Ch. 10 (Health Education)

Question 1

What are the goals of health education?

Answer 1

• improve health status (prevent disease)
• change health behaviors (encourage positive, informed lifestyle)

Question 2

During health education…

What are the four steps in the teaching process?

Answer 2

1. assessment (assess the learner)
2. determining expected learning outcomes (setting goals)
3. selecting content and learning strategies
4. evaluating the teaching-learning process

Question 3

During health education…

What are two theories nurses can use in assessing the learner?

Answer 3

• health belief model
• transtheoretical model of change

Question 4

When assessing the learner in health education, what theory encompasses people’s beliefs about something that influences their behaviors?

Answer 4

health belief model

Question 5

When assessing the learner in health education, what theory assess the client’s readiness for behavioral change?

Answer 5

transtheortical model of change

Question 6

What are the components in the health belief model?

Answer 6

• perceived susceptibility to a health problem
• perceived seriousness of the disease level
• perceived benefits of making a change
• perceived barriers to taking the health-promotion action
• cues to action (events, people or things that trigger people to change behavior)
• self efficacy

Question 7

What is the main component that influences whether or not the client is ready to make a change according to the health belief model?

Answer 7

perceived barriers to taking the health-promotion aciton

Question 8

According to the health belief model, what are events, people or things that trigger people to change behaviors?

Answer 8

cues to action

can be external OR internal

Question 9

What refers to an individual’s belief in his or her capacity to execute behaviors necessary to produce specific performance attainments?

Answer 9

self-efficacy

Question 10

What are the stages in the transtheoretical model of change?

Answer 10

• precontemplation (not considering)
• contemplation (seriously considering)
• planning (starting to change or will really soon)
• action (made behavior change and persisted, before 6 mon.)
• maintenance (6 mon. after started, continues indefinitely)

Question 11

During the precontemplation stage in the transtheoretical model of change, what do we ask our client about?

Answer 11

why aren’t they considering to make a change?

Question 12

What does SMART stand for in smart goals?

Answer 12

• Specific
• Measurable
• Realistic/Relevant
• Time-bound

Question 13

What are the domains of learning in health education?

Answer 13

• cognitive (thinking)
• affective (feeling)
• psychomotor (acting/doing)

Question 14

What domain of learning would focus on nurses teaching the client about something important and the client is able to restate it?

Answer 14

cognitive

pure knowing

Question 15

What domain of learning would focus on nurses telling the client benefits about the important thing?

Answer 15

affective

emotional comprehension

VALUE - always in reference to affective

Question 16

What domain of learning would focus on physical change the client will perform?

Answer 16

psycho-motor

doing

Question 17

Knowledge and motivation come into play when nurses engage in health promotion education to patients. What are the steps nurses can use during health promotion education?

Answer 17

1. assessing the learner and his/her learning needs
2. set goals
3. select content & strategies/resources
4. evaluation

Question 18

What tool can a nurse use when we work with our client’s to help with a behavior change?

Answer 18

motivational interviewing

Question 19

What are some important notes in relation to motivational interviewing?

Answer 19

• dont tell the pt what to do
• get the pt to figure out (themselves) what to do and encourage them (change-talk)
• be empathetic

scale to 0-100 and then ask them why they rated that number

Question 20

We use OARS to help us in motivational interviewing. What does OARS stand for?

Answer 20

• Open-ended questions
• Affirming statements
• Reflective listening
• Summarizing (conclusion/what they will be doing)

Question 21

What are five implications of poor health literacy?

Answer 21

• pt less likely to seek care
• med administration errors
• problems described PMH, meds, symptoms
• consent issues
• missed appointments

Question 22

What can nurses do to help poor health literacy in patients?

Answer 22

• communicate clearly
• advise pts to ask questions (“no such thing as a stupid question”)
• assess comprehension (teach-back)
• empower pt

Question 23

True or False?:

When patients are involved in their care, they are less likely to engage in interventions
that may increase their chances for positive outcomes.

Answer 23

FALSE
pts are more likely to engage in interventions