CNUR 106 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS)
What is literacy? - Answer- Ability to use printed and written information
What are the 3 types of literacy tasks? - Answer- Prose, document, quantitative
What is the definition of literate? - Answer- Ability to read and write at 8th grade level or
above
What is the definition of illiterate? - Answer- Inability to read or write at all or below 4th
grade level
What is low literacy? - Answer- Reading, writing, and comprehension skills between 5th-
8th grade level
What is functional literacy? - Answer- Lack of basic reading, writing, and comprehension
skills needed for everyday life
What is health literacy? - Answer- Capacity to obtain, communicate, process, and
understand basic health information
What percentage of adults in Canada are unable to obtain, understand, and act upon
health information and services? - Answer- 60%
Which groups of people have lower levels of health literacy skills on average? - Answer-
Seniors, immigrants, and unemployed people
What percentage of Canadians find it difficult to find out where to get professional help
when they are ill? - Answer- 23%
What percentage of Canadians find it difficult to judge when to seek a second opinion
from another doctor? - Answer- 54%
What factors influence health literacy? - Answer- Education, culture, developmental
stage, life experience
,What are some reasons why people can have strong literacy skills but struggle with
health literacy? - Answer- Unfamiliarity with how bodies work, miscalculating numbers,
fear/confusion with diagnosis information, conditions requiring complex self-care
instructions
What are the links to health literacy? - Answer- Access, comprehension, evaluation,
communication
What are some negative outcomes of low health literacy? - Answer- Poor overall health,
medication misuse, misunderstanding of health information, preventable ER use,
waiting too long to seek attention
What are some common health literacy challenges? - Answer- Familiarity with medical
terms/body systems, interpreting/calculating numbers or risks, fear/confusion with
serious illness diagnosis, complicated self-care instructions, unfamiliar technical
information
What is reading? - Answer- Process of transforming letters into words and pronouncing
them correctly
What is readability? - Answer- Ease that written or printed information can be read -
measure of several different elements within a given text
What is comprehension? - Answer- Degree to which individuals understand what they
have read - grasp meaning of a message
What are some social determinants of health? - Answer- Food insecurity, access to
housing, income, education, social supports
What are the substantial disparities between low income neighborhoods and the rest of
Saskatoon? - Answer- Overall health outcomes, income security, education, and
employment.
What are the health issues that residents in low income neighborhoods of Saskatoon
are more likely to have? - Answer- Attempt suicide, be hospitalized for diabetes, have
hep c, have teen births, have an infant die in the first year, and less likely to be fully
immunized.
What should be included in documentation of education? - Answer- Formal and informal
teaching, description of methods/materials used, involvement of patient/family,
outstanding issues requiring follow-up, evaluation of objectives, evidence of patient
learning, and follow-up education requirements.
,What is low health literacy and how does it affect health outcomes? - Answer- Difficulty
in accessing, understanding, and communicating information about health, leading to
less ability to make good health decisions for oneself and others.
What are some tips for communicating with patients with low health literacy? - Answer-
Use simple language, open-ended approach, teach-back technique, summarize key
points, write down important instructions, and offer educational materials.
What is the relevance of literacy to oral instruction? - Answer- Most health literacy is
shared orally, but oral instruction alone is not a successful method of teaching. Written
information is better remembered and leads to better treatment adherence.
What is the relevance of literacy to computer instruction? - Answer- N/A
What is e-health literacy? - Answer- Ability to seek, find, understand, and appraise
health information from electronic sources and apply knowledge gained to addressing or
solving a health problem.
What is the impact of limited literacy on health outcomes? - Answer- Poor health
outcomes.
What is a better predictor of an individual's health status than income, employment
status, education level, racial or ethnic group? - Answer- Literacy ability.
Who is at higher risk for death after hospital discharge? - Answer- People with lower
health literacy scores.
What are the trends associated with literacy problems? - Answer- Increase in number of
immigrants, aging populations, increasing amount & complexity of info, increasingly
sophisticated technology, more people living in poverty, changes in policies and funding
for public education, disparities between minority versus nonminority populations.
Who is at risk of illiteracy? - Answer- Economically disadvantaged, older adults,
immigrants - particularly illegal ones, ESL, racial minorities, high school dropouts,
unemployed, prisoners, inner-city and rural residents, poor health status from chronic
mental and physical problems, Medicaid.
What are the cues to look for illiteracy? - Answer- Reacting to complex learning
situations by withdrawal, complete avoidance or repeatedly noncompliant, excuses - too
busy, tired, sick, sedated to maintain attention span when given booklet or instruction
sheet to read, "don't feel like reading" - gave to spouse or lost, forgot, broke glasses,
surrounding themselves with books, magazines, and newspapers, insisting on taking
info home to read or having family member or friend with them when written info is
presented, asking you to read info for them with excuses - sore eyes, lack interest, don't
have energy, nervousness, acting confused, talking out of context, holding reading
materials upside down, frustration or restlessness when attempting to read, mouthing
, words, substituting words they can't decipher, pointing to words/phrases, incorrect
pronunciation, strange facial expressions.
What are some signs of not following instructions? - Answer- Standing in location clearly
designated for authorized personal only, difficulty following instructions for simple
activities, turning in incomplete, illegible, or blank registration forms or health
questionnaires, missing appointments or referrals, not taking medications as prescribed.
What is the impact of illiteracy? - Answer- Illiteracy impacts motivation and compliance.
What is the importance of listening and watching attentively? - Answer- To observe and
memorize how things work.
What is the impact of discrepancy between listening and reading? - Answer-
Discrepancy between what is understood by listening and what is understood by
reading.
What is the impact of not asking questions? - Answer- Not asking questions.
What are the competencies of information literacy? - Answer- 1. Identify information
needed 2. Access information needed 3. Evaluate information found 4. Apply
information considered valid and useful
What are the steps to developing information literacy skills? - Answer- 1. Reduce
problem to searchable command 2. Categorize web pages by purpose 3. Identify
sources of potential bias 4. Judge accuracy and reliability 5. Determine completeness 6.
Determine currency 7. Identify resources to answer questions
What are the barriers to providing health education? - Answer- Lack of time,
unfamiliarity with teaching, instructional design, and communication process
What is the nurse's role in the learning process? - Answer- Assessing problems,
providing information, identifying progress, giving feedback, reinforcing learning, and
evaluating learners' abilities
What are the steps in the education process? - Answer- Assessment, planning,
implementation, evaluation
What are the considerations for delivery of health education? - Answer- RN responsible
for ensuring client receives information, health status can interfere with processing
information, clients have multiple barriers to learning, RN teaching styles can create a
barrier, people have different preferences for learning, designed to accommodate
educational, cultural diversity & individual abilities, interpret & adapt info based on
learner's situation/needs.
