A clinical instructor is assessing a student nurse's ability to promote patient engagement. Which of the following interventions made by the student suggests a NEED FOR FURTHER TEACHING?
The student educates the patient about their diagnosis.
The student advises the patient as to which treatment options they should choose.
The student arranges for the doctor to visit the patient and the family to assist them in make treatment decisions.
The student asks the patient about their preferences concerning treatment decisions.
The Correct Answer is B
A. Educating the patient about their diagnosis is an important aspect of promoting patient engagement. It helps the patient understand their condition and empowers them to participate in their care.
B. Advising the patient on which treatment options to choose can be problematic. While the student might have the best intentions, making specific recommendations about which treatment options the patient should choose crosses into the realm of providing medical advice, which is typically the role of the healthcare provider or physician. This action may undermine the patient's autonomy and their ability to make informed decisions about their own care.
C. Arranging for a doctor to visit the patient and family to assist in making treatment decisions is a supportive and appropriate action. It helps ensure that the patient and family have the necessary information and support to make informed decisions about treatment options.
D. Asking the patient about their preferences concerning treatment decisions is a key aspect of promoting patient engagement. It involves respecting the patient's autonomy and involving them in their care decisions. This action supports patient-centered care and engagement, so it does not indicate a need for further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Waiting for the patient to leave before filing an incident report is not the most appropriate response. The immediate priority should be addressing the situation to ensure the patient's safety and attempting to resolve any issues before the patient leaves.
B. Contacting the patient’s next-of-kin can be appropriate if the nurse is concerned about the patient’s safety and if it’s necessary to inform the family about the patient’s condition or situation. However, this should be done only after attempting to address the situation directly with the patient, if feasible. It’s important to first try to resolve the issue directly with the patient before involving family members.
C. Walking with the patient and explaining the risks of leaving against medical advice (AMA) shows a proactive approach to addressing the patient's concerns and ensuring they understand the potential consequences of their actions. This approach aims to de-escalate the situation, provide important information, and potentially encourage the patient to stay for necessary care.
D. Calling security personnel should be a last resort and is generally used in situations where there is a safety threat or risk of harm. In this case, the patient is leaving in a disgruntled state but not exhibiting violent or threatening behavior.
Correct Answer is A
Explanation
A. Acute care refers to healthcare provided for conditions that require immediate medical attention and have a relatively short duration. The average stay of less than 30 days indicates short-term care. Specialized implies that the facility focuses on a specific area of medicine, in this case, women's health.
B. Tertiary care involves highly specialized medical care for complex conditions, often requiring advanced technology and specialized professionals. The description doesn't mention complex conditions or advanced technology. Long-term implies care for extended periods, which contradicts the given average stay of less than 30 days.
C. Primary care is the first point of contact for patients, providing general healthcare and preventive services. This facility offers inpatient care, which is beyond the scope of primary care. While the care is specialized, it's not the initial point of contact for patients.
D. The facility is explicitly stated as "not affiliated with the government," ruling out the "public" aspect.
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