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. Acute care refers to healthcare provided for conditions that require immediate medical attention and have a relatively short duration. The average stay of less than 30 days indicates short-term care. Specialized implies that the facility focuses on a specific area of medicine, in this case, women's health.
B. Tertiary care involves highly specialized medical care for complex conditions, often requiring advanced technology and specialized professionals. The description doesn't mention complex conditions or advanced technology. Long-term implies care for extended periods, which contradicts the given average stay of less than 30 days.
C. Primary care is the first point of contact for patients, providing general healthcare and preventive services. This facility offers inpatient care, which is beyond the scope of primary care. While the care is specialized, it's not the initial point of contact for patients.
D. The facility is explicitly stated as "not affiliated with the government," ruling out the "public" aspect.

A. To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full." B. To reduce cost, I should encourage clients to receive an annual flu immunization." C. To save money, I will re-use PPE after patient care as long as it is not visibly soiled." D. To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."

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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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

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

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

Which of the following are outcomes of a quality stamina (Select All that Apply.)

Which of the following scenarios best exemplifies compromising?

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:

As a new nurse manager, you understand that leadership:

After arguing with a nurse, a disgruntled patient removes their peripheral venous catheter, gathers their belongings, and storms out of the room. Which of the following actions made by the nurse is most appropriate?

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