Nokea
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.
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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.
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.
You are discharging a patient and have a list of duties to perform to complete this discharge. Which of the following responsibilities is most important?
- A. Notifying the laboratory personnel that the test scheduled for today has been canceled
- B. Assisting the patient to dress in his or her own clothes
- C. Redistributing the patient workload for the staff now that a patient is to be discharged
- D. Reconciling the patient's medications
- E. Noting the health-care provider's order to discharge the patient
Correct Answer: D
Rationale: Medication reconciliation ensures patient safety by verifying medications, making it the most critical task.
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.
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.