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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Critical pathways are designed to standardize care and ensure that key interventions and assessments are performed within specific timeframes to achieve optimal outcomes. However, flexibility might be necessary based on individual patient needs, and strict adherence to the exact order may not always be feasible or appropriate.
B. Critical pathways are primarily used to guide the management of specific clinical conditions or procedures rather than health promotion activities. They focus on improving the efficiency and effectiveness of patient care for specific diagnoses or treatments rather than general health promotion.

C. Critical pathways aim to standardize care and improve outcomes by following evidence-based practices, which can lead to more efficient use of resources and reduced costs. By streamlining care processes and minimizing variations, critical pathways can help achieve better patient outcomes and cost savings.
D. Critical pathways are typically developed by multidisciplinary teams, including clinical experts, to create standardized care plans based on best practices for specific conditions or procedures. They are not usually developed by individual providers for individual clients.

A. “I will begin upon the client's admission to the facility." B. “I will begin 48 hr before the client's discharge." C. ‘I will begin once the client's insurance company approves discharge coverage." D. “I will begin once the client's discharge order is written."

Correct Answer is A

Explanation

A. Discharge planning should start as soon as the client is admitted to the facility. Early planning helps anticipate and address the patient’s needs and ensures that all necessary arrangements for post- discharge care are made well in advance.
B. Starting discharge planning 48 hours before discharge is generally too late. Effective discharge planning requires more time to coordinate care, education, and resources. Beginning the process 48 hours before discharge may not allow enough time to address all aspects of the plan adequately, potentially leading to issues in the transition.
C. Waiting for insurance approval before starting discharge planning can lead to delays and may not be in the best interest of the patient. Discharge planning should be initiated based on the patient’s needs rather than insurance coverage. Waiting for approval can also disrupt the timeline for arranging follow- up care and services.
D. Waiting until the discharge order is written is too late for effective discharge planning. By the time the discharge order is written, many elements of the discharge plan should already be in place. Waiting until this point can lead to rushed arrangements and potentially inadequate preparation for the patient’s needs after leaving the facility.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

Correct Answer is C

Explanation

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer is A

Explanation

Which of the following descriptions best describes a prototype evaluation system?

The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance p awareness. What is NOT one of the four agreements?

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:

In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:

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?

A hospital organization (not affiliated with the government) provides women's health services on an inpatient basis for short-term medical conditions (average stay of less than 30 days). This facility would likely be considered:

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