It can be inferred that the action of Nathan is an effective use of presentation aids.
<h3>What is a presentation aid?</h3>
A presentation aid is an item that contains information about the information that one wants to present and which helps the audience understand the presentation better.
Hence, it is correct to state that the use of handouts before the presentation is an effective use of presentation aids.
"Themes may be specific to one culture or apply to multiple cultures" is the only statement that is true, since themes can vary widely both in subject and interpretation by the reader.