quiz 2

Question 1

Plain Writing Act

What is the Plain Writing Act of 2010?

Public Law 111-274

lecture 3

Answer 1

law which requires federal agencies to use “plain language” when communicating with the public

Question 2

Plain Writing Act

What is the purpose of the Plain Writing Act of 2010?

lecture 3

Answer 2

to improve the effectiveness and accountability of Federal agencies to the public by promoting clear Government communication that the public can understand and use

Question 3

Plain Writing Act

What are the guidelines of the Plain Writing Act 2010?

lecture 3

Answer 3

• find what they need
• understand what they find
• use what they find to meet their needs

Question 4

True or False

Patients remember and understand less than half of what clinicians explain to them.

lecture 3

Answer 4

True

Question 5

True or False

Testing general reading levels ensures patient understanding in the clinical setting.

lecture 3

Answer 5

False, it does NOT ensure patient understanding

Question 6

SMOG Index

What does SMOG stand for?

lecture 3

Answer 6

Simple Measure of Gobbledygook

Question 7

SMOG Index

What is the SMOG Index?

lecture 3

Answer 7

A readability formula used to measure the complexity of written materials based on the number of polysyllabic words in a sample text.

Question 8

SMOG Index

What is the purpose of the SMOG Index?

lecture 3

Answer 8

expresses the relationship between the difficulty experienced by people reading a given text and the linguistic characteristics of that text

• score is directly correlated with how educated the individual has to be to understand the information

Question 9

SMOG Index

What is the SMOG Index looking to do?

lecture 3

Answer 9

to look at the reading level of the text

…because it is assessing how difficult a text is to comprehend based on word complexity

Question 10

SMOG Index

How is the SMOG Index calculated?

lecture 3

Answer 10

1) Count 30 sentences.
2) Count words with 3+ syllables.
3) Take the square root of that number and round to the nearest 10.
4) Add 3 to get the readability grade level.

Question 11

True or False

Abbreviated or hyphenated words and/or numbers all count as a singular word for the SMOG Index

lecture 3

Answer 11

True

Question 12

What is important when talking with patients and families?

lecture 3

Answer 12

• use plain language
• slow down
• break it down into short statements
• focus on 2 or 3 most important concepts
• check for understanding using teach-back method

Question 13

Ask Me 3

What is the Ask Me 3 strategy?

lecture 3

Answer 13

communication strategy to help improve patient understanding and engagement in their own healthcare

Question 14

Ask Me 3

What are the 3 questions of the Ask Me 3?

lecture 3

Answer 14

1. What is my main problem?
2. What do I need to do?
3. Why it important for me to do this?

Question 15

Ask Me 3

What are the goals of Ask Me 3?

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Answer 15

• encourage patients to become active members of their health care team
• improve communication between patients and providers
• promote improved health outcomes

Question 16

Ask Me 3

What is my main problem?

this question aims to do what

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Answer 16

helps patients understand their diagnosis or condition

Question 17

Ask Me 3

What do I need to do?

this question aims to do what

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Answer 17

clarifies treatment, medications, lifestyle changes, or next steps

Question 18

Ask Me 3

Why is it important for me to do this?

this question aims to do what

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Answer 18

emphasizes the significance of following the medical advice to improve health outcomes

Question 19

Teach Back

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Answer 19

a health literacy tool to ensure patient understanding

Question 20

What is Teach Back asking patients?

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Answer 20

to repeat in their own words what they need to know or do, in a non-shaming way

Question 21

True or False

Teach Back is a test of the patient

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Answer 21

False

it is how well you (the health care provider) explained the concept and a chance to check for understanding and, if necessary, reteach the information

Question 22

Teach Back

Teach Back creates an opportunity for ….

lecture 3

Answer 22

dialogue in which the provider gives information and asks the patient to confirm before adding any new information

Question 23

Teach Back

Closing the loop

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Answer 23

1. New Concept: health information, advice, or change in management
2. Clinician explains new concept
3. Clinician assesses patient recall and comprehension
4. Clinician clarifies and tailors explanation
5. Clinician reassesses patient recall and comprehension
6. Patient recalls and comprehends
7. Adherence

Question 24

Teach Back

What questions should not be asked when doing Teach Back

lecture 3

Answer 24

Yes/No questions!! Such as:
- do you understand?
- do you have any questions?

Question 25

# Teach Back What do you do when there is more than one concept to be shared with the patient? ## Footnote lecture 3

Answer 25

"Chunk and Check" - teach the 2-3 main points for the first concept & check for understanding - **then** teach the next concept

Question 26

# True or False The responsibility is on the patient for competence ## Footnote lecture 3

Answer 26

**False** as part of the elements of competence, the responsibility is on the provider

Question 27

# Teach Back Should all this be documented? ## Footnote lecture 3

Answer 27

YES document the use of and response to teach back

Question 28

# Plain Language What are some steps to plain writing? ## Footnote lecture 3

Answer 28

1. know your audience 2. organize your thoughts 3. summarize main points 4. write short sentences and paragraphs 5. use everyday phrases and words 6. minimize "census-speak" 7. use strong subjects and verbs 8. define uncommon terms 9. use headings, lists and tables 10. proofread

Question 29

Why is patient understanding crucial in healthcare? ## Footnote lecture 3

Answer 29

Patients have the right to understand healthcare information to make informed decisions and manage their health effectively.