BSN225 SHERPATH QUESTIONS AND VERIFIED SOLUTIONS
Which outcomes are often associated with low health literacy? - ✔✔Taking prescribed
medications incorrectly Outcomes associated with low health literacy include medication
errors. Often patients do not take medications correctly because they cannot read or they
misunderstand instructions. Missing follow-up appointments Low health literacy can lead
to missed follow-up appointments because patients misunderstand instructions or
because they are unable to read directions to get to appointments. Higher health care
costs Low health literacy can lead to poor adherence to outpatient treatment plans. This in
turn leads to increased health care costs associated with more hospital admissions, more
medications, and greater frequency of outpatient appointments. Poor adherence with
treatment plans Poor adherence to treatment plans often correlates with low health
literacy because of misunderstood instructions and lack of knowledge about the disease
process. Which patient would the nurse recognize as having the highest risk for low health
literacy? - ✔✔A 25-year-old undocumented migrant worker This patient is at high risk for
low health literacy. The patient may be in a minority group and in a lower socioeconomic
class; in addition, the patient may have limited formal education because of status as an
undocumented migrant worker. Which actions indicate proficiency in health literacy? -
✔✔Understanding which websites are appropriate to use for health information Knowing
which websites offer credible health information is an important aspect of health literacy.
Understanding benefits of Medicare programs Ability to understand benefits of complex
health insurance programs such as Medicare would indicate proficiency in health literacy.
Being able to call and schedule follow-up appointments Being capable of calling and
scheduling follow-up appointments would show health literacy proficiency. Navigating a
smartphone to input a medication list into an app Being able to navigate a smartphone or
computer to access health information and services demonstrates health literacy. In
addition, knowing the dosages of medication also shows health literacy proficiency. Which
patient would the nurse identify as someone who is ready to learn new information? - ✔✔A
patient with dilated cardiomyopathy who asked for more information on heart failure A
patient who is requesting information about the disease process is showing emotional
readiness, so this patient would be the best one to begin teaching. Which strategies can
the nurse use to increase the effectiveness of the education process? - ✔✔Involve family
members in the teaching process. It is important for family members to participate in
patient education to facilitate patient-centered care. Cover only two to three key points at
a time. The nurse should limit information to two to three key topics to avoid overwhelming
the patient. Review previous information before starting new material. Reviewing
previously taught information before advancing to new material confirms that the patient
,retained knowledge. Encourage the patient to ask questions. Encouraging questions
allows for an interactive learning process and confirms understanding of material. Which
statement indicates that the nurse needs additional education about teaching and learning
styles? - ✔✔"When teaching, I will include the three distinct styles of learning: visual,
auditory, and reading and writing." There are four learning styles, not three, because the
nurse did not include kinesthetic/tactile as the fourth learning style. This statement
indicates the nurse would benefit from learning more about teaching styles. Patient
education in the hospital setting can be challenging due to which factors? - ✔✔Lack of
patient readiness to learn Patients who are unwilling or not ready to learn can increase the
difficulty of providing quality patient education in the hospital setting. Sedation related to
medications Sedation or pain medications can decrease the effectiveness of patient
education because the patient may be too sleepy to remember what was taught. Lack of
skill required for patient teaching Sometimes patient education can be difficult because
the nurse may lack the skill and adequate training to provide the necessary patient
education. Which abilities are required for a person to be considered as having higher
health literacy? - ✔✔Filling out a health questionnaire A higher health literacy requires
general literacy, which includes the ability to fill out a health questionnaire. Solving simple
mathematical equations A higher health literacy requires the ability to solve simple
mathematical equations, also known as numeric literacy. Reading discharge instructions A
higher health literacy requires general literacy, which includes the ability to read and
understand discharge instructions. Following medication instructions A higher health
literacy includes having enough knowledge about one's health to be able to follow
medication instructions. Which method would be most effective when teaching a patient
recently diagnosed with diabetes to check blood glucose levels? - ✔✔Have the patient
perform the step-by-step instructions with guidance from the nurse. Having the patient
perform the skill is one of the best ways to teach. People retain almost 80% of material
during hands-on learning sessions, according to estimates. Which statement by the nurse
is appropriate when discussing how best to teach a Spanish-speaking patient about the
signs and symptoms of heart failure? - ✔✔"In addition to a medical translator, I want to
make sure at least one family member or caregiver is present when I am teaching the
patient." It is always best to have an approved family member or caregiver present during
the teaching session to facilitate learning in a patient-centered environment. Which
examples illustrate formal teaching in health care? - ✔✔CPR certification taught to a
pediatrician's office staff A CPR certification class is an example of formal teaching in
health care; it is structured, goal-oriented, and scheduled at a certain time. Infant
parenting class at the local hospital An infant parenting class is an example of formal
teaching in health care; it is structured, goal-oriented, and scheduled at a certain time.
, Teaching the patient and family signs of a wound infection during the discharge process
The educational component of the discharge process would be considered formal
teaching. Discharge teaching is scheduled, structured, and goal-oriented. Which domain
of learning is addressed when the nurse teaches a patient to take a pulse and then has the
patient demonstrate the skill? - ✔✔Psychomotor Learners who gain knowledge in the
psychomotor domain use physical movement, or motor skills, during the teachable
moment. Which outcomes have been associated with increased health literacy? -
✔✔Improved health outcomes Improved health outcomes (e.g., fewer admissions to the
hospital) have been associated with increased health literacy. Increased clarity about
future decisions related to illness Increased clarity regarding illness-related decisions has
been associated with higher health literacy. Improved medication adherence Increased
health literacy has been shown to correlate with improved medication adherence.
Increased adherence to treatment plan Increased adherence to treatment plans (e.g.,
showing up for scheduled outpatient appointments) has been associated with increased
health literacy. Which statement by the nurse indicates understanding of the definition of
health literacy? - ✔✔"A patient with low health literacy is unable to understand the
medical information necessary for health care decision-making." People with low health
literacy are unable to comprehend health-related terminology, to understand written
health-related instructions, or to grasp medical concepts necessary for informed decision-
making. When would the nurse assess the patient's health literacy? - ✔✔During each
patient interaction Assessing the patient's health literacy should be done during every
patient interaction. By observing behaviors and conversing with the patient, the nurse can
see subtle cues that may indicate low literacy or low health literacy. Which patient
behaviors could indicate low health literacy? - ✔✔Wants to wait for family before signing
consent form Patients who refuse to sign consent forms until other family members are
present may indicate that they lack the capability to read the consent forms. Has
laboratory results that do not support the patient's prescribed treatment plan Patients
whose laboratory levels do not support the treatment plans may indicate they have low
health literacy because they could be having difficulty following the discharge instructions.
Refers to medications by the color of the pill Patients who refer to their medications by
color instead of by name could have low health literacy and could be unable to read the
names on the medication bottles. Frequently misses follow-up appointments Patients who
frequently miss follow-up appointments may have low health literacy due to inability to
read follow-up instructions, such as appointment times and office locations. Which
question would be most appropriate for the nurse to ask when trying to gauge the patient's
current knowledge of health care needs? - ✔✔"Which medications do you take for your
high blood pressure?" An open-ended question about the patient's medications for high
Which outcomes are often associated with low health literacy? - ✔✔Taking prescribed
medications incorrectly Outcomes associated with low health literacy include medication
errors. Often patients do not take medications correctly because they cannot read or they
misunderstand instructions. Missing follow-up appointments Low health literacy can lead
to missed follow-up appointments because patients misunderstand instructions or
because they are unable to read directions to get to appointments. Higher health care
costs Low health literacy can lead to poor adherence to outpatient treatment plans. This in
turn leads to increased health care costs associated with more hospital admissions, more
medications, and greater frequency of outpatient appointments. Poor adherence with
treatment plans Poor adherence to treatment plans often correlates with low health
literacy because of misunderstood instructions and lack of knowledge about the disease
process. Which patient would the nurse recognize as having the highest risk for low health
literacy? - ✔✔A 25-year-old undocumented migrant worker This patient is at high risk for
low health literacy. The patient may be in a minority group and in a lower socioeconomic
class; in addition, the patient may have limited formal education because of status as an
undocumented migrant worker. Which actions indicate proficiency in health literacy? -
✔✔Understanding which websites are appropriate to use for health information Knowing
which websites offer credible health information is an important aspect of health literacy.
Understanding benefits of Medicare programs Ability to understand benefits of complex
health insurance programs such as Medicare would indicate proficiency in health literacy.
Being able to call and schedule follow-up appointments Being capable of calling and
scheduling follow-up appointments would show health literacy proficiency. Navigating a
smartphone to input a medication list into an app Being able to navigate a smartphone or
computer to access health information and services demonstrates health literacy. In
addition, knowing the dosages of medication also shows health literacy proficiency. Which
patient would the nurse identify as someone who is ready to learn new information? - ✔✔A
patient with dilated cardiomyopathy who asked for more information on heart failure A
patient who is requesting information about the disease process is showing emotional
readiness, so this patient would be the best one to begin teaching. Which strategies can
the nurse use to increase the effectiveness of the education process? - ✔✔Involve family
members in the teaching process. It is important for family members to participate in
patient education to facilitate patient-centered care. Cover only two to three key points at
a time. The nurse should limit information to two to three key topics to avoid overwhelming
the patient. Review previous information before starting new material. Reviewing
previously taught information before advancing to new material confirms that the patient
,retained knowledge. Encourage the patient to ask questions. Encouraging questions
allows for an interactive learning process and confirms understanding of material. Which
statement indicates that the nurse needs additional education about teaching and learning
styles? - ✔✔"When teaching, I will include the three distinct styles of learning: visual,
auditory, and reading and writing." There are four learning styles, not three, because the
nurse did not include kinesthetic/tactile as the fourth learning style. This statement
indicates the nurse would benefit from learning more about teaching styles. Patient
education in the hospital setting can be challenging due to which factors? - ✔✔Lack of
patient readiness to learn Patients who are unwilling or not ready to learn can increase the
difficulty of providing quality patient education in the hospital setting. Sedation related to
medications Sedation or pain medications can decrease the effectiveness of patient
education because the patient may be too sleepy to remember what was taught. Lack of
skill required for patient teaching Sometimes patient education can be difficult because
the nurse may lack the skill and adequate training to provide the necessary patient
education. Which abilities are required for a person to be considered as having higher
health literacy? - ✔✔Filling out a health questionnaire A higher health literacy requires
general literacy, which includes the ability to fill out a health questionnaire. Solving simple
mathematical equations A higher health literacy requires the ability to solve simple
mathematical equations, also known as numeric literacy. Reading discharge instructions A
higher health literacy requires general literacy, which includes the ability to read and
understand discharge instructions. Following medication instructions A higher health
literacy includes having enough knowledge about one's health to be able to follow
medication instructions. Which method would be most effective when teaching a patient
recently diagnosed with diabetes to check blood glucose levels? - ✔✔Have the patient
perform the step-by-step instructions with guidance from the nurse. Having the patient
perform the skill is one of the best ways to teach. People retain almost 80% of material
during hands-on learning sessions, according to estimates. Which statement by the nurse
is appropriate when discussing how best to teach a Spanish-speaking patient about the
signs and symptoms of heart failure? - ✔✔"In addition to a medical translator, I want to
make sure at least one family member or caregiver is present when I am teaching the
patient." It is always best to have an approved family member or caregiver present during
the teaching session to facilitate learning in a patient-centered environment. Which
examples illustrate formal teaching in health care? - ✔✔CPR certification taught to a
pediatrician's office staff A CPR certification class is an example of formal teaching in
health care; it is structured, goal-oriented, and scheduled at a certain time. Infant
parenting class at the local hospital An infant parenting class is an example of formal
teaching in health care; it is structured, goal-oriented, and scheduled at a certain time.
, Teaching the patient and family signs of a wound infection during the discharge process
The educational component of the discharge process would be considered formal
teaching. Discharge teaching is scheduled, structured, and goal-oriented. Which domain
of learning is addressed when the nurse teaches a patient to take a pulse and then has the
patient demonstrate the skill? - ✔✔Psychomotor Learners who gain knowledge in the
psychomotor domain use physical movement, or motor skills, during the teachable
moment. Which outcomes have been associated with increased health literacy? -
✔✔Improved health outcomes Improved health outcomes (e.g., fewer admissions to the
hospital) have been associated with increased health literacy. Increased clarity about
future decisions related to illness Increased clarity regarding illness-related decisions has
been associated with higher health literacy. Improved medication adherence Increased
health literacy has been shown to correlate with improved medication adherence.
Increased adherence to treatment plan Increased adherence to treatment plans (e.g.,
showing up for scheduled outpatient appointments) has been associated with increased
health literacy. Which statement by the nurse indicates understanding of the definition of
health literacy? - ✔✔"A patient with low health literacy is unable to understand the
medical information necessary for health care decision-making." People with low health
literacy are unable to comprehend health-related terminology, to understand written
health-related instructions, or to grasp medical concepts necessary for informed decision-
making. When would the nurse assess the patient's health literacy? - ✔✔During each
patient interaction Assessing the patient's health literacy should be done during every
patient interaction. By observing behaviors and conversing with the patient, the nurse can
see subtle cues that may indicate low literacy or low health literacy. Which patient
behaviors could indicate low health literacy? - ✔✔Wants to wait for family before signing
consent form Patients who refuse to sign consent forms until other family members are
present may indicate that they lack the capability to read the consent forms. Has
laboratory results that do not support the patient's prescribed treatment plan Patients
whose laboratory levels do not support the treatment plans may indicate they have low
health literacy because they could be having difficulty following the discharge instructions.
Refers to medications by the color of the pill Patients who refer to their medications by
color instead of by name could have low health literacy and could be unable to read the
names on the medication bottles. Frequently misses follow-up appointments Patients who
frequently miss follow-up appointments may have low health literacy due to inability to
read follow-up instructions, such as appointment times and office locations. Which
question would be most appropriate for the nurse to ask when trying to gauge the patient's
current knowledge of health care needs? - ✔✔"Which medications do you take for your
high blood pressure?" An open-ended question about the patient's medications for high
