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8. A clinic nurse is providing patient education prior to a patients scheduled palliative radiotherapy to her spine. At the completion of the patient teaching, the patient continues to ask the same questions that the nurse has already addressed. What is the plausible conclusion that the nurse should draw from this?

A) The patient is not listening effectively.
B) The patient is noncompliant with the plan of care.
C) The patient may have a low intelligence quotient or a cognitive deficit.
D) The patient has not achieved the desired learning outcomes.

1 Answer

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Final answer:

The most plausible conclusion the nurse should draw when a patient keeps asking the same questions about palliative radiotherapy is that the desired learning outcomes have not been achieved. The repetition of questions can be influenced by health literacy barriers, emotional distress, or cultural differences, rather than a lack of intelligence or noncompliance. The nurse should reassess the education strategy and ensure information is clear, straightforward, and repeated until full understanding is confirmed. The coorect answer is option B .

Step-by-step explanation:

When a patient continues to ask the same questions after a nurse has provided explanations during a teaching session, it could indicate several different scenarios. However, the most plausible conclusion for the nurse to draw is that the patient has not achieved the desired learning outcomes. This could be due to a variety of reasons, such as health literacy barriers, emotional distress related to the diagnosis, the complexity of information provided, or a multitude of other factors. It is inappropriate to jump to conclusions about the patient's intelligence quotient or label the patient as noncompliant without exploring the underlying reasons for the repeated questions.

Health education requires sensitivity to a patient's unique needs and background. Patients may face language barriers, cultural misunderstandings, or emotional hurdles, such as anxiety or denial, that affect their ability to process information. The nurse must ensure that the information is provided in a way that is accessible and understandable to the patient, using techniques like plain language, visual aids, or even interpreters when needed.

The experience of witnessing a family member's struggle with cancer can highlight the impact of these barriers on patient care and the importance of advocacy and tailored educational strategies. It underscores the need to address health disparities and to develop disease prevention strategies that are culturally sensitive and take into account the patient's context. In this case, the nurse's role is not only to educate but to be an advocate and to help patients navigate the healthcare system by building trust and understanding.

Radiotherapy is a treatment option often used in palliative care to relieve symptoms such as pain from cancer that has spread to the spine. It is vital that the patient understands the nature of the therapy, the expectations, potential side effects, and how it may impact their quality of life. In such sensitive situations, it is crucial that healthcare professionals are patient, empathetic, and persistent in ensuring that patients and their families have a clear understanding of the treatment and its implications.

Therefore, in response to the patient's repeated questions about palliative radiotherapy, the nurse should continuously assess the patient's understanding, re-evaluate the teaching methods used, and consider potential barriers to comprehension. Repeating information in different ways, checking for understanding by asking the patient to explain back the information in their own words, and providing written materials to reinforce learning might be necessary strategies to ensure the patient is fully informed and comfortable proceeding with treatment.

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