Clinical Nurse Leader Practice Exam

What should a CNL do when a nurse expresses frustration about a noncompliant patient?

1. Tell the nurse to handle it until her shift ends

2. Investigate any prior interactions between the nurse and the patient

3. Reassign the patient to another nurse

4. Engage with the patient to understand her reasons for noncompliance

The correct answer is: Engage with the patient to understand her reasons for noncompliance

Engaging with the patient to understand her reasons for noncompliance is an essential approach for a Clinical Nurse Leader (CNL). This strategy not only addresses the immediate concern but also promotes a holistic understanding of the patient's situation. By actively listening and communicating with the patient, the CNL can uncover underlying issues that may contribute to noncompliance, such as lack of access to resources, misunderstanding of the treatment plan, or psychological factors. Patient noncompliance can often stem from various barriers, including educational deficits, socioeconomic factors, or psychosocial stressors. By interacting with the patient, the CNL can gather valuable insights that can inform care strategies, adjust treatment plans, or provide additional education and support. This patient-centered approach fosters trust and encourages a collaborative relationship between the nurse and the patient, ultimately leading to improved health outcomes. Furthermore, this method aligns with the CNL's role in promoting quality care and improving patient engagement. Addressing the nurse's frustration through understanding and resolution rather than avoidance or reassignment of the patient can lead to more effective nursing practices and patient compliance in the long run.