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CH 7: LITERACY IN THE ADULT CLIENT POPULATION (Book is Attached)
The nurse is facilitating an educational small group entitled “Easy and Tasty Heart Smart Nutrition.” Educational
materials include basic information regarding physiology, medications, and recipes. Educational modalities
include group discussions, videos, handouts, and hands-on cooking activities. The following describes members
of the group as well as characteristic interactions within the group and to the nurse.
Jerry: A 65-year-old, married, Caucasian male with a history of two previous heart attacks with
quadruple bypass. He wears glasses but frequently forgets them; he has no other sensory deficits. As a
high-school graduate, he is currently retired with a pension from 30-years work in a car factory and lives
comfortably in a middle-class neighborhood. Jerry often complains of being tired but actively
participates in hands-on demonstrations.
Alejandro: A 50-year-old, divorced, Hispanic male with two grown children living within two hours of
him. He is diagnosed with hypertension, high cholesterol, and angina. He speaks English as a second
language, has an eighth-grade education, and is currently unemployed. Alejandro enjoys the hands-on
demonstrations and videos but reports that he is “not good at following directions.” He does not have
any sensory deficits that would impede learning but often appears unkempt.
Zari: A 45-year-old, married, African-American female diagnosed with cardiomyopathy. She has a slight
hearing loss but does not have a hearing aid; no other sensory deficits are noted. Zari works part time as
a clerk for a small, family-owned dry cleaning business. She admits she does not like technology and
does not like to cook. She is always well-dressed, but she has shared with the nurse that buying food
and budgeting is a challenge.
Minsun: An active 70-year-old, single, Korean female diagnosed with atrial fibrillation and hypertension.
Minsun wears glasses and appears slightly hard-of-hearing at times but does not have a hearing aid; she
does not have any other sensory deficits. Minsun spoke Korean as a child but has spoken English since
middle school both at home and in the community. Minsun runs an herbal stand in the local farmer’s
market on the weekend during the summer; she travels frequently during the winter. Minsun loves to
cook and often alters the recipes. She does, however, love to participate in all group activities and often
takes short notes.
1. Based simply on the description of the group members, choose two members the nurse would be most
concerned about regarding literacy?
a. Explain briefly the following:
1) reasons that the chosen members are at risk of poor health literacy – cite tools or literacy
measurements that you would use to determine the health literacy level of each member.
2) reasons that the chosen members will not be able to comprehend and understand the
2. The goal of the nurse is to ultimately have the 2 group members make appropriate nutritional choices by
being able to choose and follow recipes surrounding heart health.
a. Below, choose one term that best describes the nurse’s goal in providing health education to the 2
members you have chosen. (Choose one term for each member based on the individual member’s
Comprehension, Functional literacy, Health literacy, Numeracy.
b. Briefly explain your choice for each of the 2 members.
Your initial response should be 300 words in length, reflecting on the prompt above. Your responses should be referenced or cited using professional literature following the APA (7th ed) format.