Question 1

Which of the following individuals is most at risk for low health literacy?&#10;A) College student&#10;B) Young mother with a first child&#10;C) Older adult with vision problems&#10;D) Middle-aged female who immigrated from South America 30 years ago

Accepted Answer

Low health literacy is more prevalent among older adults, individuals with less education, and those with limited English proficiency. The older adult with vision problems is most at risk for low health literacy. The college student is actively learning and would most likely understand health information. There is no evidence that a young mother with a first child would have low health literacy. The middle-aged female who immigrated 30 years ago most likely has developed English proficiency.

Question 2

How does respecting the health-care practices of culturally diverse patients influence health literacy?&#10;A) It limits the onset of acute illnesses.&#10;B) It enhances positive health outcomes.&#10;C) It reduces the need for hospitalizations.&#10;D) It ensures adherence to health-care recommendations.

Accepted Answer

Respecting the health-care beliefs and practices of culturally and linguistically diverse patients can help enhance positive health outcomes. Respecting the health-care practices of culturally diverse patients will not limit the onset of acute illnesses. It will not reduce the need for hospitalizations or ensure adherence to health-care recommendations.

Question 3

Which of the following is a principle of the National Action Plan to Improve Health Literacy?&#10;A) Everyone has the right to health information.&#10;B) Health information should be provided in English.&#10;C) Patients cannot refuse to receive health information.&#10;D) Health literacy is considered part of care management.

Accepted Answer

National Action Plan to Improve Health Literacy is based on two main principles. The first is that everyone has the right to health information. The second is that health services should be delivered so that they are understandable and beneficial to health and quality of life. Health information should be provided in the patient's preferred language. Patients can refuse to receive health information. Health literacy is a part of care management; however, this is not a principle of the plan.

Question 4

What is the purpose of the Plain Writing Act?&#10;A) To reduce the cost of health care&#10;B) To enhance the use of health education Web sites&#10;C) To limit the need to translate communication into different languages&#10;D) To promote clear government communication that everyone can understand

Accepted Answer

The Plain Writing Act was designed to improve the effectiveness and accountability of all federal agencies to the public by promoting clear government communication that everyone can use and understand. This act was not designed to reduce the cost of health care, enhance the use of health education Web sites, or limit the need to translate communication into different languages.

Question 5

What should a nurse do to ensure that a patient understands health teaching?&#10;A) Use the teach-back method&#10;B) Provide the patient with a written test&#10;C) Evaluate the patient's status in a few weeks&#10;D) Ask if the patient has any questions about the teaching

Accepted Answer

The teach-back method helps the educator ensure that what has been explained to the patient was delivered in a method that the patient understood. In this method, the patient explains the instructions back in her or his own words. A written test does not necessarily ensure that a patient understands health teaching. Evaluating the patient's status in a few weeks does not necessarily ensure that a patient understands health teaching. Asking if the patient has any questions about the teaching does not indicate that the patient understands the teaching provided.

Question 6

Which of the following is a common goal of patient education when managing a chronic disease?&#10;A) Encourage family involvement&#10;B) Eliminate duplication of services&#10;C) Enhance primary prevention activities&#10;D) Improve adherence to medication regimens

Accepted Answer

For managing chronic disease, a common aim of patient education is to improve overall adherence to medication and treatment regimens. A common aim of patient education when managing a chronic disease is not to encourage family involvement, eliminate duplication of services, or enhance primary prevention activities.

Question 7

What should a nurse do when beginning a teaching session?&#10;A) Give a pretest to assess knowledge&#10;B) Answer the patient's questions first&#10;C) Include all nonessential information&#10;D) Provide a list of all the topics to be reviewed

Accepted Answer

Nurses should strive to communicate with all patients in plain language and organize information delivery effectively. It is often best to start by answering patient questions. A pretest is not necessary. Nonessential information should be avoided. A list of topics might overwhelm the patient.

Question 8

Which type of information should a nurse give priority to when providing patient education?&#10;A) Acronyms&#10;B) Need to know&#10;C) Nonessential&#10;D) Medical jargon

Accepted Answer

Definitive need to know information should be provided first. Acronyms should be avoided. Nonessential information should be avoided because this could overwhelm the patient. Medical jargon should be avoided.

Question 9

A nurse would say which of the following statements when providing a patient with key information during an education session?&#10;A) &#34;Drink a lot of water.&#34;&#10;B) &#34;Take a pain pill when you remember to do so.&#34;&#10;C) &#34;Rest for 30 minutes after breakfast and dinner.&#34;&#10;D) &#34;Eat a bedtime snack when your blood sugar is low.&#34;

Accepted Answer

The nurse should be specific when discussing time frames and other key information. Directing the patient to rest for 30 minutes after breakfast and dinner is a specific time frame. Drinking a lot of water is vague. Taking a pain pill when remembered is vague. Eating a bedtime snack when blood sugar is low could be more specific by stating the actual value to monitor when the patient should eat a snack.

Question 10

Which type of printed material is recommended when providing patient education?&#10;A) Bright colored paper with black ink&#10;B) Large font, pictures, and illustrations&#10;C) Typed text on white paper with black ink&#10;D) Three-fold brochure using bullet points and acronyms

Accepted Answer

Written materials with a large font, pictures, and illustrations to enhance the text are recommended. There is no recommendation regarding the color of the paper or of the ink. Teaching material with acronyms should be avoided.

Deck 11: Assessing Learning Needs and Health Literacy