The nurse is preparing to care for a newly admitted client. The follow

QUESTION

The nurse is preparing to care for a newly admitted client. The following information was provided by the emergency department in the medical record:

Admission Note: Client is a 56 year old who has not been to see a healthcare provider since emigrating to the U.S. 10 years ago; recalls receiving vaccinations “years ago” but does not remember for what disease processes; states that he was given “blood pressure” pills years ago from a doctor in his native country but hasn’t taken them for quite some time because he “feels ok.” Works as a part-time cook in a neighborhood ethnic restaurant. Lives with his spouse and is helping to raise a granddaughter.
For what should the nurse assess this client upon arrival to the care area?
1. Diet
2. Health literacy
3. Insurance coverage
4. Living arrangements

ANSWER:

Correct Answer: 2

The nurse should focus on the client’s literacy. Limited health literacy is prevalent among minority populations and those who are poor. Clients with limited health literacy may have difficulty with sharing their medical history, seeking preventive health care, managing chronic health conditions, and understanding medication directions. The information provided from the emergency department supports the need for the nurse to assess this client’s literacy. The client’s diet is not a priority at this time. Insurance coverage was most likely obtained in the emergency department. Living arrangements have no impact on the client’s health needs at this time.