Nokea
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.
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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.
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.
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.
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.
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.