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INSTRUCTIONS Confronting barriers to improve healthcare literacy and cultural competency in disparate populations



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Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.


Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.


Confronting barriers to improve healthcare literacy and cultural competency in disparate populations


GENERAL PURPOSE: To provide information on improving communication with diverse patient populations who may have low health literacy skills. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Outline the factors that relate to disparities in healthcare for diverse populations. 2. Choose culturally responsive and inclusive care modalities for multicultural patient populations.


1. Patients who have limited health literacy


a. always have low education levels.


b. are more likely to have poor health outcomes.


c. tend to be younger.


2. Limited health literacy has been linked to


a. decreased mortality.


b. improved nutrition label understanding.


c. medication errors.


3. The percentage of adults in the US who have health literacy limitations is


a. 36%.


b. 57%.


c. 88%.


4. A non-English speaking adult's complete access to health information


a. may not always be possible.


b. is a patient right.


c. is optimal but not mandatory.


5. Racial and ethnic disparities in healthcare


a. persist despite increased awareness.


b. have been eliminated.


c. are not supported by research.


6. The overarching goals of Healthy People 2020 include


a. providing equitable insurance coverage.


b. increasing the number of BSN-prepared RNs.


c. fostering healthy behaviors.


7. Diverse populations in the US are


a. decreasing.


b. staying the same.


c. increasing.


8. To identify cultural differences in providing patient care, nurses should


a. examine their personal values and traditions.


b. help diverse patients align their beliefs with US culture.


c. work in settings that represent their personal cultural practices.


9. Addressing cultural competency in US hospitals is a goal of


a. the US Department of Homeland Security.


b. The Joint Commission.


c. the US Department of Justice.


10. Patients over age 64


a. are more likely to have low health literacy.


b. are less likely to have low health literacy.


c. have not been studied in terms of health literacy.


11. Which adult population has been diagnosed with diabetes at rates three times higher than non-Hispanic Whites?


a. non-Hispanic Blacks


b. Pacific Islanders


c. Asians


12. Which adult population has a disproportionate increase in chronic disease-related disability?


a. Asians


b. Hispanics


c. non-Hispanic Blacks


13. The most common nonbiological factor influencing health disparities is


a. exposure to crime.


b. limited transportation options.


c. poverty.


14. According to the US Department of Education, what percentage of English-speaking adults in the US has proficient health literacy skills?


a. 1%


b. 12%


c. 21%


15. "Questions Are the Answer" is a useful program offered by


a. AHRQ.


b. the American Nurses Association.


c. NAM.


16. An evidence-based method of verifying patient understanding of verbal instruction is


a. asking the patient if he or she has any questions.


b. quizzing the patient on the topic.


c. the teach-back method.


17. To promote health literacy, nurses can


a. learn a few words of the primary languages in the populations they serve.


b. learn how to mime instructions.


c. use plain language.


18. Hiring a multicultural workforce


a. may have a positive organizational impact on cultural competence.


b. does not have any impact on organizational cultural competence.


c. is not a recommended goal for healthcare organizations.



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