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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. While it's possible that a worsening health state could contribute to non-adherence, it's unlikely to be the sole factor, especially given that the patient has been explained the medication regimen multiple times.
B. While motivation is important for adherence, it's also unlikely to be the sole factor. Many patients with chronic conditions experience challenges with motivation, but effective education and support can help address this.

C. This is the most likely explanation for the patient's repeated non-adherence to the medication regimen. Health literacy refers to an individual's ability to understand and use health information to make informed decisions.
D. This is a possibility, but it's important to rule out other factors first. Cognitive impairment would likely manifest in other areas of the patient's life as well, and it's important to conduct a thorough assessment to determine if this is the case.

A. To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full." B. To reduce cost, I should encourage clients to receive an annual flu immunization." C. To save money, I will re-use PPE after patient care as long as it is not visibly soiled." D. To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."

Correct Answer is B

Explanation

A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

Correct Answer is B

Explanation

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