The nurse is preparing to discharge a patient admitted with fever of unknown origin. The patient states, "I never got past the fifth grade in school. Don't read much. Never saw much sense in it. But I do OK. I can read most stuff

But my doctor explains things good, and doesn't think that my sickness is serious." The nurse should:
a.
Provide discharge medication information from a professional source to provide the most information.
b.
Expect that the patient may return to the hospital if the discharge process is poorly done.
c.
Assume that the physician and the patient have a good rapport and that the physician will clarify everything.
d.
Defer offering the patient the opportunity to get the influenza vaccine because of the rapport that he has with his physician.


ANS: B
Low health literacy is associated with increased hospitalization, greater emergency care use, lower use of mammography, and lower receipt of influenza vaccine. A goal of patient education by the nurse is to inform patients and deliver information that is understandable by examining their level of health literacy. The more understandable health information is for patients, the closer the care is coordinated with need.

Nursing

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What action indicates that a school-age child is using a metered-dose inhaler correctly?

a. The child uses his inhaled steroid before the bronchodilator. b. The child exhales forcefully as he squeezes the inhaler. c. The child holds his breath for 10 seconds after the first puff. d. The child waits 10 minutes before taking a second puff.

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Which of the following actions by the nurse would usually be most productive in gaining an understanding of an adolescent's or a child's perceptions related to their illness and hospitalization?

a. Conduct interviews with extended family members. b. Interview the child or adolescent alone one-on-one. c. Read the child's diary if the parents will provide it. d. Have the child write a report for the nurse to read.

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The most common chronic condition experienced by elder women is:

1. Hearing impairment 2. Hypertension 3. Arthritis 4. Heart disease

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