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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.
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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.
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.
A patient is being admitted from the health-care provider's office to the hospital. Who will the health-care provider contact at the admitting hospital?
- A. Nurse
- B. Physician's assistant
- C. Nurse practitioner
- D. Hospitalist
Correct Answer: D
Rationale: The health-care provider typically contacts the hospitalist, who manages inpatient care.
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 statements is(are) accurate regarding the delegation of admission assessment duties?
- A. All of the assessment must be performed by the RN.
- B. Portions of the assessment can be assigned to the LPN/LVN.
- C. The entire assessment can be performed by the LPN/LVN and then signed by the RN.
- D. Some things such as assessment of vital signs, weight, and height may be delegated to unlicensed personnel.
Correct Answer: B,D
Rationale: LPNs/LVNs can perform parts of the assessment under RN supervision, and unlicensed personnel can measure vital signs, weight, and height. The entire assessment cannot be delegated to LPNs/LVNs, and RNs must perform key components.