The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

Collaboration and teamwork

Evidence-based practice

Patient-centered care

Quality improvement

Answer and Explanation

The Correct Answer is C

a. Collaboration and teamwork involve working with other healthcare professionals to improve patient outcomes, but in this case, the focus is specifically on meeting the patient's individual needs, which aligns more with patient-centered care.

b. Evidence-based practice involves integrating research and clinical expertise to improve healthcare outcomes, but this situation is not about applying research findings to treatment.

c. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. By addressing the financial barrier to medication access, the nurse ensures that the patient can adhere to their treatment plan, demonstrating patient-centered care.

d. Quality improvement involves evaluating healthcare processes to enhance patient safety and effectiveness, but this situation is more about addressing an individual patient's specific financial need rather than system-wide improvements.

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Correct Answer is B

Explanation

A. While medication adherence is important, the primary reason for asking about alternative therapies is not due to concerns about compliance. Patients may use alternative therapies alongside prescribed medications, potentially leading to harmful interactions.

B. Many complementary and alternative therapies, such as herbal supplements, can interact with prescribed medications, leading to adverse effects or reduced drug efficacy. For example, St. John’s Wort can decrease the effectiveness of certain medications, including anticoagulants and antidepressants. Identifying these therapies ensures patient safety.

C. While some natural products may have therapeutic benefits, they are not necessarily more effective than prescribed medications. Healthcare providers should base treatment decisions on evidence-based practice rather than assuming an alternative therapy is superior.

D. Financial concerns are important but not the primary reason for inquiring about alternative therapies. The nurse’s main concern is the potential for harmful drug interactions rather than the cost burden on the patient.

A. Distribution B. First-pass effect C. Reduced absorption D. Gastrointestinal circulation

Correct Answer is B

Explanation

A. Distribution refers to the movement of the drug from the bloodstream into tissues and organs, but it does not explain why only a portion of the medication reaches the tissues.

B. The first-pass effect occurs when an orally administered drug is metabolized by the liver before reaching systemic circulation. Aspirin, when taken orally, undergoes significant metabolism in the liver, reducing the amount of active drug available to exert its therapeutic effect. This explains why only a portion of the drug reaches the tissues.

C. Reduced absorption can limit drug availability, but aspirin is generally well absorbed in the gastrointestinal tract. The primary reason for reduced drug availability in this case is metabolism by the liver, not poor absorption.

D. Gastrointestinal circulation involves the enterohepatic recycling of some drugs, but it does not explain why only a portion of aspirin reaches systemic circulation. The first-pass effect is the primary factor.

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The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

Nursing Test Bank

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