The nurse conducts a class on the basics of nutrition to a group of obese adults. The nurse counsels the audience, telling them that they need to change their behaviors. By the end of the class, the nurse has lost the audience.
Which action should the nurse prioritize to enhance audience participation and learning in the next class?
Try to persuade the audience to listen.
Encourage the group to participate in the decision-making.
Encourage the group to continue unsure behaviors.
Offer advice while the participants are passive.
The Correct Answer is B
Choice A rationale
Attempting to persuade a disengaged audience is often counterproductive as it can be perceived as an authoritative approach that minimizes their autonomy and experience, further reducing their participation and interest in the health education content being delivered.
Choice B rationale
Encouraging the group to participate in decision-making is a core principle of adult learning and empowerment. This action fosters a sense of ownership, increases motivation, and makes the information more relevant to their lives, thereby enhancing active learning and long-term behavior change.
Choice C rationale
Encouraging the group to continue unsure behaviors is scientifically and ethically unsound in a health education context for a group of obese adults. The goal is to facilitate positive, informed behavior change, not to validate or promote continuation of detrimental or uncertain health practices.
Choice D rationale
Offering advice while participants are passive reinforces a didactic, one-way teaching style, which is ineffective for sustained behavior change in adults. Effective learning requires active engagement, self-discovery, and the ability of participants to relate the content to their personal health context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While individuals escaping partner violence are a significant group within the homeless population, often seeking shelter, they are not identified as the fastest growing segment overall. Their growth rate is substantial but is generally surpassed by the increasing numbers of entire families with children facing homelessness due to economic factors.
Choice B rationale
Adolescent runaways are a critical, vulnerable segment of the homeless population with unique needs related to safety and development. However, their numbers, while considerable, are not reported as the fastest growing demographic when compared to the dramatic increase in the number of entire families experiencing poverty and housing instability.
Choice C rationale
The number of older adults experiencing homelessness is increasing due to fixed incomes and rising housing costs, creating a distinct and vulnerable population. Yet, the fastest overall increase in the homeless population is consistently documented to be the segment encompassing families with dependent children, not solely older adults.
Choice D rationale
Families and children are recognized as the fastest growing segment of the homeless population. This demographic shift is primarily driven by economic factors such as rising housing costs, job loss, and poverty, resulting in entire families experiencing housing instability and residing in shelters or public spaces.
Correct Answer is D
Explanation
Choice A rationale
The National Institute of Health (NIH) is the primary federal agency for biomedical and public health research. While the research it funds is relevant to all populations, including refugees, it is not the main agency for coordinating service delivery or addressing immediate health needs and policy related to refugee resettlement.
Choice B rationale
The International Council of Nurses (ICN) is a federation of more than 130 national nurses' associations. It works to ensure quality nursing care globally and advance the profession, but it is an international non-governmental organization, not a United States federal agency that provides direct domestic assistance and oversight for refugee health initiatives.
Choice C rationale
The Agency for Healthcare Research and Quality (AHRQ) is a federal agency that produces evidence to make health care safer, higher quality, more accessible, equitable, and affordable. Its focus is on research and quality improvement within the healthcare system, not the direct policy or programmatic assistance for specific populations like refugees.
Choice D rationale
The U.S. Department of Health and Human Services (USDHHS) is the principal agency for protecting the health of all Americans and providing essential human services. Within it, the Office of Refugee Resettlement (ORR) manages programs that provide funding and resources to meet the health and social service needs of refugees and asylees, making it the primary contact for this initiative.
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