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?

A. Nurse-patient ratios refer to the number of patients assigned to a nurse at any given time. While maintaining optimal nurse-patient ratios is crucial for patient care quality and nurse workload management, it is not directly related to the concept of intellectual capital.
B. Centralized staffing involves managing staffing needs and scheduling from a central point to ensure coordination and efficiency across departments. While centralized staffing can improve organizational efficiency and care coordination, it does not directly address the concept of increasing overall organizational improvement through intellectual capital.
C. According to the NIC Theory, intellectual capital is crucial for improving organizational performance. An increase in knowledge—whether at the individual, group, or organizational level—directly contributes to overall improvement. Enhanced knowledge and skills among nursing staff lead to better decision-making, innovation, and overall quality of care, thereby positively impacting organizational outcomes.
D. Adherence to budget-based staffing involves staffing levels and allocation based on budgetary constraints. While important for financial management and resource allocation, budget-based staffing does not directly relate to the concept of increasing organizational improvement through intellectual capital.

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.