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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.

Answer and Explanation

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: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.

Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.

Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.

Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.

A. Planning an opportunity for Z to return and be recognized at a staff farewell. B. Meeting with Z, a Human Resources representative, and you to deliver the termination notice and all other related documents. C. Calling Z at home to inform Z about the termination and to expect the formal paperwork in the mail at a later date. D. Calling Z into a meeting in your office on the unit, where assistance is available, should Z become upset or agitated.

Correct Answer is B

Explanation

Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.

Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.

Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.

Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.

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Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How can a leader deal fairly with employees who fail to meet established standards of care?

Correct Answer is D

Explanation

You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

Correct Answer is B

Explanation

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