CHSE Educational Principles and Design 2 — Questions and Answers
Question 1: Which cognitive load theory component refers to the mental effort required by the intrinsic complexity of the learning material itself?
- Extraneous load
- Germane load
- Intrinsic load (Correct answer)
- Schematic load
Correct answer: Intrinsic load
Intrinsic load is determined by the inherent complexity of the material and the learner's prior knowledge.
Question 2: A simulation educator wants to promote transfer of learning to novel clinical situations. Which instructional approach best supports this goal?
- Massed practice of identical scenarios
- Varied practice across multiple clinical contexts (Correct answer)
- Reducing feedback frequency to build independence
- Focusing exclusively on procedural skill repetition
Correct answer: Varied practice across multiple clinical contexts
Varied practice across multiple contexts enhances transfer by helping learners develop flexible, adaptable mental models.
Question 3: In Kolb's Experiential Learning Cycle, what immediately follows the 'concrete experience' stage?
- Active experimentation
- Abstract conceptualization
- Reflective observation (Correct answer)
- Accommodation
Correct answer: Reflective observation
Reflective observation follows concrete experience, as learners must reflect on what happened before forming concepts.
Question 4: A CHSE is designing a simulation for novice nursing students. Which scenario complexity level is most appropriate?
- High-fidelity, multi-system failure scenarios
- Single-problem scenarios with predictable progression (Correct answer)
- Scenarios requiring simultaneous management of three patients
- Complex ethical dilemmas with ambiguous outcomes
Correct answer: Single-problem scenarios with predictable progression
Novice learners benefit from single-problem scenarios that match their limited schema and reduce cognitive overload.
Question 5: Which of the following best describes the 'zone of proximal development' and its application in simulation?
- The optimal simulation lab temperature for learning
- Tasks learners can accomplish independently
- Tasks learners can complete with appropriate guidance but not alone (Correct answer)
- The maximum fidelity level a simulator can achieve
Correct answer: Tasks learners can complete with appropriate guidance but not alone
Vygotsky's zone of proximal development describes skills learners can achieve with scaffolding, making it ideal for simulation design.
Question 6: When applying Bloom's Taxonomy to simulation design, which verb best targets the 'synthesis' (or 'create') level?
- Identify the correct drug dosage
- Explain the pathophysiology of sepsis
- Compare two treatment protocols
- Develop a care plan for a deteriorating patient (Correct answer)
Correct answer: Develop a care plan for a deteriorating patient
Creating a care plan requires synthesis/creation as learners integrate knowledge to produce a new plan.
Question 7: A healthcare simulation educator notices that residents consistently perform poorly in the debriefing self-assessment compared to expert observer ratings. This phenomenon is best explained by:
- The Dunning-Kruger effect showing overconfidence
- Imposter syndrome reducing self-efficacy
- Metacognitive deficits in self-assessment accuracy (Correct answer)
- Anxiety causing deliberate underreporting
Correct answer: Metacognitive deficits in self-assessment accuracy
Metacognitive deficits explain the gap between self-assessment and actual performance, a key challenge in simulation education.
CHSE Educational Principles and Design 2
Which cognitive load theory component refers to the mental effort required by the intrinsic complexity of the learning material itself?