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Health Literacy: A Brief Overview

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1.  The definition of health literacy includes which of the following:
  1. written information
  2. spoken information
  3. mathematics
  4. all of the above
2.  Which of the following is NOT true of patients with low health literacy?
  1. Some patients with low health literacy feel shame that may be reinforced by some healthcare professionals.
  2. Patients with low health literacy are less likely to receive preventative healthcare services.
  3. Patients with low health literacy are less likely to participate in risky behaviors.
  4. Patients with low health literacy are less likely to have an understanding of management techniques for chronic diseases.
3.  Which of the populations below are at risk for low health literacy?
  1. Non-English speaking patients
  2. Patients over the age of 60
  3. Patients who are homeless
  4. All of the above
4.  It is thought that all health information should be written at what readability level?
  1. 1st or 2nd grade
  2. 3rd or 4th grade
  3. 5th or 6th grade
  4. 7th or 8th grade
5.  Which of the following will help written medical information be easier to understand?
  1. Write materials in passive voice
  2. Write materials in an active voice
  3. Use only graphics and illustrations
  4. Using phrases only
6.  Which of the following would be easiest for patients to understand?
  1. Written material in passive voice and in paragraph form
  2. A bulleted flyer with mixed case font written in a personalized manner
  3. A paragraph describing the underlying principles of the disease/disorder
  4. A bulleted flyer describing the underlying principles of the disease/disorder
7.  Which of the following definitions best describes the "teach back" approach to talking with patients?
  1. The healthcare professional restates what the patient has said back to the patient to ensure the patient is understood.
  2. The healthcare professional tells information orally but also has a written handout to explain what has been said.
  3. The healthcare professional has the patient restate what he or she has been told to ensure the patient understands.
  4. The healthcare professional tells the patient at the beginning of a visit to ask questions when he or she does not understand.
8.  When speaking with patients, which of the following are ways in which the healthcare professional can enhance understanding?
  1. When possible, use pictures to help describe what is being said and limit the use of medical jargon
  2. Use medical jargon so the patient knows exactly what to look up on the web
  3. Speak quickly emphasizing only really important information
  4. Both A and B
9.  It is important for a therapist to encourage and understand health literacy because:
  1. Their patients may be at a higher risk for low health literacy because of disability or cognitive deficits and therapists are uniquely trained to understand the impact of low health literacy on their health.
  2. Therapists need extra job responsibilities in the event their caseloads become reduced.
  3. Their patients may be at a lower risk for poor health literacy because they have health insurance.
  4. Their patients can't be trained to understand the impact of their own low health literacy needs.
10.  The Institute of Medicine defines health literacy as:
  1. The degree to which an individual can obtain, process and understand complex health information services needed to make the appropriate health decisions.
  2. The degree to which an individual can obtain, process, and understand basic health information and services needed to make appropriate health decisions.
  3. The degree to which an individual can obtain, process, and understand only written health information.
  4. The degree to which an individual can obtain, process, and understand basic health information services needed to make the appropriate decisions about surgeries.