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A 25-Year-Old Man Is Brought to the Emergency Department by His

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A 25-year-old man is brought to the emergency department by his wife after vomiting at a party.  The patient admits to drinking 4 glasses of wine and some vodka and says he feels better now.  Temperature is 37.8 C (100 F) , blood pressure is 100/50 mm Hg, pulse is 106/min, and respirations are 14/min.  Physical examination is remarkable for blood-tinged vomitus on the patient's shirt and shoes.  Abdominal examination reveals epigastric tenderness on palpation.  On mental status examination, the patient is alert, cooperative, and fully oriented.  Blood alcohol level is 70 mg/dL (0.07% blood alcohol content) .  The physician recommends laboratory evaluation, including complete blood count, comprehensive metabolic panel, amylase, and lipase.  The patient insists that he is fine and wants to go home.  Which of the following is the most appropriate course of action?


Definitions:

Process Theories of Motivation

Theories that describe how various personal factors, job characteristics, and environmental factors interact to drive motivation and behavior at work.

Expectancy Theory

A motivational theory suggesting that an individual’s motivation is an outcome of how much an individual wants a reward, the assessment of the likelihood that the effort will lead to expected performance, and the belief that the performance will lead to a reward.

Equity Theory

A theory in social psychology that explains how individuals perceive fairness in the distribution of resources and rewards, influencing their motivation and satisfaction.

Goal-Setting Theory

An organizational framework positing that specific and challenging goals, along with appropriate feedback, facilitate improved worker performance.

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