NR 228 Quiz 1
Questions: 16 · 10 minutes
1. During teach-back, a patient describes the instructions incorrectly. What should the clinician do next?
Document that the patient was not ready to learn
Repeat the original explanation word for word and end the discussion
Give the patient a detailed handout to review later instead of discussing it further
Explain the point again in a different way, then ask for another teach-back
2. Which clinician statement is most likely to reduce shame when checking whether instructions were clear?
Most patients understand these directions the first time. Do you?
This is basic information, but let me know if any part confused you.
I explain this to many people, so I want to check how clearly I described it. What will you do when you get home?
How strong would you say your reading skills are?
3. A hospital wants to know whether its discharge instructions are genuinely easy for patients to use. Which method provides the strongest direct evidence?
Count the number of words on each page
Observe representative patients using the instructions and ask them to explain the required actions
Run the text through a readability formula only
Ask clinicians whether the instructions appear complete
4. After explaining how to use an inhaler, a nurse wants to use teach-back. Which request best follows that method?
Do you understand all the instructions I just gave you?
Can you confirm that you will use the inhaler correctly at home?
To make sure I explained it clearly, can you show me how you will use the inhaler?
Would you like me to repeat the same instructions one more time?
5. Someone finds an online article claiming that one supplement prevents several unrelated diseases. Which feature would most strengthen the article’s credibility?
The article contains many personal testimonials from satisfied users
The article identifies its author, publication date, evidence sources, and potential conflicts of interest
The article appears first in a search result and has a professional design
The article repeats the same claim on several social media platforms
6. Which layout is most likely to make written health instructions easier to use?
The key action first, with descriptive headings, short sections, and useful white space
A comprehensive opening paragraph followed by technical background information
Several warnings in capital letters before the main instructions
Dense details arranged in the order they were added to the document
7. During shared decision-making, what should happen after reasonable options and their likely benefits and harms are explained?
The clinician and patient should consider the patient’s goals, preferences, and circumstances together
The patient should choose immediately so outside influences do not affect the decision
The options should be ranked only by their financial cost
The clinician should select the option with the strongest average outcome
8. A study reports that an outcome occurred in 10 of 100 people without a treatment and 5 of 100 people with it. What is the absolute decrease?
5 percent of the original risk
50 percentage points
5 percentage points
The outcome was reduced to zero
9. Which practice best reflects a universal precautions approach to health literacy?
Simplify communication only for patients who disclose difficulty reading
Make information and services easier to understand and navigate for everyone without requiring people to reveal difficulties
Use detailed medical terminology first, then simplify it if a patient asks
Screen every patient and reserve clear communication tools for those below a cutoff
10. Which statement best defines personal health literacy?
The technical skill required to diagnose common health conditions independently
The ability to memorize medical terminology before receiving healthcare
The responsibility to follow every recommendation without asking questions
The ability to find, understand, and use health information and services to inform health-related decisions and actions
11. What does organizational health literacy primarily describe?
How accurately an organization measures the reading grade level of its employees
How frequently an organization distributes printed health education materials
How much medical knowledge patients possess before entering an organization
How equitably an organization enables people to find, understand, and use health information and services
12. Which rewrite uses the clearest plain language for “administer the medication orally twice per day”?
Administer one oral dose on a bi-daily schedule.
Take the medication via the oral route at two daily intervals.
Take the medicine by mouth two times each day.
Consume the prescribed medicine regularly, morning and evening.
13. A prescription label says, “Take one tablet every 8 hours.” If the first tablet is taken at 6:00 a.m., which schedule follows the stated interval?
6:00 a.m., 12:00 p.m., and 6:00 p.m.
6:00 a.m., 2:00 p.m., and 10:00 p.m.
6:00 a.m., 3:00 p.m., and 9:00 p.m.
6:00 a.m., 6:00 p.m., and midnight
14. A patient and clinician do not share a fluent language. What is the most appropriate communication approach when a qualified interpreter is available?
Ask an accompanying adult family member to summarize the main points
Speak mainly to the interpreter so the interpreter can manage the conversation
Rely on translated handouts and reserve interpretation for emergencies
Use the qualified interpreter while speaking directly to the patient in short, clear segments
15. A patient is given a complex consent form shortly before a procedure and appears confused. What best supports meaningful informed consent?
Pause, explain the purpose, benefits, risks, and alternatives clearly, invite questions, and check understanding
Ask for a signature first and provide clarification after the procedure
Replace the discussion with a shorter form containing fewer details
Ask a family member to make the decision whenever the form seems difficult
16. A clinic requires every appointment to be booked through an online portal. Some patients lack reliable internet access. Which change best addresses this organizational barrier?
Offer phone and in-person booking options with navigation assistance
Post more detailed portal instructions on the clinic website
Ask patients to obtain help from a technologically experienced relative
Keep online booking mandatory but extend the appointment calendar