comprehension application comprehension knowledge application knowledge comprehension application application application application comprehension comprehension knowledge comprehension Difficulty Level easy hard medium medium medium easy hard easy easy hard medium medium medium medium medium medium medium hard easy medium Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 65 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Differentiate between the meaning of the terms educational or instructional objectives and behavioral or learning objectives. 2. List three reasons justifying the need for writing clearly stated objectives that counter the arguments by some educators against the use of behavioral objectives for teaching and learning. 3. State four common mistakes made by educators when writing behavioral objectives. 4. Name five terms (verbal) that are subject to many interpretations and should be avoided when selecting words to describe the performance component of any behavioral objective. 5. Based on the goal statement provided below, write three objectives (one for each domain) that reflect the principles of well-written objectives. Be sure to label the objectives by domain. Goal: The patient will be able to maintain a low-cholesterol diet to reduce the symptoms of gall bladder disease. 6. Describe two purposes of teaching plans. 7. Identify, in correct order, the eight elements of a teaching plan. 8. Identify the four primary components that make up a complete learning contract. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 66 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 11 Multiple Choice Items 1. A lecture would be an effective strategy to achieve which goal? A. Teach a patient to inject insulin. B. Change staff attitudes towards people with AIDS. C. Encourage leadership behaviors in nurses. D. Explain changes in Medicare reimbursement to nursing staff. 2. Leading a group discussion requires the instructor to carry out all of the following tasks except: A. maintaining focus on objectives for learning. B. correcting errors made by participants. C. providing foundational background information. D. tying together key points that are put forth by group members. 3. Advantages of the demonstration and return demonstration instructional method include all of the following except: A. Especially effective for learning in the psychomotor domain B. Cost effective student-teacher ratio C. Provides opportunity for “over-learning” D. Actively engages the learner 4. “Pooled ignorance” refers to the learners’ unfamiliarity with a topic during which instructional method? A. Group discussion B. Virtual reality C. Programmed instruction D. Role playing 5. A client is a busy executive who is newly diagnosed with coronary artery disease. During teaching, the nurse asks the client to work through what he would do if he experiences chest pain while at a business meeting. Which instructional method is the nurse using? A. Gaming Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 67 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. Role playing C. Return demonstration D. Rehearsal 6. The nurse demonstrates to a client how to change a dressing. During the return demonstration, the nurse should include which intervention? A. Question the client about the procedure. B. Offer the client cues when necessary. C. Explain each step as the client does it. D. Reduce the client’s anxiety with casual conversation. 7. Which is not part of the instructor’s role when using gaming as an instructional method? A. Explain the objectives and rules for the players. B. Intervene during the game to explain concepts. C. Award prizes to winners at the finish. D. Debrief players after the game. 8. The nurse wears an insulin pump with saline to “feel” the daily demands of clients using this mode of therapy. Which instructional method is the nurse using? A. Simulation B. Gaming C. Role playing D. Rehearsal 9. What is the purpose of the pretest in self-instructional activities? A. To focus the learner on the intent of the activity B. To review the prerequisite skills needed C. To determine if the learner should proceed D. To help the learner treat the activity seriously 10. The most important criterion in evaluating an instructional method is to determine whether the method: A. facilitates the achievement of objectives. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 68 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. uses resources efficiently. C. promotes active learning. D. is enjoyed by learners. 11. Which method is best to accomplish objectives in the psychomotor domain? A. Computer-assisted instruction B. Group discussion C. Role modeling D. Simulation 12. Which method is least effective for teaching objectives in the affective domain? A. Group discussion B. Lecture C. Role modeling D. Role playing 13. Which strategy would be best to increase the effectiveness of a staff development lecture presentation on conflict resolution? A. Increase the prerequisite reading. B. Present the lecture to small groups. C. Include a pretest and posttest. D. Add problem-solving activities. 14. The nurse is evaluating an instructional program to determine its effectiveness, efficiency, and appropriateness. Which does not need to be examined in the evaluation? A. Prerequisite skills of the learner B. Cost to achieve outcomes C. Accessibility to target audience D. Resources needed to carry out the activity 15. Using techniques involving risk-taking behavior, including problem-solving activities, and delivering material dramatically are examples of: A. distance learning approaches. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 69 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank B. self-instruction methodologies. C. creative teaching strategies. D. learning style preferences. 16. Which of the following is an example of a high-order question? A. What should you do if you skip a dose of your medication? B. What kind of exercise do you get on a daily basis? C. What do you mean when you say you do not feel well? D. What problems are you having with activities of daily living? For items 17 to 20, match the advantage of using a particular instructional method with the correct method: 17. ___ Flexible, good for large groups, time efficient 18. ___ Opportunity to overlearn, requires supervision, provides immediate feedback 19. ___ Allows learner to work at own pace, subject-centered, opportunity for continuous feedback 20. ___ Innovative, active learning, requires critical thinking and problem-solving A. Demonstration/ return demonstration B. Lecture C. Computer-assisted instruction D. Gaming E. Group discussion Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 70 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item Correct Answer Cognitive Domain Level Difficulty Level 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. D C B A D B B C C A D B D A C A B A C D comprehension comprehension knowledge knowledge application comprehension comprehension application comprehension comprehension comprehension comprehension comprehension comprehension comprehension application comprehension comprehension comprehension comprehension medium medium easy medium hard medium easy medium hard hard medium medium medium easy easy hard easy medium medium medium Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 71 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Describe the advantages and disadvantages of gaming as an instructional method. 2. List five techniques a creative teacher can use to increase teaching effectiveness. Explain why each technique enhances learning. 3. Outline three different instructional methods that are appropriate to teach a group of 20 nursing staff about cardiovascular drugs. 4. Briefly explain the components of a self-instruction module. 5. Identify the five questions you should ask yourself when evaluating an instructional method. Which one of the five questions is the most important? Explain why. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 72 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 12 Multiple Choice and Matching Items 1. Instructional materials are most accurately defined as: A. the approaches and processes used to impart information to the learner. B. the resources and tools used as vehicles to stimulate the learner’s senses. C. the strategies and techniques used to share information with the learner. D. the methods and modes used to simplify complex messages for increased learner comprehension. 2. When the educator focuses on identifying the domain of learning, which variable of instructional materials is the educator emphasizing? A. Characteristics of the task to accomplish predetermined behavioral objectives B. Characteristics of the learner to satisfy learning needs C. Characteristics of the media to enhance instruction D. Characteristics of the delivery system to increase the effectiveness of communication 3. Which is a disadvantage of most printed materials? A. Literacy level B. Availability C. Cost D. Appearance 4. Which is not a guideline for the development of printed materials? A. Present the most important information first. B. Avoid using all capital letters. C. Include extra information to enhance the message. D. Allow plenty of white space for layout. 5. Which guideline is best to follow when constructing a poster? A. Use similar sized and shaped photographs to give a uniform look. B. Make it readable from a distance of four to six feet. C. Include as much information as possible to make the message complete. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 73 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Use one color for 70% of the display and at least three other vivid accent colors for the other 30%. 6. Using a life-sized model to help clients with multiple sclerosis learn the procedure of straight catheterization has all of the following advantages except: A. Use of an inanimate object helps desensitize learners before trying the procedure on themselves. B. A model can be examined and manipulated so that clients can experience hands-on participation. C. A model is suitable for learners who have poor abstraction abilities or who are visually impaired. D. A model provides the opportunity for repetition and reinforcement of skill techniques. 7. Which common mistake is made when developing printed instructional materials? A. Using illustrations to break up large blocks of print B. Using line drawings, rather than elaborate artwork, to reinforce information in a concrete manner C. Including a review section at the end of the written material to reemphasize key points D. Providing illustrations that convey a negative or incorrect message to help the learner acquire desired behaviors 8. Which modes of learning are the most effective for recall of information? A. Watching and speaking B. Reading and hearing C. Speaking and doing D. Reading and doing 9. Which is a generally accepted guideline for writing effective materials? A. Black lettering on white paper should be used when the developmental stage of the audience of learners is heterogeneous. B. Materials should be written one to two grade levels below the average grade level completed by the learner. C. A variety of words (synonyms) should be used to enhance the reader’s understanding of the message. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 74 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. The “why” rather than the “how” should be stressed when deciding the content of the material. 10. Which is a primary disadvantage of computer-assisted instructional (CAI) materials? A. The potential database is so extensive that it can discourage the learner. B. The interactive potential interferes with retention of information. C. Individualization of instruction is difficult to achieve. D. Learning is promoted primarily in the cognitive domain. 11. Which guideline should the educator follow when selecting instructional materials? A. The goal for learning should be set before materials are selected. B. The choice of materials should give direction in the establishment of objectives for learning. C. The selection of appropriate materials should assist the educator in determining the domains of learning on which to focus instruction. D. The audiovisual tools available should guide the educator’s decision-making regarding the content for instruction. 12. Written materials are advantageous primarily because: A. written words are the most abstract way to convey information. B. most materials are written at an appropriate level. C. they usually give immediate feedback. D. they are easily obtainable through commercial sources. 13. The nurse educator is developing a program to teach breast self-examination (BSE) to all women who come to a women’s health outreach center. Which instructional strategy would be best for the nurse educator to follow? A. Show a video of a live model performing accurate BSE. B. Present a slide show demonstrating each step to be followed when performing BSE. C. Use a lifelike mannequin for demonstration and return demonstration. D. Distribute shower cards depicting BSE steps and techniques. 14. Which instructional materials convey messages in the most abstract form? A. Three-dimensional models B. Digital video files Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 75 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank C. Photographs D. Written handouts 15. Which tools are types of projected learning resources? A. Computers and compact discs B. Digital sound players and DVDs C. Posters and three-dimensional models D. PowerPoint slides and overhead transparencies 16. Which is the most significant guideline to consider when selecting audiovisual aids? A. Computer-assisted technology will be the more effective way to convey messages to the learner in the future. B. Materials of all types should be previewed for accuracy and appropriateness of content and delivery. C. Purchasing the best equipment available will ensure currency information for the longest period of time. D. The suitability of a medium depends on its diversity in communicating information. The public health nurse is preparing to teach a client with newly diagnosed diabetes about insulin self-injection. For items 17 to 20, match the delivery system with the type of presentation that the nurse could use. 17. ___ Printed pamphlet with graphics 18. ___ Syringes and bottles of saline 19. ___ Pictures with digital sound player 20. ___ Oral discussion of procedures A. Realia B. Illusionary representation C. Symbolic representation Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 76 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer B A A C B C D C A D A D C D D B C A B C Cognitive Domain Level knowledge comprehension comprehension comprehension comprehension application comprehension comprehension comprehension knowledge comprehension comprehension application knowledge knowledge comprehension comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level easy medium easy medium medium hard easy medium hard medium hard easy hard easy easy hard medium medium medium medium 77 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Design a teaching program on asthma management for a group of adolescent clients with asthma by describing your knowledge of general learner characteristics of this client population and selecting instructional materials appropriate for use with this population. Provide a rationale for the instructional materials selected. 2. List the primary advantages and disadvantages of four types of audiovisual materials, and give one example of an appropriate learner population for each type of audiovisual material. 3. The director of the local Planned Parenthood chapter asks the nurse educator to develop print materials to be used in teaching basic birth control methods to women who live in the inner city and who have low literacy levels. Based on the learner characteristics of this population, discuss the primary guidelines to consider when developing these materials. 4. After lengthy discussion, your work group has decided that it would be more appropriate to purchase rather than develop your own printed materials for teaching mobility management strategies to older adult clients. What considerations should you keep in mind when you evaluate potential written resources for educating the older adult learner? 5. The nurse educator is constructing a poster presentation on the development of a clinical pathway for total joint replacement at your hospital. The poster will be used at a national nurses' convention. What are two advantages and two disadvantages of posters? Discuss the primary considerations that should be adhered to when you are developing this poster. 6. Differentiate between video learning resources and computer learning resources. Give at least one example of an appropriate learner population and a potential content topic for each of these resources. 7. What are the three primary variables to consider when selecting tools for client instruction? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 78 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 13 Multiple Choice Items 1. A nurse educator working in the field of consumer informatics most likely would be involved with which project? A. Comparison of the types of Web pages used by men and women seeking healthrelated information B. Survey of nurses’ perceptions of a training program aimed at preparing staff to use a new information management system C. Development of a form that can be delivered online for use in evaluating satisfaction with the outpatient services provided by a particular hospital D. Analysis of a client’s willingness to purchase medication and other health supplies via the World Wide Web 2. What is the primary purpose of the e-Health Code of Ethics? A. To provide the legal basis for removing health-related websites containing inaccurate or misleading information B. To ensure that all health consumers have equal access to Internet-based resources C. To serve as the standard for comparing and evaluating health-related websites D. To protect consumers who are using Internet-based resources to obtain accurate healthcare information and services 3. Which role of the nurse educator is most consistent with teaching in the Information Age? A. Provider of information B. Facilitator of learning C. Source of expert knowledge D. Critical evaluator 4. The nurse educator uses a search engine to find information about colon cancer. The search engine identifies 676 possible websites. Which is an accurate statement about Web searches that is reflected in this example? A. The World Wide Web is so large that most Web searches only uncover a small percentage of relevant websites. B. Search engines are so powerful that most Web searches result in a complete list of relevant websites. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 79 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank C. If the proper search commands are used, most Web searches result in a list of the majority of relevant websites. D. Due to the structure of the World Wide Web, most Web searches only uncover the largest websites available on a particular topic. 5. Which definition best describes the Internet? A. A global network of computers created to allow the transfer of information from one computer to another B. A global network of information servers that houses documents created using Hypertext Markup Language C. A computer program designed to allow users to find information that is housed within its system D. A computer-facilitated communication system that is made up of individual computers connected to one another via a modem 6. Which information should the nurse educator stress when speaking to a group of staff nurses about the World Wide Web and health education? A. There are many health-related resources available on the World Wide Web for healthcare consumers, but for a number of reasons, few people actually use these resources. B. Studies have shown that many healthcare consumers use the World Wide Web and allow the information they find to influence their healthcare decisions. C. Although health-related resources on the World Wide Web could be used by healthcare consumers, most websites are designed to be used by healthcare professionals. D. Healthcare consumers are eager to use the World Wide Web for health information, but few have the computer skills necessary to access the information they are seeking. 7. Which skill is associated with computer literacy? A. The ability to conduct a Web search to find a topic of interest B. The ability to evaluate the information on a website for accuracy and currency C. The ability to categorize Web pages according to their purposes D. The ability to create a Web page for use by healthcare consumers 8. Which strategy will most likely result in obtaining the most accurate health information on the World Wide Web? Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 80 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank A. Restrict Web searches to those sites authored by healthcare professionals. B. Avoid the use of websites sponsored by vendors or others whose goal is sales. C. Determine if the same information can be found on multiple websites. D. Use websites that have been updated on a regular basis. 9. A college student is considering taking nutritional supplements and wants to use the web to research the supplements’ effectiveness. The student asks the nurse educator for suggestions about where to begin the search. What should the nurse educator recommend? A. Look on the Web for a company that produces the nutritional supplements, because the company’s Web page is likely to include reports of studies on supplements’ effectiveness. B. Do a search on Medline. If there have been studies on the supplements, they are likely to be reported in the professional literature. C. Go to the Web pages of companies that market and sell the nutritional supplements, because companies that are committed to health often print reports of the latest studies. D. Tell the student that you will be happy to do the research and share it during a future visit. You can review the available studies and only share those that have scientific merit. 10. A student enrolls in a Web-based, online course that allows for asynchronous discussion of course materials. In this context, what is the meaning of the word “asynchronous”? A. Participants do not have to be in the same location. B. Participants do not have to use the same Web browser. C. Participants do not have to be online at the same time. D. Participants can progress through the course at different speeds. 11. A clinic establishes an e-mail message system that allows clients to send questions about their health or treatment plans to the clinic to be answered by a staff member. It is important that staff who participate in this system implement which procedure? A. Reassure clients that unless they share their messages with someone else, e-mail messages are a safe and private method of communication. B. Protect the privacy of clients by not printing copies of e-mail messages and deleting electronic copies of messages as soon as they have been answered. C. Keep the messages brief and concise by providing just the information that has been requested. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 81 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Assume that it might take several days before the client reads and responds to e-mail messages sent by the staff. 12. Which term is associated with an electronic communication system that allows the user to send e-mail messages to the mailboxes of multiple users? A. Listserv B. Chat C. Website D. Wiki 13. The nurse is working with a group of parents who have children newly diagnosed with cancer. The parents have many questions and feel insecure about their ability to meet their children’s needs. While it is difficult for the parents to adjust their schedules to meet with the nurse in person, all parents have computer and Internet access and know how to use it. Which nursing intervention will best meet the needs of these parents? A. Set up a Web page where articles of interest and hints for dealing with common problems can be posted. B. Convene weekly online chats where the group can discuss their problems and concerns. C. Give the parents your e-mail address and encourage them to send you an e-mail whenever they have questions or issues to discuss. D. Set up a discussion board where the parents can communicate with you and one another asynchronously. 14. A client tells the nurse that he has found a moderated newsgroup that has provided him with a great deal of information about his health problem. The client asks the nurse’s opinion about using some of this information. How should the nurse respond? A. Encourage the client to continue to participate, and reassure him that the role of the newsgroup moderator is to screen messages for accuracy before they are posted. B. Explain that inaccurate information may be posted and encourage the client to talk with you about what he is learning from the group. C. Tell the client that you cannot judge the quality of the newsgroup and encourage him to find a more accurate source of information. D. Ask the client for the name of the newsgroup so that you can share this resource with other clients who have similar health problems. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 82 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 15. During a chat session, the nurse educator notices that Karen is dominating the conversation with questions and information about her own experiences with a particular healthcare issue. Which response by the nurse educator would be most appropriate? A. “Karen, your contributions have been very helpful, but in the interest of time, we need to move on to another topic.” B. “Karen has had an opportunity to have several questions answered. Does anyone else have questions they would like to ask at this time?” C. “Karen, I sense that you have more questions than I can answer at this time. Why don’t we continue this conversation in private after the group chat is over.” D. “Karen, I will be holding another chat on this topic next month. Would it be a problem for you to hold the rest of your questions until then?” 16. The nurse is participating in a Web project designed to teach people about preventive health care. The nurse’s role is to hold monthly online chats for people who visit the site and want to learn more about a specific topic. Which instruction should the nurse give to participants? A. Sign on to the chat using your real name. An honest, open environment is important. B. If you are concerned about spelling, use a word processor with spell check to type comments and then cut and paste. C. Keep comments and questions short and to the point. Chats move too quickly to compose long remarks. D. Avoid using emoticons and abbreviations. Other participants may not understand what you mean. 17. Which two groups of people are referred to when using the term Digital Divide? A. Those who have access to computers and those who do not B. Those who have computer skills and those who do not C. Those who grew up with computers and those who did not D. Those who use the Information Highway and those who do not 18. Which is an accurate statement about access of the older adult population to the Internet? A. Studies have found that more than half of people over the age of 65 do not use the Internet. B. Although most older adults have access to the Internet in their homes or their communities, few use it due to lack of interest. C. There are few resources to assist older adults who cannot purchase Internet access due to limited income. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 83 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Over 50% of older adults report having had computer and Internet access in their homes for a year or more. 19. How do a webcast and webinar differ? A. A webcast allows for interaction. B. A webinar uses the Internet, whereas a webcast does not. C. A webinar allows for interaction. D. There is actually no difference, as these are just different terms for the same thing. 20. The nurse educator is considering pursuing a graduate degree as a distance learner. In making this decision, the nurse educator should be aware of which fact about distance education programs in higher education? A. Since distance education programs are relatively new, standards and guidelines have not been developed yet to ensure the quality of programs and services. B. Most distance education programs are not eligible for accreditation by higher education accrediting agencies. C. A meta-analysis of outcomes in allied health distance education showed that a small but significant effect was realized by distance learners compared to traditional students. D. Distance education programs specifically relate to online courses and should not be confused with other learning approaches, such as correspondence courses and videoconferencing. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 84 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Answer A D B A A B D C B C D A D B C C A A C C Cognitive Domain Level application knowledge comprehension knowledge knowledge knowledge comprehension comprehension application knowledge comprehension knowledge application comprehension application comprehension knowledge knowledge knowledge knowledge Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium medium easy easy easy medium medium hard easy easy medium easy hard medium hard medium easy medium easy easy 85 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Describe the impact that information technology has had on the healthcare education process and on the relationship between the nurse educator and the client as a learner. 2. Identify two reasons why the nurse must become familiar with the Internet and World Wide Web as a resource for health education. 3. Define the term information literacy and explain how it differs from computer literacy. 4. a. Identify and describe three criteria that the nurse educator should use to evaluate a website before recommending it to clients. b. Describe the approach that the nurse educator should use to teach clients how to evaluate information on the World Wide Web. 5. A group of nurse educators has decided to establish a health-related website that will include information, links to resources, and an “Ask the Expert” feature that will allow consumers to post questions. a. Identify three criteria from the e-Health Code of Ethics that the group should use to guide development and implementation of the website. b. Describe the specific steps that the group should take to assure that they are in compliance with each of the three criteria identified. 6. Identify three ways in which electronic communication between the nurse and the client may differ from “face to face” communication. For each difference identified, describe steps that the nurse can take to prevent potential problems from occurring. 7. a. Identify two factors that contribute to the fact that many older adults do not use the Internet. b. Identify two strategies that nurse educators can use to increase Internet use by the older adult population. c. Identify two additional segments of the population that are at greatest risk for decreased use of the Internet. 8. Define the term point of need training as it relates to e-learning. Identify three potential advantages of using an e-learning approach to staff training. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 86 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Chapter 14 Multiple Choice, True/ False, and Matching Items 1. What is the first step in planning an evaluation? A. Determine the scope of the evaluation. B. Identify the evaluation design. C. Determine the focus of the evaluation. D. Justify the cost of the evaluation. 2. Which guideline is most important to follow in reporting results of an evaluation? A. Be more concerned with detail than with length. B. Maintain consistency with the data collected. C. Describe operational definitions of terms so the audience can assess validity of the report. D. Focus first on the primary audience. 3. Which statement best differentiates formative evaluation from summative evaluation? A. Formative evaluation focuses on specific educational objectives, while summative evaluation focuses on overall program goals. B. Because formative evaluation occurs during the educational activity, it is more complex and resource-intensive than summative evaluation. C. Formative evaluation is integral to the educational process itself, while summative evaluation measures the effects of an educational activity. D. The scope of formative evaluation is limited to the results of a specific learning experience, while summative evaluation addresses the results of more long-term learning. 4. Which statement correctly describes a difference between evaluation and assessment? A. The process of assessment is to gather data, while the process of evaluation is to interpret data. B. Assessment is planned before a nursing intervention is implemented, while evaluation is planned after the intervention is completed. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 87 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank C. The purpose of assessment is to decide a direction for action, while the purpose of evaluation is to determine whether the action was successful. D. Assessment and evaluation both include the use of data, but data collection methods and instruments used are different. 5. Which statement best describes the difference between evaluation and evaluation research? A. The primary audience is an important component in focusing an evaluation, whereas evaluation research does not have an identified primary audience. B. Evaluation includes only those members of one group being evaluated, whereas evaluation research includes two or more comparison groups. C. Evaluation is long-term, requiring significant planning before data collection, whereas evaluation research can be conducted within a shorter time frame. D. An evaluation may include the use of existing instruments, whereas evaluation research should be conducted using instruments developed specifically for that study. 6. A pilot test must be conducted prior to conducting a full evaluation in which situation? A. Every time an impact evaluation is conducted B. When a new instrument will be used for data collection C. When a new learning activity has been included in an educational offering D. When the full evaluation is likely to be resource-intensive 7. The nurse has just finished teaching a hospitalized patient newly diagnosed with diabetes how to give herself insulin injections. Where is the best place for the nurse to conduct an evaluation of how well the patient will be able to self-medicate after discharge to home? A. At the patient’s bedside, where the nurse conducted the teaching B. In a skills lab or similar setting with access to any supplies similar to those the patient will be using at home C. In the patient’s home where she usually will be giving herself the insulin D. In the ambulatory clinic where the patient will be regularly seen for ongoing care 8. What is detailed in an operational definition of a term, such as patient compliance? A. Specifically why that term is included in a particular evaluation B. The exact relationship of that term as an outcome of an educational activity C. Exactly what data will be collected to measure that term Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 88 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank D. Specific characteristics of a behavior or specific attributes of a learner 9. Who has the ultimate authority to determine why an evaluation should be conducted? A. The person(s) conducting the evaluation B. The person(s) whose learning is being evaluated C. The primary audience for the evaluation D. The organization or institution in which the evaluation is being conducted 10. Which of the following is the most appropriate design for conducting an evaluation to determine whether learners know content as a result of education? A. Learners are given a pre-test followed by the education program or activity followed by a post-test. B. Both groups of learners are given the pre-test followed by one group receiving the education program or activity followed by both groups taking the post-test. C. Learners are given a pre-test followed by the education program or activity followed by a post-test, which is repeated several times at monthly or less frequent intervals. D. One group receives the education program or activity followed by a post-test given to the learners as well as to a group of similar individuals who have not had the education. 11. Which group is most commonly the primary audience for a process evaluation? A. The nurses teaching an educational program or activity B. The patients receiving an educational program or activity C. The coordinators or director for patient education in an agency D. The senior administrators in the agency where the education is provided 12. Which of the following is another name for formative evaluation? A. Content evaluation B. Outcome evaluation C. Impact evaluation D. Process evaluation For items 13 to 15, indicate whether each one is true or false. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 89 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank 13. Whenever possible, an evaluation should be conducted using an instrument developed specifically for the evaluation. A. True B. False 14. The best person to collect data for an evaluation is one who has a vested interest in the results. A. True B. False 15. Fear of a loss of self-esteem as a barrier to evaluation has the potential for existing 100% of the time. A. True B. False For items 16 to 20, match the types of evaluation used in the RSA Evaluation Model to its appropriate description. Use each description only once. 16.Content evaluation 17. Impact evaluation 18. Outcome evaluation 19. Process evaluation 20. Program evaluation A. Used to make adjustments in an educational activity as soon as they are needed B. Measures changes that occur as a result of the teaching and that persist after learning C. Focuses on immediate teaching–learning outcomes D. Focuses on overall goals rather than specific objectives and is broad and general E. Measures the effect and worth of outcomes of an educational activity and is broad and complex Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 90 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Answer Key Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Correct Answer C B C C A B C C C B A D B B A C E B A D Cognitive Domain Level knowledge application application application application comprehension application comprehension comprehension application comprehension knowledge knowledge knowledge knowledge comprehension comprehension comprehension comprehension comprehension Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) Difficulty Level medium medium hard medium hard medium medium medium hard hard medium easy easy easy easy medium medium medium medium medium 91 lOMoARcPSD|17003590 Nurse as Educator: Principles of Teaching and Learning for Nursing Practice, Fifth Edition Susan Bastable Test Bank Extended Response Items 1. Briefly explain how evaluation and research are similar and how they are different from one another. 2. Identify three barriers to evaluation and describe how an evaluation might be designed and/ or conducted to minimize or eliminate each barrier. 3. The nurse educator must conduct a thorough critique of an existing instrument before it is used in an evaluation. Briefly describe five characteristics of an acceptable instrument and explain why each characteristic is important to an accurate evaluation. 4. Select one type of evaluation from the RSA Evaluation Model and describe how you would conduct this type of evaluation for a specific patient population receiving a specific educational intervention. You may choose any patient population and intervention for your example. Be certain to include each of the following steps in your description: focus, design, conduct, analysis and interpretation, report of results, and use of results. 5. Briefly compare and contrast evaluation and assessment. 6. Give three examples of methods of evaluation and briefly describe the usefulness of each method. 7. Explain the purpose of conducting a pilot test and identify when a pilot test must be carried out prior to conducting a full evaluation. Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company Downloaded by Ronnie Cajucom (arjcajucom777@gmail.com) 92