Exam (elaborations)
Chapter 14 Health Literacy and Patient Education
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 14 Health Literacy and Patient Education
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DAWITChapter 14: Health Literacy and Patient Education
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nurse understands the unique ability of the patient to understand and integrate
health-related knowledge is known by which term?
a. Health literacy
b. Formal patient education
c. Informal patient education
d. Primary education
ANS: A
The unique ability of a patient to understand and integrate health-related knowledge is known
as health literacy. Formal patient education is delivered throughout the community in the form
of media, in a variety of educational and group settings, or in a planned, goal-directed,
one-on-one session with a patient in the acute care setting. Informal education is usually
learner or patient directed. Many health care consumers begin receiving information as
children through their primary education. Handwashing, proper dental care, and nutrition are
examples of early instructions.
DIF: Remembering OBJ: 14.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Patient Education
N R I G B.C M
2. The patient is reportedly well eU
ducS
atedNanT
d emploOyed as an engineer but is struggling to
comprehend terms found in health-related literature given to explain his disease process. The
nurse recognizes that this is evidence of what issue?
a. Low literacy
b. Psychomotor dysfunction
c. Affective domain deficiency
d. Low health literacy
ANS: D
Although low literacy and low health literacy are related terms, they are not interchangeable.
Low health literacy is content specific, meaning that the individual may not have difficulty
reading and writing outside the health care arena. These patients may struggle to comprehend
the complicated, unfamiliar terms and ideas found in health-related materials or instructions.
The psychomotor domain incorporates physical movement and the use of motor skills in
learning. Teaching the newly diagnosed diabetic how to check blood sugar is an example of a
psychomotor skill. Affective domain learning recognizes the emotional component of
integrating new knowledge. Successful education in this domain takes into account the
patient‘s feelings, values, motivations, and attitudes.
DIF: Remembering OBJ: 14.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Patient Education
3. To teach effectively, nurses must recognize which concept?
, DAWIT
a. Age and socioeconomic status play a large role in understanding.
b. 90% of Americans possess rudimentary literary skills.
c. The ability to comprehend is a very new concept in health care.
d. Most health care teaching is effective and understood.
ANS: B
To teach effectively, nurses must recognize that patients of all ages come from diverse
cultural and socioeconomic backgrounds. Each has a different ability to comprehend health
care information. Results of the NAAL research indicate that among American adults, 30
million (14%) had below basic health literacy in English and 47 million (22%) had basic
health literacy. This means that 77 million (36%) American adults possessed very rudimentary
literacy skills that allowed them to read only short, simple printed and written materials.
Although discussion of Nightingale‘s work often focuses on her efforts to distinguish nursing
as a profession and address the impact of sanitation on health, she advocated exploring all
aspects of the patient. She thought that patients needed care that is ―delicate and decent‖ and
that demonstrates ―the power of giving real interests to the patient.‖ Exploring patients‘
interests and abilities was an early acknowledgment that nurses must be aware of patients‘
ability to comprehend the health care information provided. Often, health care professionals
assume that the explanations and instructions given to patients and families are readily
understood. In reality, research has shown that these instructions are frequently
misunderstood, sometimes resulting in serious errors.
DIF: Understanding OBJ: 14.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Patient Education
4. The nurse understands that as the health care community explores the concept of health
literacy, many organizations N coR
reU niI
gS zeNwGhT
atBconcO
ept?
a. Consumers need to understand has no governmental support.
b. Improvements are dependent on developing operational definitions.
c. Low literacy and low health literacy are interchangeable terms.
d. Interest in effective patient education is unique to the United States.
ANS: B
As the health care community explores the concept of health literacy, many organizations
recognize that before improvements can be made, operational definitions are imperative. The
realization that consumers need to be able to understand the medical information delivered by
health care providers has gained recognition at many governmental levels. The Healthy
People 2020 publication describes a national movement that addresses the priorities of
prevention and public health in the United States. Health literacy with its impact on this
initiative is being recognized and has become a key component of the project. Although low
literacy and low health literacy are related terms, they are not interchangeable. Low health
literacy is content-specific, meaning that the individual may not have difficulty reading and
writing outside the health care arena. Interest in effective patient education is not a
phenomenon unique to the United States. The Institute of Medicine Roundtable on Health
Literacy held a workshop in 2012 focused on international health literacy.
DIF: Understanding OBJ: 14.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Patient Education
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