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Discharge planning may cover many subjects. Which of the following subjects might be included as part of discharge planning?
- A. Teaching how to perform colostomy irrigation
- B. Providing the patient with a list of available community resources, such as Meals on Wheels or Women, Infant, and Children Services
- C. Providing the family with a list of long-term care facilities that would meet their needs
- D. Making a referral to a home health agency
Correct Answer: A,B,C,D
Rationale: All listed subjects support the patient's transition to home or continued care.
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What subjects should be included in discharge teaching?
- A. When to return to the health-care provider's office for follow-up
- B. List of medications, how to take them, and what side effects to watch for
- C. Required modifications or restrictions of diet or activity level
- D. Signs and symptoms of worsening condition that warrant health-care provider notification
- E. Care or treatment that the patient is to continue at home
Correct Answer: A,B,C,D,E
Rationale: All listed subjects are essential for discharge teaching to ensure patient safety and continuity of care.
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.
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.
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.
Subjective components of an initial assessment database would include which of the following?
- A. Level of consciousness
- B. Pupillary reaction to light
- C. Whether or not the patient uses illicit drugs
- D. The patient's use of sleep aids, cigarettes, alcohol, and laxatives
- E. The patient's complaints of fatigue, dizziness, and insomnia
Correct Answer: C,D,E
Rationale: Subjective data includes patient-reported information like drug use, lifestyle habits, and symptoms. Level of consciousness and pupillary reaction are objective, as they are observed by the nurse.