Ways to reduce separation anxiety in an older adult might in...

Ways to reduce separation anxiety in an older adult might include which of the following?

A. Providing the patient with a brief but factual explanation of his or her diagnosis and why he or she must be in the hospital.
B. Explaining that visiting hours do not allow someone to stay with an adult.
C. Reassuring the patient whenever possible without giving false reassurance.
D. Allowing a spouse or family member to stay with the patient.

Correct Answer: A,C,D

Rationale: Clear explanations, reassurance, and family presence help alleviate anxiety in older adults. Restrictive visiting hours may increase anxiety, so option B is incorrect.

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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 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.

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.

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.

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.