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Simple things that you may do to reduce separation anxiety in a child include
- A. Encouraging a parent or guardian to stay with the child as much as possible.
- B. Asking the parent or guardian to bring a familiar blanket, pillow, or stuffed animal that the child sleeps with at home.
- C. Asking the parent or guardian to stay until the child goes to sleep before leaving.
- D. Asking the parent or guardian to bring a favorite toy and book from home.
- E. Offering to arrange for meals to be sent for the parent at each mealtime.
Correct Answer: A,B,C,D
Rationale: Encouraging parental presence and familiar items helps reduce a child's anxiety by providing comfort and continuity. Arranging meals for parents is not typically a direct intervention for the child's anxiety.
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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.
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.
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.
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.
Which of the following would NOT be a therapeutic nursing intervention that demonstrates respect and compassion for patients' common reactions to admission?
- A. Smiling when meeting a new patient
- B. Explaining what you are going to do prior to doing it
- C. Encouraging the patient to ask questions
- D. Explaining to the patient that there is no need to be embarrassed when you expose his or her body
Correct Answer: D
Rationale: Minimizing a patient's embarrassment may dismiss their feelings. Smiling, explaining procedures, and encouraging questions show respect and compassion.