Nokea
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.
You may also like to solve these questions
Which of the following data would not be appropriate to include on a transfer summary form?
- A. A list of patient's discharge medications
- B. A note describing how difficult it is to get the patient to take medications
- C. Current diet order and activity restrictions
- D. Patient teaching that has been done and the patient's response
- E. Follow-up appointments
Correct Answer: B
Rationale: Subjective opinions about patient behavior are inappropriate. Objective data like medications, diet, teaching, and appointments are relevant.
Which of the following may contribute to a patient's loss of identity?
- A. The patient may feel that he or she is just another patient out of many patients.
- B. The patient does not have identification bands on.
- C. The patient may feel like he or she is just another patient number.
- D. The patient is separated from familiar family members.
- E. The patient may feel that he or she is just another diagnosis.
- F. The patient is of a different culture than the majority of the health-care providers.
Correct Answer: A,C,D,E,F
Rationale: Feeling like a number, diagnosis, or one of many, along with family separation and cultural differences, can contribute to loss of identity. ID bands prevent this.
Which of the following interventions would help to prevent loss of identity?
- A. Address the patient by his or her surname.
- B. Put the patient's name on all of his or her valuables.
- C. Avoid referring to the patient by his or her room number.
- D. Do not call your patient endearing names such as sweetie pie, dear, or honey.
Correct Answer: A,C,D
Rationale: Using the patient's surname, avoiding room number references, and refraining from condescending nicknames preserve identity.
Common fears a patient may experience and ask about include which of the following?
- A. What is wrong with me?
- B. What tests, procedures, treatments, or surgeries will I undergo?
- C. Under which level of Maslow's hierarchy does this fear fall?
- D. How long will I have to be here?
- E. How much will this cost?
- F. Will I make a good impression on the admission's office staff?
Correct Answer: A,B,D,E
Rationale: Patients commonly fear their diagnosis, treatments, length of stay, and costs. Maslow's hierarchy and impressions on staff are not typical patient concerns.
The time to begin establishing rapport with your patient is
- A. As soon as you completed the patient admission and carried out admission orders, such as starting an IV.
- B. As soon as the patient begins to ask questions about his or her medical problems.
- C. The first time you meet the patient during admission.
- D. When you go in the room to perform an unpleasant task for the patient.
Correct Answer: C
Rationale: Rapport begins at the first meeting to build trust and communication from the start of care.