Nokea
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.
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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.
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.
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.
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.
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.