Nokea
After explaining a test or procedure to the patient, you would observe for both objective and subjective signs of understanding or confusion, which will indicate whether or not your patient teaching was effective. This is known as which phase of the nursing process?
- A. Planning
- B. Diagnosis
- C. Implementation
- D. Evaluation
Correct Answer: D
Rationale: Evaluation assesses the effectiveness of teaching by observing patient understanding.
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Which of the following is(are) not included as part of the admission process?
- A. Eating the diet tray ordered by the health-care provider
- B. Obtaining consent to treat
- C. Application of identification bands
- D. Orienting patient and family to the environment
- E. Transporting the patient to physical therapy
Correct Answer: A,E
Rationale: Eating a diet tray and physical therapy transport are not part of admission. Consent, ID bands, and orientation are standard admission tasks.
Discharge planning should begin
- A. Early in the morning on the day of discharge.
- B. The day before the health-care provider plans to discharge the patient.
- C. On admission to the facility.
- D. Once the patient begins to improve.
Correct Answer: C
Rationale: Discharge planning starts on admission to ensure a smooth transition and address patient needs early.
The patient must be taught about new medications that are to be taken on discharge from the facility. Which of the following statements is(are) accurate about this patient teaching?
- A. Teaching should include as few details as possible to make it easier to remember.
- B. It is not necessary to write down the medication instructions as long as the patient understands what you have told him or her.
- C. The best time to teach the patient about new medications is just before he or she leaves the facility so that the information will still be fresh in his or her mind on arrival at home.
- D. You should ask for clarification that the patient understands the instructions.
Correct Answer: D
Rationale: Asking for clarification ensures understanding. Detailed teaching, written instructions, and earlier education (not just before discharge) are best practices.
Simple things that you may do to reduce separation anxiety in a child include
- A. Encouraging a parent or guardian to stay with the child as much as possible.
- B. Asking the parent or guardian to bring a familiar blanket, pillow, or stuffed animal that the child sleeps with at home.
- C. Asking the parent or guardian to stay until the child goes to sleep before leaving.
- D. Asking the parent or guardian to bring a favorite toy and book from home.
- E. Offering to arrange for meals to be sent for the parent at each mealtime.
Correct Answer: A,B,C,D
Rationale: Encouraging parental presence and familiar items helps reduce a child's anxiety by providing comfort and continuity. Arranging meals for parents is not typically a direct intervention for the child's anxiety.
An RN must assess each patient upon admission to health-care facilities. The source of this requirement is
- A. The Nurse Practice Act.
- B. The facility's policy.
- C. The Joint Commission.
- D. The admission committee.
Correct Answer: A,C
Rationale: The Nurse Practice Act and The Joint Commission set standards requiring RNs to perform initial assessments. Facility policies may reinforce this, but the primary sources are A and C.