NUR 103 FINAL EXAM QUESTIONS AND VERIFIED
DETAILED ANSWERS
Health literacy-ANSWER the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate decisions concerning their health and medical care.
First level of patient centered care-ANSWER what the nurse needs to know to provide
patient-centered care
Second level of patient centered care-ANSWER the organizational level/ways in which
healthcare organizations situate themselves to be patient-centered organizations
3rd level of patient centered care-ANSWER macro focused: how the healthcare system-
viewed from the local, state, and national perspectives- ensures it's patient centered
-strategies to ensure these are primary health-care policy concerns
barriers to meeting patient education needs -ANSWER -inadequate assessment of the
patients education needs
-Inadequate patient education plan
-Impact of patient factors such as medical status, cognitive status, and language
-lack of time to provide education
Medical status of a patient-affects patients level to understand Unclear communication
and understanding whether the patient wants his family to be involved in his education
Confusion about who should provide the education to patients Lack of appropriate
learning strategies and tools to meet patients' needs Lack of staff in the nursing
profession Follow-up/evaluation of patients' outcomes concerning education is not
implemented
Describe the use of the nursing process to utilize the nursing process in patient
,education Assessment: assessment by nurse of the patients education status/needs
Diagnosis: nurse identifies (diagnosis) learning needs
Planning: nurse develops a plan for patient education plan with interventions
Implementation: nurse implemwnts the plan (many barriers come into play when
implementing the plan, this is when making sure the patient is properly educated is most
important)
Evaluation: the nurse evaluates the plan/interventions and documents (were the
expected outcomes met?) Important parts to this specific step= assessing outcomes by
asking questions, return demonstrations, teach-back (asking patient to repeat info), and
asking how patient feels about process
Nursing Process (5 steps) - ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing process - ANSWER a systematic (step by step) method for thinking about and
communicating how nurses provide care
What can you do to promote health literacy for all patient groups? ANS Creating a
healthy environment
Appropriate use of language, rate of speech
Encourage questions
Use of pictures/visuals
Writing instructions down
What populations are most likely to have basic or below-basic health literacy? ANS
Older adult population, minority populations, low SES and limited English proficiency
Jargon - ANSWER special words or expressions used by health care professionals
, CLAS - ANSWER Culturally and Linguistically Appropriate Services
The national standards for CLAS in health and health care - ANSWER - 15 standards to
provide effective and quality care
what 3 themes are the national standards of CLAS organized into? - ANSWER 1)
governance, leadership, and workforce
2) communication and language assistance
3) engagement, continuous improvement, and accountability
What federal policy incorporated health literacy in the professional training curriculum?
ANSWER The Affordable Care Act of 2010, also known as Healthcare Reform Law
What federal policy presents 7 nationwide health literacy goals and strategies that are
based upon all individuals having the right to health information that helps them make
decisions and that health services should be delivered in understandable ways?
ANSWER National Action Plan to Improve Health Literacy
what federal policy requires federal agencies to write documents clearly so that the
public can understand/use them - ANSWER The Plain Writing Act of 2010
what national initiatives promotes health literacy in the way of emphasizing the
objectives related? - ANSWER Healthy People 2020/2030
4 ethical principles used in nursing/healthcare delivery - (ethical decision-making
principals) ANSWER 1) autonomy
2) beneficence
3) justice
4) veracity
DETAILED ANSWERS
Health literacy-ANSWER the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate decisions concerning their health and medical care.
First level of patient centered care-ANSWER what the nurse needs to know to provide
patient-centered care
Second level of patient centered care-ANSWER the organizational level/ways in which
healthcare organizations situate themselves to be patient-centered organizations
3rd level of patient centered care-ANSWER macro focused: how the healthcare system-
viewed from the local, state, and national perspectives- ensures it's patient centered
-strategies to ensure these are primary health-care policy concerns
barriers to meeting patient education needs -ANSWER -inadequate assessment of the
patients education needs
-Inadequate patient education plan
-Impact of patient factors such as medical status, cognitive status, and language
-lack of time to provide education
Medical status of a patient-affects patients level to understand Unclear communication
and understanding whether the patient wants his family to be involved in his education
Confusion about who should provide the education to patients Lack of appropriate
learning strategies and tools to meet patients' needs Lack of staff in the nursing
profession Follow-up/evaluation of patients' outcomes concerning education is not
implemented
Describe the use of the nursing process to utilize the nursing process in patient
,education Assessment: assessment by nurse of the patients education status/needs
Diagnosis: nurse identifies (diagnosis) learning needs
Planning: nurse develops a plan for patient education plan with interventions
Implementation: nurse implemwnts the plan (many barriers come into play when
implementing the plan, this is when making sure the patient is properly educated is most
important)
Evaluation: the nurse evaluates the plan/interventions and documents (were the
expected outcomes met?) Important parts to this specific step= assessing outcomes by
asking questions, return demonstrations, teach-back (asking patient to repeat info), and
asking how patient feels about process
Nursing Process (5 steps) - ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing process - ANSWER a systematic (step by step) method for thinking about and
communicating how nurses provide care
What can you do to promote health literacy for all patient groups? ANS Creating a
healthy environment
Appropriate use of language, rate of speech
Encourage questions
Use of pictures/visuals
Writing instructions down
What populations are most likely to have basic or below-basic health literacy? ANS
Older adult population, minority populations, low SES and limited English proficiency
Jargon - ANSWER special words or expressions used by health care professionals
, CLAS - ANSWER Culturally and Linguistically Appropriate Services
The national standards for CLAS in health and health care - ANSWER - 15 standards to
provide effective and quality care
what 3 themes are the national standards of CLAS organized into? - ANSWER 1)
governance, leadership, and workforce
2) communication and language assistance
3) engagement, continuous improvement, and accountability
What federal policy incorporated health literacy in the professional training curriculum?
ANSWER The Affordable Care Act of 2010, also known as Healthcare Reform Law
What federal policy presents 7 nationwide health literacy goals and strategies that are
based upon all individuals having the right to health information that helps them make
decisions and that health services should be delivered in understandable ways?
ANSWER National Action Plan to Improve Health Literacy
what federal policy requires federal agencies to write documents clearly so that the
public can understand/use them - ANSWER The Plain Writing Act of 2010
what national initiatives promotes health literacy in the way of emphasizing the
objectives related? - ANSWER Healthy People 2020/2030
4 ethical principles used in nursing/healthcare delivery - (ethical decision-making
principals) ANSWER 1) autonomy
2) beneficence
3) justice
4) veracity
