In a nursing class comprised of 80 percent millennial learners which learning activity would be most appropriate for this outcome: The learner will demonstrate how to locate a valid peer reviewed resource. –divide the class into small groups, have each group complete a WebQuest and share findings in class with other groups. Millennial learners prefer group work and enjoy active learning with immediate feedback.
The millennials, the Net Generation, and mobile learners: learn in digital environments and has a high degree of digital literacy
Which outcomes is linked to the cognitive domain? The student will: Define the five steps of the nursing process. The learner must recall previously learned material.
Which outcome is liked to the psychomotor domain? The student will: — Accurately measure a systolic and diastolic blood pressure reading. The student is performing a physical activity as a skilled movement.
Which outcome is linked to the affective domain? The student will: — Reflect on a patient’s right to refuse the medical treatment. The student is valuing another’s right to choice.
Bloom’s taxonomy:
- cognitive domain: focus on knowledge. The expectation is that students be able to apply the knowledge they have gained to patient care situations.
- (remembering – understanding – applying – analyzing – evaluating – creating)
- psychomotor domain: deals with the development of manual or physical skills and is the domain that faculty use most often in competencies related to practice… As they move into clinical settings they are expected to gain the precision with which they demonstrate a skill. As new skills are added they then connect one skill to another in the formation of skill set.
- (imitation – manipulation – precision – articulation – naturalization)
- affective domain: deals with knowledge from an emotional or feeling perspective
- (receiving – responding – valuing – conceptualizing and organizing – internalizing the value concept)
- receiving information is the lowest level and the learner needs only to be paying attention … the learner is passive and often functions at this level in listening to a traditional lecture.
- responding requires not only listening but also the ability to use the information when questioned or when asked to respond in some fashion to the knowledge being received
- as a learner moves up the pyramid, the level of involvement increases as the learner now is required to attach a value to the knowledge and then be able to look at how this value fits with other determined values
- at the highest order of complexity we often ask students to examine their values in relation to an ethical issue or particular prectice experience.
Which outcome is measurable? The student will: — Define the eight steps involved in safe insertion of a peripheral intravenous access device. –The outcome clearly states what is to be measured and how.
A student must develop a long term learning goal for completion of a six week adult clinical experience at a long team care facility. which goal would be considered most appropriate? — I will demonstrate therapeutic communication with all assigned patients as evidence by a weekly satisfactory evaluation in this category on the clinical evaluation tool. — The goal is realistic for this type clinical setting and involves a reliable tool for measurement.
Which situation best illustrates unfair grading practice by a nurse educator? –Statistics for a test question show the question to be of poor quality but the instructor keeps the question since the material was discussed in class and the instructor personally/ wrote the question. — Analyzing test results and failing to act when a test question is poor quality is unfair grading.
Which example best illustrates due process for a student receiving a clinical failure for one instance of improper medication administration? — The clinical faculty member meets privately with the student off the clinical floor to assess the situation and understand the student’s account of events. The clinical faculty member reiterates the School of Nursing policy for clinical failure due to a sentinel even. The faculty member dismisses the student for the remainder of the day with a clinical failure with further instructions to meet the next day on campus to create a remediation plan. –The student is provided the opportunity to understand the errors and realize the consequences for improper medication administration. The policy is reviewed.
A student overhears a clinical faculty member refer to a patient as a slant eye. The student, who is Asian, feels discrimination has occurred and contacts the Dean. The faculty member admits to using the racial slur but states, “that conversation was personal between myself and a staff nurse, the student was invading my privacy.” What is the next best action by the Dean? –Ask for written admission of use of the racial slur from the clinical faculty member, consult the school legal counsel to initiate proceedings to terminate this faculty members, and find a clinical replacement immediately. –The use of this racial slur is severe and has created an unsafe disrespectful, unethical learning environment. This situation requires immediate action to protect the students, the institution, the patients, and the members of the healthcare partner.
A group of nursing students shared a copy of a midterm exam one of the students had recorded on her cell phone from the previous term. One of the students in the group reported this violation of academic honesty to the Dean. What is the most appropriate response by the Dean? -Perform an analysis of the test data which could confirm the group of students possessed a copy of the exam and cheated. —If evidence of cheating is found the Dean should allow the students an opportunity to comment and then follow the policy for academic dishonesty.
A student posts a photo taken with a patient in the clinical setting on a facebook page. The clinical facility, the patient, the nursing program and student nurses in the photo are clearly identified in the explanation of the photo. Then nurse administrator of the facility views the photo, denies the student access to the clinical facility, and demands the Dean immediately remove the student nurse from the nursing program. When the student attempts to enter the clinical setting and is denied access the student contacts the Dean stating “I am filing a civil suit since my First Amendment rights have been violated.” What is the best first action by the Dean? –Contact the school legal counsel and send a letter to the student requesting immediate removal of the photo from the Facebook page. include a statement regarding violation of HIPAA which is a federal law. — Violation of HIPAA is a federal offense punishable by a fine and incarceration and the school legal counsel should be involved immediately.
Which question by a nurse educator would best illustrate use of the Socratic method and promote critical thinking in a clinical setting? — How will your patient’s new diagnosis affect your nursing plan of care? — The student is asked to analyze, synthesize, and prioritize patient care.
Socratic questioning: probing questioning to analyze an individual’s thinking
A nurse educator is preparing a lesson on congestive heart failure for a class composed primarily of millennial learners. Which is the best teaching and learning strategy to promote critical thinking and decision making in this group? — Using a personal response system with NCLEX-style question provide a self-test approximately every 20 to 30 minutes during the class period. –The millennial learner is digital native and prefers active learning strategies which promote problem solving.
When planning a lesson on community health for a group of second degree seeking adult learners which strategy is the best choice? — begin the class with a one minute paper asking the student to describe a personal experience with a community health nurse. — adult learners want to incorporate past experiences into learning and see value in a lesson with real world application.
A senior level nursing student is unable to complete insertion of a intravenous catheter. The student is not able to master the technique due to lack of skills taught in past courses. What is the best action by the nursing instructor? — Refer the student to the nursing lab for remediation with a faculty member and schedule a repeat return demonstration. —the role of the nurse educator should be including coach and facilitator of learning. providing the student with an opportunity to remediate through repetition reinforces learning of a psychomotor skill.
Which strategy would best promote effective learning for English as a second language (ESL) learners? — Divide the class into groups dispersing the ESL learners among English speaking students and allow collaboration on class activities. — research has found ESL learners do best when paired with English speaking classmates who can coach the learners to understand proper English improving language proficiency.
