Clinical Nurse Leader Practice Exam

In which situation would it be most concerning about a patient’s follow-up appointments after discharge?

1. Patient shows understanding of medication

2. Patient expresses fear of managing pain

3. Patient has no means to attend follow-up appointments

4. Patient discusses feeling tired throughout the day

The correct answer is: Patient has no means to attend follow-up appointments

A patient having no means to attend follow-up appointments after discharge presents a significant concern regarding their ongoing care and health management. Follow-up appointments are crucial for evaluating a patient's recovery, managing medications, and addressing any complications that may arise post-discharge. If a patient lacks transportation, financial resources, or any necessary support to attend these appointments, there is a high risk that their health issues may go untreated, leading to possible deterioration in their condition. The other situations, while important and requiring attention, do not present an immediate barrier to follow-up as this option does. For example, a patient showing understanding of medication indicates they are likely to adhere to their treatment plan. Similarly, expressing fear of managing pain can be addressed through education and support, as can feelings of fatigue, which may lead to discussions about lifestyle adjustments or further assessment. However, if the patient cannot physically attend the follow-up appointments, these concerns about pain or fatigue may never be addressed, leading to a higher potential for complications and poor health outcomes.