The student nurse is conducting a health history for a patient recently diagnosed with cancer. What statement made by the student would require remediation by the clinical faculty?
“Tell me about your support system at home."
"What treatment options has your doctor spoke with you about?""
“I am sure you are scared. Everything will be okay."
“This must be a hard time for you. How are you coping."
The Correct Answer is C
A. "Tell me about your support system at home." This is an open-ended, therapeutic question that encourages the patient to discuss their support network.
B. "What treatment options has your doctor spoken with you about?" This is an appropriate way to assess the patient's understanding of their diagnosis and plan of care.
C. “I am sure you are scared. Everything will be okay." This statement is nontherapeutic because it offers false reassurance and dismisses the patient’s emotions rather than acknowledging their concerns.
D. "This must be a hard time for you. How are you coping?" This is an empathetic statement that acknowledges the patient's feelings and invites them to express their emotions.
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Correct Answer is D
Explanation
A. Apply restraints to the patient's wrists. Restraints should be a last resort and only used when all other interventions have failed. Before restraining, less restrictive methods such as reorientation, supervision, and environmental modifications should be attempted first.
B. Turn on the patient’s bed alarm. While a bed alarm can alert staff if the patient attempts to get out of bed, it does not prevent the patient from pulling at their dressings and IV lines. More direct supervision is needed.
C. Administer a sedating medication. Sedation should be used cautiously, as it may increase the risk of falls, delirium, and respiratory depression. Non-pharmacologic interventions should be attempted first unless the patient is a danger to themselves or others.
D. Move the patient closer to the nurse’s station. This is the best first intervention. Placing the patient closer to the nurses' station allows for increased supervision and quicker intervention while also helping to reduce agitation through reassurance and reorientation.
Correct Answer is A
Explanation
A. Better Clinical Outcomes: Meaningful Use ensures that healthcare providers adopt EHRs to improve quality, safety, and efficiency in patient care, leading to better treatment decisions and improved outcomes. Increased Transparency and Efficiency: EHRs promote real-time data sharing and streamlined workflows, reducing errors and redundant tests while enhancing communication between providers. Empowered Individuals: Patients have better access to their health records, leading to increased engagement, self-management of conditions, and informed decision-making.
B. More Robust Research Data on Health Systems: While EHR data can be used for research, this is not a direct goal of Meaningful Use. Improve Safety: This is a correct statement, but "Decrease Functionality" contradicts the purpose of Meaningful Use. Decrease Functionality: Meaningful Use aims to enhance, not reduce, the functionality of EHR systems.
C. Improved Population Health Outcomes: This is a correct benefit of Meaningful Use, as data-driven approaches help manage public health issues more effectively. Complicate Care Coordination: This is incorrect because Meaningful Use promotes interoperability, which enhances rather than complicates coordination. Interoperability: While interoperability is a goal of meaningful Use, this option presents a mix of correct and incorrect statements.
D. Improved Population Health Outcomes: This is a correct benefit of Meaningful Use. Increase Health Disparities: This is incorrect because Meaningful Use is designed to reduce disparities by improving access to digital health records and quality care. Engage Patients and Families: This is a correct statement, as patient portals and EHR access encourage active participation in health management. However, the inclusion of "Increase Health Disparities" makes this answer incorrect.
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