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A nurse is discharging a patient from the hospital. When should discharge planning be initiated?
- A. at the time of discharge from an acute healthcare setting
- B. at the time of admission to an acute healthcare setting
- C. before admission to an acute healthcare setting
- D. when the patient is at home after acute care
Correct Answer: B
Rationale: Discharge planning should begin at the time of admission (B) to ensure a smooth transition and continuity of care.
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What part of the nursing diagnosis statement suggests the nursing interventions to be included in the plan of care?
- A. problem statement
- B. defining characteristics
- C. etiology of the problem
- D. outcomes criteria
Correct Answer: C
Rationale: The etiology of the problem (C) guides the selection of nursing interventions by addressing the cause.
What is the primary purpose of the outcome identification and planning step of the nursing process?
- A. to collect and analyze data to establish a database
- B. to interpret and analyze data to identify health problems
- C. to write appropriate patient-centered nursing diagnoses
- D. to design a plan of care for and with the patient
Correct Answer: D
Rationale: The outcome identification and planning step focuses on establishing patient-centered goals and designing a plan of care collaboratively with the patient, making D the correct choice.
A nurse records patient data on a folded card and places it in a central file, where it is easily accessible to staff. Which system of care is this nurse using?
- A. critical pathways
- B. case management
- C. Kardex care plan
- D. concept map care plan
Correct Answer: C
Rationale: A Kardex care plan (C) involves recording patient data on a folded card for staff access.
Which of the following groups of terms best describes a nurse-initiated intervention?
- A. dependent, physician-ordered, recovery
- B. autonomous, clinical judgment, patient outcomes
- C. medical diagnosis, medication administration
- D. other healthcare providers, skill acquisition
Correct Answer: B
Rationale: Nurse-initiated interventions are autonomous, based on clinical judgment, and aimed at patient outcomes (B).
A nurse has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?
- A. Continue to follow the written plan of care.
- B. Make recommendations for revising the plan of care.
- C. Ask another healthcare professional to design a plan of care.
- D. State goal will be met at a later date.
Correct Answer: B
Rationale: If outcomes are not met, the nurse should recommend revising the plan of care (B) based on evaluation.