Chp. 14 Health Literacy Study Guide

Question 1

what is health literacy

Answer 1

the unique ability of the patient to understand and integrate health related knowledge

Question 2

what are components of patient education

Answer 2

preventing disease, promoting health, providing treatment instructions, clarifying informant , and teaching patients to cope with limitations

Question 3

What are examples of literacy/education gaps between patient/caregiver

Answer 3

proving the patient with important instructions to follow for medications admiknistraciotn and finding that the patient is unable to read English, or identifying when the patient should come back if complications arise and the caregiver cannot follow the verbal directions

Question 4

what are some of the expected competencies for patients and health literacy

Answer 4

Read and identify credible health information
Understand numbers in the context of the patient’s health care
Make appointments
Fill out forms
Gather health records and ask appropriate questions of physicians
Advocate for appropriate care
Navigate complex insurance programs, Medicare/Medicaid, and other financial assistance programs
Use technology to access information and services (US Department of Health and Human Services)

Question 5

What is the difference between teaching and learning

Answer 5

Teaching is imparting knowledge or giving instruction, while learning is acquiring knowledge or skills through instruction or experience

Question 6

Identify the three domains of learning and give examples

Answer 6

Cognitive domain learning comprises knowledge and material that tis remembered. Memorization and recall of informant is necessary for the learner to progress and comprehend, apply, analyze, synthesize, and evaluate the new material.

Psychomotor domain incorporates physical movement and the use of motor skills into learning.

Affective domain leanring recognizes the emotional component of integrating new knowledge. Taking into account the patients feelings

Question 7

How does age influence patient education

Answer 7

Age appropriate teaching strategies need to be implemented for children, Older adults may suffer from cognitive and physical changes that affect their learning

Question 8

How does environment influence patient education

Answer 8

Private, quiet, and with minimal interruptions , good lighting, and comfortable temperature

Question 9

How does timing influence patient education

Answer 9

Consider rescheduling teaching sessions for patients who are in pain, experiencing distress, or fatigued. Teach the most important/key concepts at the beginning of the sessions

Question 10

What are some indications the patient has less than adequate health literacy

Answer 10

Patient asks to read informant due to leaving their glasses at home
Registration forms incomplete
Frequently misses appts.
Does not comply with medical regime
Does not follow through with lab and medical tests
Patients says they are taking meds, but labs say differently
Patient ask to bring document home to discuss

Question 11

Indicate how the Quality and Safety Education for Nurses (QSEN) competency of teamwork and collaboration are r/t patient education

Answer 11

Collaboration with PCP, therapists, nurse etc.

Question 12

After teaching the patient, what needs to be documented

Answer 12

detailed description of goals, what was taught, who was taught, and patients reaction to teaching

Question 13

which are accurate principles for patient teaching

Answer 13

keeping sessions short
providing positive feedback to the patient
starting with familiar material and progressing to new information
reviewing key points at the end of the session

Question 14

An occupational health nurse is going to provide a workshop to employees on by mechanics. In planning the presentation, what information would be most helpful for the nurse to obtain in advance of the presentation

Answer 14

Number of participants

Question 15

In affective domain of learning, the patient exhibits the ability to do which of the following

Answer 15

Verbalize feelings about how to manage arthritis pain

Question 16

To promote a patients cognitive learning, the nurse decides to use which teaching strategy

Answer 16

showing a DVD about the disease process

Question 17

which of the following strategies is the most appropriate for teaching a toddler about hospital procedure?

Answer 17

Pictures

Question 18

The nurse assesses the patient’s readiness to learn wound care. What is the most important factor for the nurse to determine first?

Answer 18

Willingness to learn the technique

Question 19

Which of the following examples is an evaluation of a psychomotor skill?

Answer 19

Patient uses walker correctly

Question 20

When teaching an older adult patient, the nurse should incorporate which teaching strategy into the plan?

Answer 20

keeping the teaching sessions short

Question 21

Which of the following statements by the patient indicates that he may not be ready to learn at this time?

Answer 21

“there’s no sense in talking about this now. I don’t feel very well”

Question 22

Which of the following examples is an evaluation of cognitive learning? The patient:

Answer 22

explains the use of the incentive spirometer

Question 23

In the affective domain of learning, the patient exhibits the ability to do which of the following?

Answer 23

Verbalize feelings about how to manage arthritis pain

Question 24

What is the nurse’s responsibility when it comes to patient education?

Answer 24

present health-related information to patients’ and their families and to do everything possible to ensure their ability to comprehend and integrate the information

Question 25

What are some techniques use to educate children

Answer 25

young children- pictures and simple words

school age children- clear, simple explanation

Question 26

For patients who do not speak or understand the language of the nurse:

Answer 26

Use a professional nonfamily member as an interpreter. ( this is to explain medical information and medical terms.)

Question 27

Can a UAP educate the patient?

Answer 27

no, they can assist the patient in learning but cannot teach it.

Question 28

Why is it so important for a patient to practice a task taught by a nurse?

Answer 28

it enables the nurse to provide immediate feedback, correct errors, and ensure that the patient comprehend the material as it was intended. ( having them repeat what was learned helps nurse evaluate the teaching plan)