1. A nurse is teaching patients about health care information. Which patientwill the

nurse assess closely for health literacy?

a. A patient 35 years oldb.

A patient 68 years old

c. A patient with a college degree

d. A patient with a high-school diploma

ANS: B

About 9 out of 10 people in the United States experience challenges in using health care

information. Patients who are especially vulnerable are the elderly(age 65+), immigrants,

persons with low incomes, persons who do not have ahigh-school diploma or GED, and

persons with chronic mental and/or physical health conditions. A 35-year-old patient and

patients with high- school and college education are not identified in the vulnerable

populations.

2. A nurse works at a hospital that uses equity-focused quality

improvement. Which strategy is the hospital using?

a. Document staff satisfaction.

b. Focus on the family.

c. Implement change on a grand scale.d.

Reduce disparities.

ANS: D

Organizations can implement equity-focused quality improvement by recognizing

disparities and committing to reducing them. Staff diversity is a priority for equityfocused quality improvement, not staff satisfaction. Whilethe family is important, the

focus is on the patients. Organizations should start by implementing a change on a small

scale (pilot testing), learning fromeach test, and refining the intervention through

performance improvement

cycles (e.g., plan, do, study, and act). 1

3. A nurse is providing care to a culturally diverse population. Which action