and Correct Answers, 100% Correct. Latest
2024/2025.
health literacy
level to which patients are able to gather, process, and comprehend basic health information
necessary for making appropriate choices about their health and treatment
first level of patient centered care
the necessary knowledge base for a nurse provide patient-centered care
second level of patient centered care
the organizational level/ways in which healthcare organizations situate themselves to be patient-
centered organizations
third level of patient centered care
macro focused: how the healthcare system (viewed from the local, state, and national perspectives)
ensures that it's patient centered
-strategies to ensure these are primary healthcare policy concerns
barriers to meeting patient education needs
-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 to whether the patient wants family to participate in the
education
-confusion regarding who is responsible for patient education
-lack of effective learning strategies and tools to meet patients needs
-lack of nursing staff
-lack of follow-up/evaluation of patients outcomes related to education
Describe how to utilize the nursing process in patient education
Assessment: nurse assesses the patients education status/needs
Diagnosis: the nurse identifies (diagnosis) learning needs
Planning: the nurse develops a patient education plan with specific interventions
Implementation: the nurse implements 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)
Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing process
a systematic (step by step) method for thinking about and communicating how nurses provide care
What strategies can you use to improve health literacy among all patient populations
-creating a healthy environment
-using proper language and speaking at a good pace
-encouraging questions
-using pictures/visuals
-writing instructions down
what groups are more prevalent to basic or below-basic levels of health literacy?
older adults, minority populations, people with low socioeconomic status, and people with limited
English proficiency
Jargon
special words or expressions that are used by healthcare professionals
CLAS
Culturally and Linguistically Appropriate Services
The national standards for CLAS in health and healthcare
-15 standards designed to provide effective and quality care
what 3 themes are the national standards of CLAS organized into?
1) governance, leadership, and workforce
2) communication and language assistance
3) engagement, continuous improvement, and accountability
what federal policy incorporated health literacy into the professional training curriculum?
The Affordable Care Act of 2010 (ACA) or 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 info that helps them make decisions and that health services
should be delivered in understandable ways?
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
The Plain Writing Act of 2010
, what national initiatives promotes health literacy in the way of emphasizing the objectives related?
Healthy People 2020/2030
4 ethical principles used in nursing/healthcare delivery (ethical decision-making principals)
1) autonomy
2) beneficence
3) justice
4) veracity
a standardized code or guide to behaviors
ethics
autonomy
the patients right to make decisions about matters affecting the patient
Beneficience
doing something good and caring for the patient; involves awareness of the patients of the patient's
situation and needs
-doing no harm and safeguarding the patient, or non-malifecence
Justice
treating people fairly; lack of justice may lead to disparities
Veracity
truth; trust plays a major role in this process
why is veracity a difficult principle to apply?
a family member may request that the patient not be fully informed- direct conflict with ethical and
patient-centered care
What is the correlation between ethical and legal issues and quality of care?
Both have to entail...
-privacy
-confidentiality
-Informed consent
-rationing care
-various patient legal decisions
What are the reporting requirements for nurses in cases of incompetent, unethical, or illegal practice
(varies from state to state and mat not affect all practices the same)
-source of complaint remains confidential
-when brought to a legal battle, the nurse is not guilty until proven to be so: legal process that must
be followed by the state provides rights for the nurse to defend their self
What are some of the most common causes of ethical violations in nursing?