Nokea
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.
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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.
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.
Which of the following data would not be appropriate to include on a transfer summary form?
- A. A list of patient's discharge medications
- B. A note describing how difficult it is to get the patient to take medications
- C. Current diet order and activity restrictions
- D. Patient teaching that has been done and the patient's response
- E. Follow-up appointments
Correct Answer: B
Rationale: Subjective opinions about patient behavior are inappropriate. Objective data like medications, diet, teaching, and appointments are relevant.
The time to begin establishing rapport with your patient is
- A. As soon as you completed the patient admission and carried out admission orders, such as starting an IV.
- B. As soon as the patient begins to ask questions about his or her medical problems.
- C. The first time you meet the patient during admission.
- D. When you go in the room to perform an unpleasant task for the patient.
Correct Answer: C
Rationale: Rapport begins at the first meeting to build trust and communication from the start of care.
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.