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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.
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Common fears a patient may experience and ask about include which of the following?
- A. What is wrong with me?
- B. What tests, procedures, treatments, or surgeries will I undergo?
- C. Under which level of Maslow's hierarchy does this fear fall?
- D. How long will I have to be here?
- E. How much will this cost?
- F. Will I make a good impression on the admission's office staff?
Correct Answer: A,B,D,E
Rationale: Patients commonly fear their diagnosis, treatments, length of stay, and costs. Maslow's hierarchy and impressions on staff are not typical patient concerns.
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.
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 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.
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.