Nokea
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.
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Which of the following should be included in your last nurse's notes entry at discharge?
- A. The patient's condition
- B. Vital signs
- C. The time the patient actually leaves
- D. The method of transportation
- E. Notification of housekeeping
Correct Answer: A,B,C,D
Rationale: The final note should document the patient's condition, vital signs, departure time, and transportation method. Notifying housekeeping is not included in nurse's notes.
Some of the following individuals contribute to the discharge plan. Which one(s) would not contribute?
- A. Unlicensed assistant
- B. Occupational therapist
- C. Dietitian
- D. Social worker
- E. Nurse
Correct Answer: A
Rationale: Unlicensed assistants perform tasks but do not contribute to planning. Other professionals collaborate on discharge planning.
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.
In an effort to decrease the patient's feelings of loss of control, which of the following would be appropriate without compromising provision of appropriate care?
- A. Ask if the patient would prefer to wear a hospital gown or personal sleepwear.
- B. Provide a menu, allowing the patient to select food choices from those available on the prescribed diet.
- C. Ask the patient if he or she prefers to have the IV started in the right or left hand.
- D. Ask the patient if he or she prefers to be NPO or to be on a special diet.
- E. Allow the patient to decide if he or she prefers vital signs to be assessed just once daily or every 4 hours.
- F. Give the patient the choice of taking a shower in the morning or at bedtime.
- G. Allow the nonsurgical female patient to determine whether or not you leave her underwear in place.
Correct Answer: A,B,F,G
Rationale: Choices like clothing, food, shower timing, and underwear (for nonsurgical patients) promote autonomy without compromising care. IV placement, NPO status, and vital sign frequency are clinical decisions.