NURS 208 FINAL EXAM GRADED A+ 2025
Define health promotion -Answer- ✔- the process of enabling people to increase control
over the determinants of health and thereby improve their health
- Health promotion has evolved to include individual health behaviours and underlying
determinants of health
- a social-political process, involving multiple interventions, over a prolonged period of
time, action at several levels and across sectors
- Health promotion - wanting to improve our health
Hidden barriers to communicating with patients -Answer- ✔education, literacy,
language, beliefs
Health literacy: the capacity to -Answer- ✔- obtain, process, understand basic health
information and services
- make appropriate health care decisions (act on information)
- access/navigate health care system
Health Literacy Universal Precautions Approach -Answer- ✔structuring the delivery of
care as if everyone may have limited health literacy
- you cannot tell by looking
- higher literacy skills does not equal understanding
- anxiety can reduce ability to manage health information
- everyone benefits from clear communications
Red flags for low literacy -Answer- ✔-Frequently missed appointments
-Incomplete registration forms
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-Non-compliance with medication
-Unable to name medications, explain purpose or dosing
-Identifies pills by looking at them, not reading label
-Unable to give coherent, sequential history
-Ask fewer questions
-Lack of follow-through on tests or referrals
Mismatched communication: clinician process vs patient process -Answer- ✔Clinician
process: giving information
Patient process: understanding, remembering, and acting on information
Strategies to improve patient understanding -Answer- ✔Focus on "need-to-know" &
"need-to-do"
Use Teach-Back Method
Demonstrate/draw pictures
Use clearly written education materials
HCP patient understanding tips (7) -Answer- ✔1. use plain language
2. limit information (3-5 key points)
3. be specific and concrete, not general
4. demonstrate, draw pictures, use models
5. repeat/summarize
6. teach-back (confirm understanding)
7. be positive, hopeful, empowering
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