Deck 14: The Empowered Consumer

Question 1

When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development?

A) The declining costs of healthcare
B) The complexity of navigating the Internet
C) Desire by consumers for increased responsibility
D) The continued pervasive culture of paternalism

Answer 1

Desire by consumers for increased responsibility

Question 2

A client presents to the clinic for a visit and brings information about his or her condition that he or she got off the Internet. Which response by the nurse would be most appropriate?

A) "What, don't you believe that we're doing what's best for you?"
B) "Let's go over this information and see what it says."
C) "I really need to check out this site before we talk about it."
D) "You need to be really careful about what you get off the Internet."

Answer 2

"Let's go over this information and see what it says."

Question 3

Which characteristic is associated with health literacy? Select all that apply.

A) Related to years of education
B) Variable with the context and setting
C) Greater predictor of health than age
D) Primarily the ability to use basic reading skills
E) Decision-making ability based on interpreting numerical information

Answer 3

Variable with the context and setting
Greater predictor of health than age

Question 4

A client receives his or her cholesterol test results and decides to make lifestyle changes to improve his or her numbers. The nurse would interpret this as:

A) Health literacy.
B) Health numeracy.
C) Consumer informatics.
D) Information literacy.

Question 5

When discussing online support groups with clients, which precaution would the nurse include?

A) Limited range of areas covered
B) Consistent quality of information
C) Variable sponsorship
D) Mostly nonmoderated

Question 6

A nurse is reading an article about the advantages of online support groups. Which information would the nurse expect to find? Select all that apply.

A) The groups are highly diverse in their perspectives.
B) Anonymity allows for the discussion of sensitive issues.
C) Messages can be carefully thought out before they are posted.
D) Most interactions occur synchronously.
E) Membership is not restricted by time or geography.

Question 7

A nurse is evaluating a web page that was designed for use with clients. Which feature would be most important to assess?

A) Design
B) Accessibility
C) Usability
D) Artistic approach

Question 8

A client is searching the web for health information. The search engine being used is a crawler search engine. Which engines might the client be using? Select all that apply.

A) Google
B) Yahoo! Directory
C) Bing
D) Ask Jeeves
E) Open Directory

Question 9

During a healthcare visit, a client shows the nurse information that he or she has obtained from the Internet about his or her current condition. When discussing this information with the client, the nurse should keep in mind that:

A) The information may be correct.
B) The source needs to be verified.
C) References must always be listed.
D) The information is likely to be out of date.

Question 10

A nurse is developing client education materials on type 2 diabetes. To promote health literacy, which client skills would the nurse need to keep in mind when creating the materials? Select all that apply.

A) Understand visual information
B) Locate health information
C) Make decisions
D) Read at a college level
E) Apply relevant information

Question 11

A nurse is reviewing a client education handout and checking its readability using the Flesch Reading Ease. Which score indicates that the handout is easy to read?

A) 32
B) 46
C) 53
D) 67

Question 12

A nurse is creating a client education sheet for a client diagnosed with heart failure. The nurse understands that this information should be written at which Flesch-Kincaid Grade Level?

A) 3rd
B) 6th
C) 8th
D) 12th

Question 13

To address health literacy when conducting oral client teaching, which actions should the nurse take? Select all that apply.

A) Use eye contact.
B) Use medical terminology often.
C) Focus on about three essential areas.
D) Have the client explain what was said in his or her own words.
E) Limit the use of pictures and drawings.

Question 14

Which statements best reflect the concept of consumer informatics? Select all that apply.

A) The focus is on the healthcare providers.
B) It is a subspecialty of healthcare informatics.
C) The goal is a balance between self-reliance and professional help.
D) Full utilization rests on the features of the information systems.
E) The goal is to improve decision-making by the healthcare provider.

Question 15

A nurse researcher is conducting a study on health literacy. Which tool would be most appropriate for the specialist to use? Select all that apply.

A) Rapid Estimate of Adult Literacy of Medicine
B) Single Item Literacy Screener
C) Newest Vital Sign
D) Flesch Reading Ease
E) SMOG Index

Question 16

A nurse is creating a written client education handout for several clients about diabetes. Which actions can the nurse take to improve the readability for the clients? Select all that apply.

A) Use multisyllable words.
B) Avoid using medical jargon.
C) Keep sentences short.
D) Limit the amount of white space on the page.
E) Use bullets to highlight key points.

Question 17

Which specialized tool can be used to access the invisible web? Select all that apply.

A) Internet Archive
B) USA.gov
C) Firefox
D) WWW Virtual Library
E) Google search page

Question 18

A client presents to the clinic for a routine evaluation for his or her hypertension. During the visit, the client tells the nurse that he or she has been searching the web to learn more about his or her condition. Which advice is appropriate for the nurse to provide this client regarding web searches?

A) Use caution; most of the information is not reliable.
B) "Beware" even though the information may be credible.
C) Avoid clicking on a website e-mail listed because it is usually a link to an advertisement.
D) Look for information that is not specifically authored by an individual.

Question 19

Which statement best describes cyberchondria?

A) It is characterized as a personality disorder.
B) It reflects individuals who search online for health information.
C) It involves anxiety related to repeated and excessive online searches.
D) It is typical of most consumers who search for health information.

Question 20

A nurse is reviewing the records of several clients who have received client teaching. Which activity would indicate a client's understanding of health numeracy? Select all that apply.

A) Describing the events associated with heart failure
B) Calculating a medication schedule
C) Identifying a sudden weight gain of 3 lb as significant
D) Understanding the directions for a prescribed medication
E) Interpreting the amount of salt on a food label

Question 21

A group of nurses is creating a website for the facility to provide client teaching. To ensure usability, who should the group have evaluate the site?

A) Other nurses in the facility
B) The primary care providers
C) Intended audience
D) An outside agency