Chp. 14 Health Literacy Study Guide Flashcards
what is health literacy
the unique ability of the patient to understand and integrate health related knowledge
what are components of patient education
preventing disease, promoting health, providing treatment instructions, clarifying informant , and teaching patients to cope with limitations
What are examples of literacy/education gaps between patient/caregiver
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
what are some of the expected competencies for patients and health literacy
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)
What is the difference between teaching and learning
Teaching is imparting knowledge or giving instruction, while learning is acquiring knowledge or skills through instruction or experience
Identify the three domains of learning and give examples
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
How does age influence patient education
Age appropriate teaching strategies need to be implemented for children, Older adults may suffer from cognitive and physical changes that affect their learning
How does environment influence patient education
Private, quiet, and with minimal interruptions , good lighting, and comfortable temperature
How does timing influence patient education
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
What are some indications the patient has less than adequate health literacy
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
Indicate how the Quality and Safety Education for Nurses (QSEN) competency of teamwork and collaboration are r/t patient education
Collaboration with PCP, therapists, nurse etc.
After teaching the patient, what needs to be documented
detailed description of goals, what was taught, who was taught, and patients reaction to teaching
which are accurate principles for patient teaching
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
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
Number of participants
In affective domain of learning, the patient exhibits the ability to do which of the following
Verbalize feelings about how to manage arthritis pain
To promote a patients cognitive learning, the nurse decides to use which teaching strategy
showing a DVD about the disease process
which of the following strategies is the most appropriate for teaching a toddler about hospital procedure?
Pictures
The nurse assesses the patient’s readiness to learn wound care. What is the most important factor for the nurse to determine first?
Willingness to learn the technique
Which of the following examples is an evaluation of a psychomotor skill?
Patient uses walker correctly
When teaching an older adult patient, the nurse should incorporate which teaching strategy into the plan?
keeping the teaching sessions short
Which of the following statements by the patient indicates that he may not be ready to learn at this time?
“there’s no sense in talking about this now. I don’t feel very well”
Which of the following examples is an evaluation of cognitive learning? The patient:
explains the use of the incentive spirometer
In the affective domain of learning, the patient exhibits the ability to do which of the following?
Verbalize feelings about how to manage arthritis pain
What is the nurse’s responsibility when it comes to patient education?
present health-related information to patients’ and their families and to do everything possible to ensure their ability to comprehend and integrate the information
