Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)
Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement.
Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy.
Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand.
George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.
Correct Answer : A,B,C
Choice A reason: Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.
Choice B reason: Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.
Choice C reason: Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.
Choice D reason: George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.
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Correct Answer is D
Explanation
Choice A Reason : While communication is essential, this approach lacks transparency and direct engagement with the staff. It may not foster trust or provide an opportunity for open dialogue.
Choice B Reason : Announcing the news through a bulletin board lacks personal interaction and may not address staff concerns adequately. It does not align with transformational leadership principles.
Choice C Reason: This approach demonstrates transformational leadership. By involving a small group of staff members, you create an opportunity for open discussion, empathy, and collaborative problem-solving.
Choice D Reason : Transparency about financial constraints is essential. By engaging staff in discussions about cost-cutting measures, you empower them to contribute ideas and understand the organization's challenges.
Correct Answer is D
Explanation
Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.
Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.
Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.
Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.
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