The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

A. "A nurse explains the importance of medication adherence to a patient using visual aids and simplified language." This is more about education and communication rather than social learning.
B. "A nurse encourages a patient to join a support group where they can observe others coping with similar health challenges." This is correct. Social learning theory emphasizes learning through observation and interaction with others. Joining a support group allows the patient to observe and learn from the experiences of others.
C. "A nurse refers a patient to a physical therapist to learn exercises that promote mobility and strength." This is related to physical therapy and individual instruction rather than social learning.
D. "A nurse demonstrates wound care techniques to a patient and provides written instructions for future reference." This focuses on direct instruction rather than the observational learning component of social learning theory.

A. Being over 65 years of age can be associated with lower health literacy due to a variety of factors, including less familiarity with digital health information and potential cognitive decline.
B. Working full-time in a factory job may correlate with lower health literacy due to lower levels of formal education and limited access to health education resources.
C. Having a chronic disease does not necessarily indicate low health literacy; in fact, managing a chronic condition may require higher health literacy to effectively engage in self-care.
D. Speaking English as a second language can be a significant risk factor for low health literacy due to language barriers that affect the ability to understand health information and navigate the healthcare system.
E. Taking part-time post-secondary classes typically indicates higher educational attainment and is less likely to be associated with low health literacy.