Nokea
Which of the following would NOT be a therapeutic nursing intervention that demonstrates respect and compassion for patients' common reactions to admission?
- A. Smiling when meeting a new patient
- B. Explaining what you are going to do prior to doing it
- C. Encouraging the patient to ask questions
- D. Explaining to the patient that there is no need to be embarrassed when you expose his or her body
Correct Answer: D
Rationale: Minimizing a patient's embarrassment may dismiss their feelings. Smiling, explaining procedures, and encouraging questions show respect and compassion.
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A patient is being admitted from the health-care provider's office to the hospital. Who will the health-care provider contact at the admitting hospital?
- A. Nurse
- B. Physician's assistant
- C. Nurse practitioner
- D. Hospitalist
Correct Answer: D
Rationale: The health-care provider typically contacts the hospitalist, who manages inpatient care.
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.
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.
An RN must assess each patient upon admission to health-care facilities. The source of this requirement is
- A. The Nurse Practice Act.
- B. The facility's policy.
- C. The Joint Commission.
- D. The admission committee.
Correct Answer: A,C
Rationale: The Nurse Practice Act and The Joint Commission set standards requiring RNs to perform initial assessments. Facility policies may reinforce this, but the primary sources are A and C.
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.