Rationale of the Week | JR Wants to Avoid Ingrown Toenails
For last week’s practice question, we quizzed participants on avoiding ingrown toenails. 61% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
Question: JR lives with type 2 diabetes and works 10-11 hours a day driving a tractor for a local farm. It is difficult for JR to make medical appointments since their employer has very strict attendance guidelines. JR has ingrown toenails in the big toes, that cause a great deal of pain. Since they didn’t have time to come in for care, JR cut off half of their toenails on both feet to prevent an ingrown nail. As you inspect JR’s feet, you see that their big toes are swollen and red. You ask the provider to evaluate JR’s feet because you are worried. After the provider evaluates JR’s feet, they turn to JR and say, “Diabetics should never cut their toenails like this. It causes infection”.
What is this an example of?
Answer Choices:
- Effective cultural humility coupled with compliance model.
- Avoidance of the adherence model and promotion of transtheoretical approach.
- Adult learning theory disruption coupled with interpersonal shaming.
- Unawareness of language and the impact of social determinants of health.
Getting to the Best Answer
Answer 1 is incorrect. 5.94% chose this answer. “Effective cultural humility coupled with compliance model.” The provider’s response was not culturally humble or thoughtful of JR’s economic circumstance or social determinants of health. This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
Answer 2 is incorrect. 7.53% of you chose this answer. “Avoidance of the adherence model and promotion of transtheoretical approach.” The provider’s response was based on the old fashioned compliance model. The provider was not thoughtful of JR’s readiness for change or their circumstance. This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
Answer 3 is incorrect. About 26.03% of respondents chose this. “Adult learning theory disruption coupled with interpersonal shaming.” The provider’s response did not consider the expertise of the individual or adult learning theory, so they didn’t disrupt adult learning theory because they never initiated it. The provider did speak to JR using shame based language and the word “should”. Watch our “Language Matters” FREE Webinar for helpful information.
Finally, Answer 4 is correct. 60.50% chose this answer. “Unawareness of language and the impact of social determinants of health.” YES, this is the best answer This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
Want to learn more about this question?
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