A Fars-speaking patient is admitted to the Medical unit due to complications related to uncontrolled diabetes. The staff expresses frustration because the patient is frequently readmitted, despite having been explained the medication regimen several times. The patient's failure to follow the regimen indicates

worsening health state.

lack of motivation.

lack of health literacy.

early cognitive impairment.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A. This behavior demonstrates ineffective followership. While identifying problems is important, an effective follower should also contribute to finding solutions and taking action. Merely pointing out problems without offering solutions or participating in problem-solving can be seen as passive or unhelpful, as it does not contribute to resolving the issues or improving the organization.
B. Recognizing one’s strengths and weaknesses is a characteristic of effective followership. Self- awareness allows staff members to understand their role, improve their performance, and contribute

more effectively to the team. It indicates a proactive approach to personal and professional development, which is aligned with positive followership.
C. Engaging in open and honest communication is a sign of effective followership. It promotes transparency, trust, and collaboration within the team. Effective communication helps address issues, improve processes, and foster a positive work environment, which is essential for productive followership.
D. Demonstrating moral courage by not fearing rejection or ridicule when standing up for what is right is a sign of effective followership. It reflects commitment to ethical standards and a willingness to contribute positively to the organization, even in the face of potential personal risk.

A. negotiate the schedule with unit staff. B. seek budgetary approval. C. submit the schedule to a centralized staffing office for review. D. balance personal schedules against institutional needs

Correct Answer is A

Explanation

A. In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B. Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C. This would be the case in a centralized scheduling system, not a decentralized one.
D. Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.

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Naxlex Comprehensive Predictor Exams

A nurse manager is conducting annual performance evaluations of the RNs on her floor. Which of the following staff behaviors demonstrates INEFFECTIVE followership?

Correct Answer is A

Explanation

Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to

Correct Answer is A

Explanation

A nurse manager in the pediatric intensive care unit understands that when providing information to parents of a critically ill child, the following should be performed FIRST:

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