Health Promotion and Maintenance Practice Question
Question
The nurse is caring for an adolescent client and is focused on health literacy scenario 3. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Use plain language and teach-back to confirm understanding.
- D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
Correct Answer
C. Use plain language and teach-back to confirm understanding.
Explanation
The priority action for health literacy is to use plain language and teach-back to confirm understanding. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: medium
- Domain: Health Promotion and Maintenance
- Objective: health literacy