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 B
Explanation
A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.
Correct Answer is A
Explanation
A. Accommodation involves giving in to the needs or desires of others, often at the expense of one’s own needs or preferences. In this scenario, Lee is accommodating Jillian’s schedule by sacrificing his own personal time to ensure she receives the coaching she needs.
B. Avoiding is a conflict management strategy where one party tries to ignore or evade the conflict, often by withdrawing from the situation. In this case, Lee is not avoiding the conflict but is actively working to resolve it by adjusting his schedule.
C. Compromising involves each party giving up something to reach a middle ground. While Lee is adjusting his schedule, he is not negotiating or finding a middle ground where both parties make concessions. Instead, he is accommodating Jillian’s needs by sacrificing his own time, which does not fit the definition of compromising.
D. Competing is a strategy where one party seeks to win the conflict at the expense of others. This involves pursuing one's own goals aggressively, often disregarding the needs or preferences of others. In this scenario, Lee is not trying to win or impose his preferences; rather, he is making a personal sacrifice to meet Jillian’s needs.
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