Nokea
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.
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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 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.
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.
After explaining a test or procedure to the patient, you would observe for both objective and subjective signs of understanding or confusion, which will indicate whether or not your patient teaching was effective. This is known as which phase of the nursing process?
- A. Planning
- B. Diagnosis
- C. Implementation
- D. Evaluation
Correct Answer: D
Rationale: Evaluation assesses the effectiveness of teaching by observing patient understanding.
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.