Correct Detailed Answers
A member of a community weight-loss group has maintained a healthy weight for 2 years through
healthy eating and daily exercise. Which of the following steps of the affective domain is this participant
demonstrating?
a) Analysis
b) Application
c) Evaluation
d) Knowledge - Answer C
Steps in the affective domain have the learner doing the following in this sequence: (1) knowledge:
receives the information; (2) comprehension: responds to what is being taught; (3) application: values
the information; (4) analysis: makes sense of the information; (5) synthesis: organizes the information;
(6) evaluation: adopts behaviors consistent with the new values. In this example, the individual has
adopted the behavior and this has resulted in the ability to maintain the value of a healthy weight.
A nurse just finished teaching breast self-examination to a large group of women at a professional
conference. During the session, she distributed literature and used culturally appropriate visual aids.
However, the session was not as effective as it could have been. Which of the following was the most
important thing omitted by the nurse?
a) Time for audience members to ask questions and clarify the information
b) Explanation of why culturally appropriate images are more acceptable
c) Opportunity for the women to practice what they learned
,d) Use of simple language instead of printed material - Answer C
The learner must have opportunities to practice the new skills being learned. Provide practice sessions
during the program because many people may not have the time, facilities, motivation, and/or support
to practice at home what they have learned.
A nurse is providing an educational program about testicular self-examination (TSE). Which of the
following would be the best learning objective for this program?
a) Each participant will state why TSE is important and explain how to do it
b) Each participant will describe how to do TSE and discuss the dangers of testicular cancer
c) 90% of the men will correctly demonstrate testicular self-examination
d) 100% of the men will do a testicular examination correctly on a model - Answer C
If the goal is to learn TSE, the best goal is for the person to be able to do TSE correctly. Being able to
state why it is important is a helpful first step, as is practice on a model, but to be sure the person can
really do the procedure, you need to allow practice time and feedback until the person can demonstrate
the procedure properly.
A nurse planned a presentation about the latest trends in disaster planning for the senior nursing
students at the local college. However, when the nurse began to share the information, the students
were talking to one another and essentially ignoring the nurse. Which of the following actions should be
taken by the nurse?
a) Ask the students why they are being so rude
b) Explain why the information is crucial to their current clinical practice
c) Nothing; let the instructor of the course handle the problem.
, d) Tell a joke to get the students' attention - Answer B
Before learning can take place, you need to gain the learner's attention. One way to do this is by
convincing the learner that the information about to be presented is important and beneficial to them
personally.
A nurse is using the technique of motivational interviewing when working with a client. Which of the
following statements by the client indicates the client is ready to make the change?
a) "I should change."
b) "I am willing to change."
c) "It's important to change."
d) "I want to change." - Answer B
Motivational interviewing uses the term "change talk" to refer to statements by the client that he or she
is motivated and willing to make change. An easy to use mnemonic is "DARN-CAT" which refers to
desire, ability, reason, need, activation, commitment, and taking steps. "I am willing to change"
demonstrates activation, a client who is ready, prepared, and willing to make the change. The other
statements refer to the client who is preparing to make the change, but not yet ready to implement the
change.
A nurse uses lecturing as the primary method of educating clients. Which part of the education process
is missing?
a) Evaluation
b) Experience