Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 3520 - Patient Education > Week 3 > Flashcards

Week 3 Flashcards

1
Q

what is health literacy

A

a person’s ability to

  • access info
  • understand meaning of health info
  • evaluate health info
  • communicate to make informed decisions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are common health literacy challenges (5)

A
  • not familiar w medical terms or how their body works
  • have to interpret or calculate numbers or risks that could have health or safety consequences
  • are scared and confused when diagnosed with a serious illness
  • have health conditions that require high lvls of complicated self-care instruction
  • they are relying on unfamiliar technical info
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what people are at the highest risk of health illiteracy (10)

A
  • affects all classes, ethnic groups, ages*
  • those who are economically disadvantaged
  • older adults
  • immigrants
  • those w english as a 2nd language
  • racial minorities
  • high school dropouts
  • those who are unemployed
  • prisoners
  • inner-city and rural residents
  • those w poor health statu from chronic mental and physical problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how can we improve health literacy (5)

A
  • provision of printed leaflets and health info packagaes
  • provision of computer-based and internet health info
  • targeted approaches to tackle low lvls of health literacy in disadvantaged groups (ex. formal education)
  • targeted mass media campaigns (ex. the vaccine campaign rn)
  • teach back
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are global learners?

A

…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

describe the relationship between literacy and stigma

A
  • people rarely disclose voluntarily that they are illiterate, even to close relatives
  • stigma releated to low literacy creates shame, inadequecy, fear, low self-esteem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are clues that a pt may have low literacy

A
  • see claire’s notes for veryyyy long list, most are common sense tho
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are 4 examples of tools used to readability of PEMs

A
  • flesch-kincaid scale
  • fog index
  • fry readability graph
  • SMOG formula
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does the flesch-kincaid scale assess (4)

A
  • news reports
  • adult education materials
  • government publication
  • measures readability from 5th grade to college lvl
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the flesch-kincaid scale based on (2)

A

2 basic language elements:

  • average sentence length (in words) of selected sample
  • average word length (measured as syllabus per 100 words of sample)

score is then calculated by combining these two variable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the benefit of the fog index (3)

A
  • considered a simpler method
  • based on a short sample of words
  • does not require counting of syllables of all words
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the fog index used to assess

A
  • the readability to material from 4th grade to college lvk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how is the fog index calculated

A
  • based on average sentence length and % of multisyllabic worse in a 100-word passage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the fry readability graph

A
  • test readability of materials such as books, pamphlets, and brochures at the lvl of 1st grade thru college
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how is the fry readability graph calculated

A
  • the number of syllables and number of sentences in 3 100-word selections
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do readability formulas assess (3)

A
  • literacy lvls in PEMs
  • provide fairly accurate grade-lvl estimates –> what grade lvl is required to be able to read the material
  • do not test people, but rather the written material
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

people typically read at what lvl?what do they typically prefer?

A
  • at least 2 grade lvls below their highest lvl of schooling

- typically prefer materials written below their literacy abilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

good readers prefer…

A
  • simplified PEMs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are 2 tests done to measure a pt’s comprehensions of PEMs

A
  • CLOZE test

- listening test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how is a CLOZE test designed

A
  • systematically delete every 5th word from a port of a text
21
Q

how does a CLOZE test work

A
  • ask the reader to fill in the blanks with the exact word replacements
  • one point given for every missed word correct guessed b the reader
  • final cloze score = total number of blanks filled in correctly
22
Q

what is the listening test a good approach for

A
  • determining what a low-literate person understands and remembers when listening
23
Q

describe how a listening test works

A
  • select a passage from an instructional material that takes about 3 min to read aloud and is written at ~5th grade lvl
  • formulate 5-10 short questions relevant to the content of the passage by selecting key points
  • read the passage to the person at a normal rate
  • ask the listener to answer the questions orally and record the answers
24
Q

what are some strategies to simplify the readability of PEMS (8)

A
  • limit PEM to what the patient should know/do
  • select other media to supplement written info
  • organize topics into chunks that follow a logical sentence
  • determine preferred reading lvl of material
  • keep sentences short
  • clearly define any technical words using parentheses
  • design layouts should encourage eye movement from left to right
  • avoid italics, fancy lettering, and all capital letters
  • write in coversational style
  • use short, common words, w 1-2 syllables
  • spell out words over abbreviations
  • keep semtence short (<20 words)
  • clearly define technical words in paraenthesis
  • more in readings, but all v common sense*
25
Q

what are some strategies to promote health literacy (10)

A
  • establish a trusting relationship w the pt before the learning process
  • use the smallest amt of info possible to accomplish the predetermined behavioral objectives (no more than 15-20 min education sessions)
  • make points of info as clear as possible
  • teach one step at a tmie
  • use multiple teaching methods and tools
  • encouraae teach back
  • elicit feedback by asking questions and making statements appropriatelu
  • keep motivation high
  • coordinate procedures into everyday routins
  • use repetition
26
Q

what is a good way to elicit feedback from a pt during teaching about their understanding

A
  • instead of “do you understand”

- ask “tell me what ur understand of this is”

27
Q

review PEMAT document

A

…

28
Q

review health literacy screening tool

A

…

29
Q

what is the single item literacy screener

A
  • simple instrument designed to identify pts with limited ability who need help reading health-related material
  • where scores greater than 2 indicate some difficulty w reading printed health related material
30
Q

what 3 questions that often go unasked by pts, are important to talk about w a pt

A
  1. what is my health problem
  2. what do i need to do
  3. why do i need to do this
31
Q

what is readability

A
  • the ease with which written or printed info can be read
32
Q

what is comprehension

A
  • the degree to which individuals understand what they’ve read
33
Q

define illiterate

A
  • unable to read or write at all

- or having reading and writing skills at the 4th grade lvl or below

34
Q

define low literacy

A
  • ability of adults to read, write, and comprehend info between the 5ht-8th grade lvl
35
Q

what is functional illiteracy

A

-lacking the basic reading, writing, and comprehension skills needed to operate effectively in today’s society

36
Q

what is an important determinant of health status

A
  • health literacy
37
Q

what are some consequenced of poor health literacy (6)

A
  • increased illness and death
  • unable to read or comprehend med instruction
  • poor health outcomes
  • increased hospitalization visits
  • increased healthcare costs
  • less healthy behaviors
38
Q

describe the relationship between the ability to read and comprehension

A
  • ability to read does not guarantee comprhension

- comprehension is affected by the amt, clairty, and complexity of info provided

39
Q

why is screening health literacy important?

A
  • self reporting unreliable r/t stigma
40
Q

what are some important truths (despite many myths) to recognize regarding those w struggle w literacy (4)

A
  • many have average or above average IQ
  • appearance alone is an unreliable basis for judgement
  • grade-lvl achievement does not correspond to reading ability
  • affects diverse backgrounds but majority are white, native born americans
41
Q

how can health illiteracy effect compliance and adherence

A
  • limits ability to understand instructions for meds
  • difficulty handling lrg amt of info
  • may think in concrete, specific, literal terms
  • may have difficulty analyzing instructions, taking in and organizing new info
  • may have difficulty coming up w questions

= the inability to comply is mistaken for noncompliance

42
Q

health education cannot be considered to have taken place if…

A
  • the written info that has been distributed to pts does not enhance their knowledge and skills necessary for self care
    = education relevant to a pts healthcare needs must be understandable and culturally appropriate
43
Q

what is the SMOG formula (2)

A
  • one of the most valid test for readability

- measures readability from 4th grade to college lvl

44
Q

the cloze test should be used only with what individuals?

A
  • individuals whose reading skills are at 6th grade lvl or higher
45
Q

what does a score of 60% or better in the cloze test indicate? 40-59%? less than 40%?

A
  • > 60 = sufficiently understood
  • 40-59% = moderate lvl of difficulty, requires supplemental teaching
  • <40% = too difficulty, not suitable for teaching
46
Q

how is the listening test score determined

A
  • divide number of Q answered correctly by total number of questions
47
Q

what does a score of 90% in the listening test mean? 75-89? less than 75?

A
  • > 90 = easy for pt, can be fully comprehended
  • 75-89% = appropriate, but will need some additional assistance for full comprehension
  • <75% = too difficult, requires simpler instructional material
48
Q

when in doubt, write instructional materials at what lvl?

A

5th grade

NURS 3520 - Patient Education (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions