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Daily #45 · Ethics & Health Policy · Archive

NCLEX-RN® question of the day

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The question

A nurse is caring for a 72-year-old Spanish-speaking patient with type 2 diabetes who lives in a rural community. During discharge teaching, the nurse learns the patient cannot afford insulin and lives more than 50 miles from the nearest pharmacy. The patient nods along during education but later admits through a family interpreter that he did not understand the instructions. Which action by the nurse best addresses the underlying factors affecting this patient's health outcomes?

  1. Provide written discharge instructions in English and encourage the patient to review them at home.
  2. Ask the family member to continue translating instructions and schedule a follow-up appointment in two weeks.
  3. Contact the hospital social worker to connect the patient with medication assistance programs and a certified medical interpreter.
  4. Document that discharge teaching was completed and note the patient's nodding as indication of understanding.

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