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

will the nurse assess closely for health literacy?

a. A patient 35 years old

b. 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 a

high-school diploma or GED, and persons with chronic mental and/or

physical health conditions. A 35-year-old patient and patients with highschool 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 equity-focused quality improvement, not staff satisfaction. While

the family is important, the focus is on the patients. Organizations should

start by implementing a change on a small scale (pilot testing), learning from

each test, and refining the intervention through performance improvement

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

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