Nokea
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.
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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.
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.
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.
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.
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.