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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing the parents' preferences regarding the amount and type of information they want is crucial because it helps tailor the communication to their needs and emotional state. This initial step ensures
that the information provided is appropriate for the parents’ level of understanding and readiness. By understanding their preferences, the nurse manager can offer information in a manner that is most supportive and useful for the family.
B. Arranging for a specialist to speak with the family might be necessary. However, it is not the first step in the process. This step would be more relevant after understanding the family’s needs and preferences, as the specialist can then provide more targeted and relevant information based on the family's specific questions or concerns.
C. Directing the family to online resources might be useful, but it is not the first priority. Providing online resources should come after assessing the family's needs and preferences to ensure that the resources are relevant and appropriate.
D. Having patient education brochures available is important but it should come after assessing the family's preferences. The brochures alone might not address the family's immediate concerns or preferences for the amount of information they wish to receive.
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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