RN Health Education Assessment

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

1. Precontemplation

2. Contemplation

3. Preparation

4. Action

5. Maintenance

Precontemplation is the first stage of the transtheoretical model. This is the stage when an individual is not even considering making a change

Contemplation is the second stage of the transtheoretical model. This is the stage when an individual is thinking about making a change within the next 6 months.

Preparation is the third stage of the transtheoretical model. Once an individual has made the decision to change, the next stage is preparation. This is the stage when the individual takes steps to get ready to take action.

Action is the fourth stage of the transtheoretical model. This is the stage when an individual has made a change and has been consistent, but for less than 6 months.

Maintenance is the fifth stage of the transtheoretical model. This stage is reached when an individual has remained consistent for more than 6 months.

A community health nurse is working with a client who has a chronic condition that requires management. The nurse should use which of the following to determine the client's readiness to change?

1. Health belief model

2. Transtheoretical model

3. Cultural care theory

4. Health promotion model

Transtheoretical model

A client's readiness to change can be measured using the transtheoretical model.

A community health nurse is developing an educational activity for a client who is a tactile-kinesthetic learner. Which of the following activities would support a tactile-kinesthetic learner?

1. Practicing taking their own blood pressure measurements

2. Looking at pictures demonstrating basic exercise moves

3. Listening to a presentation about nutrition

4. Writing down key points during a presentation about diabetic foot exams

Practicing taking their own blood pressure measurements

Practicing taking their blood pressure is a hands-on activity that supports tactile-kinesthetic learners.

A community health nurse is working with clients to make long-standing, health-related changes. The nurse should know that the health belief model is used to determine which of the following?

1. A client's knowledge and skill level

2. A client's self-efficacy

3. A client's readiness to change

4. A client's motivation

A client's motivation

The health belief model is used to determine what motivates an individual to make health-related changes.

A community health nurse is developing an educational activity for clients who have type 2 diabetes mellitus. Which of the following activities would support a visual learner? (Select all that apply.)

1. Taking notes on when to check their blood glucose levels

2. Watching a video presentation on healthy foods to prepare

3. Drawing up insulin in a syringe

4. Having a discussion about the importance of daily exercise

5. Setting up a glucometer

Taking notes on when to check their blood glucose levels is correct. Taking notes helps visual learners.

Watching a video presentation on healthy foods to prepare is correct. A visual learner would benefit from watching a video presentation.

A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical model. Which of the following statements from the client indicates they are in the action stage?

1. "I know that I need to start exercising again."

2. "I have signed up with a community walking group that meets three times a week."

3. "I have been jogging every morning for the last three months."

4. "Over the last year, I have increased my intake of fresh fruits and vegetables."

"I have been jogging every morning for the last three months."

This statement demonstrates that the client has taken action and has been consistent for less than 6 months.

A community health nurse is preparing to give a presentation about heart health to a small group at a local community center. Which of the following is considered an educator-related barrier to learning?

1. The nurse's age

2. Having to do research prior to the presentation

3. Lack of expertise in the subject area

4. Not being able to answer a client's question

Lack of expertise in the subject area

A lack of expertise in the subject area can be a barrier. Researching the subject matter beforehand can help combat this.

A community health nurse is planning an event for community members. Which of the following actions should the nurse take first?

1. Decide on a topic to present.

2. Identify the target audience and their learning needs.

3. Create goals and learning objectives.

4. Pick a venue to host the event.

Identify the target audience and their learning needs.

The nurse should first identify the target audience and their learning needs.

A community health nurse is gathering data to plan an event in the community. Which of the following activities are ways to collect primary data? (Select all that apply.)

1. Conducting a windshield survey

2. Researching mortality rates

3. Observing and interacting with community members

4. Interviewing a local priest

5. Reading the notes from a recent town hall

Conducting a windshield survey is correct. A windshield survey is a way for nurses to collect primary data.

Observing and interacting with community members is correct. Participant observation is a way to collect primary data.

Interviewing a local priest is correct. Conducting an interview is a way to collect primary data.

A community health nurse is planning a health education initiative for clients who have type 2 diabetes mellitus.The nurse should identify which of the following as the goal of client education?

1. Behavioral change

2. Knowledge retention

3. Modifying beliefs and values

4. Learning new skills

Behavioral change

Health education is aimed at influencing behavioral changes in clients.

A community health nurse is planning a health education initiative and wants to incorporate the humanistic learning theory. Which of the following are principles of the humanistic learning theory? (Select all that apply.)

1. Learning is a holistic process.

2. Knowledge should be formally evaluated.

3. The learner should feel physically, mentally, and emotionally safe.

4. Incentives are necessary to motivate the learner.

5. The learner needs to have behaviors modeled for them.

Learning is a holistic process is correct. Humanistic learning theory states that learning is a holistic process.

The learner should feel physically, mentally, and emotionally safe is correct. Humanistic learning theory values a safe learning environment.

A community health nurse is discussing how to draw up and inject insulin with a group of clients at a diabetes mellitus clinic. Which of the following is true regarding the teach-back method? (Select all that apply.)

1. The teach-back method is most effective as a short-term evaluation method.

2. The teach-back method is better for return demonstration of a new skill.

3. The teach-back method might not be practical for long-term evaluation.

4. Using the teach-back method allows the nurse to clarify misconceptions by the client.

5. The client should recite what the nurse said during the session.

The teach-back method is most effective as a short-term evaluation method is correct. This method involves the client explaining what they have learned in their own words or demonstrating a skill.

The teach-back method might not be practical for long-term evaluation is correct. In some cases, the nurse might not interact one on one with the clients again, meaning that long-term evaluation using the teach-back method would be impractical.

Using the teach-back method allows the nurse to clarify misconceptions by the client is correct. When a client explains or demonstrates what they have learned, the nurse can use the teach-back method to catch any misconceptions or errors.

A community health nurse is planning to host a local health fair. Which of the following statements is true regarding community engagement?

1. Health education initiatives should provide funding.

2. Education initiatives should be focused on what the nurse believes to be important for community members to learn.

3. Nurses partnering with community members can convince them to view health issues from their perspective.

4. Underserved communities are often left out of decision-making

Underserved communities are often left out of decision-making.

Community members often report that they feel left out of the decision-making process.

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following statements is true regarding health literacy?

1. The nurse should provide a list of definitions for medical jargon.

2. The nurse should use plain language.

3. Clients who have a college education do not require assistance.

4. Asking a client for return demonstration is not necessary if they say they understand.

The nurse should use plain language.

The nurse should use plain language and avoid medical jargon when interacting with clients.

A community health nurse is planning a health education initiative for a client who responds well to incentives. Which of the following learning theories should the nurse use when planning educational activities for the client?

1. Social learning theory

2. Cognitive learning theory

3. Experiential learning theory

4. Behavioral learning theory

Behavioral learning theory

Behavioral learning theory suggests that learning is influenced mostly by external forces. Positive reinforcement is an example of an external force; the learner is more likely to complete a task if an incentive is a part of the deal.

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following strategies should the nurse plan to implement? (Select all that apply.)

1. Give short, curt responses, so they can get through all of the client's questions.

2. Provide literature that is translated in the language in which the client is proficient.

3. Keep written literature, such as brochures and flyers, at no more than a fifth grade level.

4. Limit supplemental instructional methods, such as videos and pictures.

5. Limit the amount of content covered to prevent overwhelming the client.

Provide literature that is translated in the language in which the client is proficient is correct. The client might not be able to understand if written literature is given to them in a language in which they are not proficient.

Keep written literature, such as brochures and flyers, at no more than a fifth grade level is correct. Many Americans have a reading level at or below fifth grade.

Limit the amount of content covered to prevent overwhelming the client is correct. Too much information presented all at once can overwhelm a client.

A community health nurse is teaching a group of clients at a diabetes mellitus clinic about carbohydrate counting. Which of the following should the nurse include as an example of a long-term client outcome?

1. Demonstrating how to check their blood pressure

2. Listing foods to avoid hyperglycemia

3. No hospital readmissions over the next 14 months

4. Explaining in their own words how to count carbohydrates correctly

No hospital readmissions over the next 14 months

No hospital readmissions over the next 14 months is a long-term outcome.