Nokea
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.
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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.
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.
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.
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.