- Read the article on page 8.
- Take the test. Each question has only one correct answer.
- The test for this CE activity is to be taken online at http://www.NursingCenter.com/CE/JNPD.
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- A passing score for this test is 13 correct answers.
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Registration Deadline: February 28, 2018
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This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223. Your certificate is valid in all states.
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GENERAL PURPOSE: To provide information on what nurses experience when interacting with patients thought to possess low health literacy.
LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:
1. Identify issues related to identifying patients with low health literacy and addressing their educational needs.
2. Select registered nurses’ experiences with individuals thought to possess low health literacy.
- The Institute of Medicine (2004) defines health literacy as the degree to which individuals have the capacity to
- write out their medical history so that it can be used by healthcare providers.
- repeat hospital discharge instructions verbatim.
- obtain, process, and understand basic health information and services.
- According to Parnell (2015), the health literacy literature has placed minimal emphasis on the
- communication skills of healthcare professionals.
- culture and ethnic background of the patient.
- health knowledge and skills of the patient.
- What is one method that one participant in this study used to build trust?
- speaking to the patient in her own language
- involving the patient’s family in the decision-making process
- having the same patient assignment each day
- A participant suggested that, before providing education, healthcare providers should
- accept patients’ cultures and preferences.
- ask patients what they would like to learn.
- attend to patients’ needs for pain management.
- When did participants’ recognition of gaps in patient understanding occur most often?
- during team conferences
- when speaking to a family member
- during an assessment
- Two participants recognized a need for additional patient teaching during what patient encounter?
- dressing changes
- medication administration
- meal delivery
- What appeared to be the most prominent barrier to learning in this study?
- having the time for teaching/learning
- patients’ lack of acceptance of their illnesses
- perceptions of cultural differences
- Several participants reported which of the following barriers to patients’ understanding health-related information?
- multiple “teachers”
- limited resources
- short hospital stays
- System barriers to learning that were identified in this study included
- a lack of materials written in Spanish.
- patients’ unwillingness to learn.
- a lack of family participation.
- When providing written material to patients, several participants in this study mentioned the importance of using
- colorful papers.
- current statistics.
- The only participant to illustrate a clear method for evaluating learning explained that the nurse
- asked the patient if he understood what was taught.
- used the teach-back methodology.
- observed the patient nodding to acknowledge understanding.
- Paasche-Orlow and Wolf (2007) report that limited health literacy has been associated with all of the following except
- more mistrust of health providers.
- lower satisfaction in quality of care.
- greater likelihood of following instructions closely.
- Parnell (2015) noted that many patients with low health literacy
- are embarrassed that they cannot understand their health information.
- tend to have more comorbid medical conditions.
- are more prone to side effects from medications.
- In the United States, the persons at highest risk for low health literacy include those with
- low socioeconomic status.
- Asian/Pacific Islander ethnicity.
- male gender.
- When teaching non-English-speaking patients, participants reported
- frequent use of English-speaking family members.
- a limited availability of interpreters.
- the effectiveness of demonstrations and hand gestures.
- Which best practice for promoting health literacy was used in this study?
- speaking loudly and clearly
- limiting key concepts presented
- using specific medical terminology
- Kripalani and Weiss (2006) suggest that improving the care of patients with low health literacy should include
- the use of educational support group classes for patients.
- increased use of simplified, online patient teaching.
- training health professionals about basic health literacy.
- It is recommended that medical information for patients is written at the
- fifth-grade reading level.
- seventh-grade reading level.
- 10th-grade reading level.