Table B.
Correct/Incorrect Responses to Health Literacy Knowledge Section of the HL-KES by Registered Nurses in Tehran, Iran, 2015 to 2016 (N = 190)
| Health Literacy Knowledge Items | Correct Response n (%) | Incorrect Response n (%) |
|---|---|---|
| Low health literacy levels are most prevalent among which of the following groups? (BF) | 74 (38) | 116 (62) |
| The research on health literacy indicates that: (BF) | 35 (18.4) | 155 (81.6) |
| What is the likelihood that a nurse working in a public health clinic primarily serving low-income minority will encounter a patient with low health literacy? (BF) | 73 (38.4) | 117 (61.6) |
| The best predictor of health care status is: (BF) | 40 (21) | 150 (79) |
| An individual with functional health literacy will be able to: (BF) | 74 (38) | 116 (62) |
| The Rapid Estimate of Adult Literacy in Medicine is an instrument utilized to: (SC) | 14 (7.4) | 176 (92.6) |
| When working with individuals who have low health literacy skills the nurse should keep in mind that these individuals: (SC) | 79 (41) | 111 (59) |
| Which of the following questions should provide the nurse with the best estimate of reading skills of the patient? (SC) | 56 (29.5) | 134 (70.5) |
| Which statement best describes the Test of Functional Health Literacy? This instrument is: (SC) | 35 (18.4) | 155 (81.6) |
| What is the strongest advantage of conducting health literacy screenings? (SC) | 77 (40.5) | 113 (59.5) |
| Which of the following statements, made by the nurse, would be the best approach to initiating a health literacy screening with a patient? (SC) | 78 (41.1) | 112 (58.9) |
| After providing written health care information to a patient, he or she states “Let me take this information home to read.” This may be a clue to the nurse that the patient: (EV) | 77 (40.5) | 113 (59.50) |
| The most effective way for a nurse to determine how well a patient with low health literacy understands healthcare information is to: (EV) | 66 (34.7) | 124 (65.3) |
| Which of the following is true with regards to written health care information? (GL) | 46 (24.2) | 144 (75.8) |
| The first step in developing written health care information is to: (GL) | 67 (35.3%) | 123 (64.7) |
| Recommendations for developing written health care materials include: (GL) | 67 (35.3%) | 123 (64.7) |
| When listing side effects for a handout on chemotherapy the oncology nurse should limit the list to: (GL) | 53 (27.9) | 137 (72.1) |
| Written health care information provided to a patient related to a specific disease should include: (GL) | 1 (0.5) | 189 (99.5) |
| Which of the following would be the most effective wording for a heading in a brochure on hypertension? (GL) | 40 (21.05) | 150 (78.95) |
| The best way to ensure that a breast cancer prevention brochure is culturally appropriate is to: (GL) | 46 (24.2) | 144 (75.8) |
| Which of the following instructions on the management of diabetes would be least understood by an individual with low health literacy skills?(GL) | 34 (17.9) | 156 (82.1) |
| Which of the following approaches to patient education provides minimal opportunity for the patient to actually engage in learning? (GL) | 39 (20.5) | 151 (79.5) |
| Patients with low health literacy skills: (CQ) | 105 (55.3) | 85 (44.7) |
| Health behaviors common among patients with low health literacy skills include: (CQ) | 64 (33.7) | 126 (66.3) |
| Patients cope with low health literacy by: (CQ) | 24 (12.6) | 166 (87.4) |
| The nurse should keep in mind that individuals with low health literacy skills: (CQ) | 94 (49.4) | 96 (50.6) |
Note. Numbers do not always total to 190 or 100% because of missing data. BF = basic facts on health literacy; CQ = consequences associated with low health literacy; EV = evaluation of health literacy interventions; GL = guidelines for written health materials; HL-KES = Health Literacy Knowledge Experience Survey; SC = screening limited health literacy.