Health Literacy: EXAM 2

**What are the three core functions in the IOM public health framework? A. Assessment B. Communication C. Policy development D. Assurance Program E. planning

(Institute of Medicine) Assessment, policy development, and assurance (provide direction for delivering quality care)

*Many factors of the public health system affect how people understand and use health information by:

-Cultural and linguistic differences -complexity and novelty of information -communication of HCP's - public health infrastructure that facilitates and supports healthy behavior

**You are a prevention specialist assigned to the DeKalb County Health Department in Georgia. Over the past five years, DeKalb County has had the highest rates of stroke and heart disease in the state. You are working on a project in collaboration with Grady Memorial Hospital to assess, develop and implement an innovative program that focuses on heart disease and stroke prevention. You begin the project by conducting a needs assessment. This assessment should include which of the following: A. Health status monitoring to identify health problems and related factors, determining which segments of the population are most affected, and assessing the health literacy skills of the population B. Health status monitoring to identify health problems and related factors, determining which segments of the population are most affected, and developing policies that address issues for the most affected populations C. Health status monitoring to identify the health problems and related factors, determining which segments of the population are most affected, and mobilizing community partnerships to solve the health problem

A. That is correct. The assessment should identify the health problem and related factors, determine which population segments are the most affected, and assess the health literacy skills of the population

**A product development method that involves users in all stages of the development process to create products that meet users' needs is called ________. A. User-centered design B.Process evaluation C. Plain language D. Usability testing

A. That is correct. User-centered design involves users in all stages of the development process to create products that meet users' needs.

A. Individual factors influencing health literacy B. Professional factors

A. health knowledge, literacy skills, demographic culture, experience B. public health infrastructure (access to services and sources), public health practice (communication, dissemination) , public health workforce (experience, skills, knowledge)

**Which of the following is NOT a strategy for improving health literacy? A. Using plain language B. Focusing efforts on improving awareness C. Using culturally and linguistically appropriate communication D. Employing participatory, user-centered design

B. That is correct. Focusing efforts on information is not an effective strategy for improving health literacy.

**What percentage of U.S. adults has proficient health literacy? A. 50 B. 65 C. 12 D. 87

C. 12

**After more research, you learn that most individuals in the target population with limited health literacy rely upon the hospital emergency room when they are ill because they do not have a primary care physician. Most of the information this population receives is written at inappropriately high reading levels. Also, these materials explain what heart disease and stoke are, but do not provide clear prevention actions. What factor should NOT be considered to ensure the heart and stroke program will meet the needs of this population? A. Involve members of the target population at every stage of the program, from initial planning to evaluation, to develop a program that will be effective and well received. B. Ensure that all messages and materials developed are in the appropriate language and at the appropriate reading level for the target population. C. Disseminate well-developed materials in waiting rooms in public or private clinics. D. None of the above.

C. That is correct. Disseminating well-developed materials in doctor office waiting rooms does not need to be considered to ensure the heart and stroke program will meet the needs of this population with limited health literacy skills.

**Which of the following are factors that affect health literacy? A.Communication skills of public health professionals B.Level of complexity of the health information C.Information dissemination channels D. All of the above

D. All of the above

**After reading the scenario below, answer the question, then click NEXT. You are a prevention specialist assigned to the DeKalb County Health Department in Georgia. Over the past five years, while conducting the needs assessment, you discover that certain population segments in the community are more likely to have heart disease or to have had a stroke. Your assessment reveals that health literacy skills are limited among these segments. Individuals within these segments are not aware of the importance of preventing and controlling risk factors, such as high blood pressure, tobacco use, and obesity to reduce the risk. When presented with health information, the target population has trouble associating risk factors with personal actions they can take to prevent these illnesses. You are working on a project in collaboration with Grady Memorial Hospital to assess, develop and implement an innovative program focusing on heart disease and stroke prevention. Now that limited health literacy skills have been identified as one of the community's issues, which essential services will be important when addressing the health literacy needs of the population? A.. Forge partnerships with those who serve and understand your audience. These partners, such as churches or civic groups, can provide expertise or support initiatives that are relevant to your audience. B. Ensure a competent public health workforce that understands the consequences of limited health literacy and is trained to provide information to those with limited health literacy skills. C. Educate and empower people about the risk of heart disease and stroke and provide actionable recommendations to prevent each illness. D. All of the above are essential services that are important in addressing health literacy needs.

D. All of the above, That is correct. Essential services that are important to address health literacy needs include forging partnerships, ensuring a competent public health workforce, and educating and empowering people.

**Adults with below basic health literacy are more likely than the general population to: A. Have graduated from high school B. Search for health information on the Internet C. Be in excellent health D. Be age 65 or older

D. Be 65 or older

**Which of the following organizations could serve as a potential partner for disseminating health information to the community? A. Libraries B. Adult education programs C. Social service providers D. All of the above

D. That is correct. All of these organizations, and others, can serve as a partner to disseminate health information to the community.

**Each of the following can be implemented to improve the usability of health information EXCEPT: A. Limit the number of messages. B. Use plain language. C. Supplement text with pictures. D. Include multiple messages.

D. That is correct. Including multiple messages is not an effective strategy for improving the usability of health information.

**Which is NOT a possible challenge in applying an approach for individuals with limited health literacy skills? A. Obtaining resources to develop more tailored prevention programs B. Encouraging members of the target group to advocate for themselves, their families and their communities to receive appropriate healthcare and information C. Inaccurately assessing knowledge and needs of the target group, as individuals with limited health literacy often feel stigma and shame, prohibiting public health professionals from gaining correct information D. None of the above. All are possible barriers or challenges.

D. That is correct. Securing resources, getting individuals with limited health literacy skills to advocate for themselves, and experiencing stigma and shame are all possible barriers or challenges in applying an approach for individuals with limited health literacy skills.

**Which of the following is a consequence for individuals with limited health literacy? A.Less frequent use of preventive services, such as mammograms, pap smears and flu shots B. Less effective management of chronic diseases such as high blood pressure, asthma and HIV/AIDS C. Less likelihood of understanding food labels D. More likelihood of feeling embarrassment asking questions or seeking health information E. All of the above

E. All of the above

**Which of the following might individuals with limited health literacy experience? A. Silence B. Shame C.Lost rights, for example, if a person doesn't fully understand the paperwork to give informed consent D. Compromised health E. All of the above

E. All of the above

**Select all that apply, then click NEXT. Which of the following are stakeholders in health literacy? A. Consumers B. healthcare professionals C. Public health professionals D. Academic institutions E. Faith-based organizations F. All of the above

F. all of the above

** A person can be literate and still have limited health literacy? True or False

True. 45% of highschool graduates still have limited health literacy

1. Why does Health literacy matter?

it can help save lives, save money, and save the lives of millions of Americans!!

**Healthy People 2020 has identified health literacy as :

the degree in which one is able to obtain, process, and understand basic health information in order to make appropriate health decisions

Literacy is:

what gives us the skills to understand and communicate health information