ch.20 basic nursing

discharge planning should begin

on admission to the facility

what subjects should be included in discharge teaching?

when to return to the physician's office fo follow up. list of medications, how to take thme, and what side effects to watch for. required modifications or restrictions of diet or activity level. signs and symptomsof worsening ondition that warrant physician notification. care or treatment that the pt is to continue at home.

subjective components of an inital assessment database would include which of the following

whether or not the pt uses illicit drugs. the pts use of sleep aids, cigarettes, alcoho, and laxatives. the pts complaints of fatigue, dizziness, and insomnia.

the pt 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 pt teaching?

you should ask for clarificatin that the pt understands the instructions

Which of the following data would bot be appropriate to include on a transfer summary form?

a note describing how difficult it is to get the pt to take medications

which of the following interventions would helpt to prevent loss of identity?

address the pt by his or her surname. avoid referring tot he pts by their room number. do not call your pt endearing names such as sweetie pie, dear, or honey.

you can help prevent loss of identity for your pts by

addressing them by title and surname

in an effort to decrease th pts feeling of loss of control, which of the following would be appropriate without compromising provision of appropriate care?

ask if the pt would prefer to wear a hospital gown or personal sleepwear. provide a menu, allowing the pt to select food choices from those available on the prescribed diet. ask the pt if he or she prefers to have the IV started in the right or left hand. give the pt the choice of taking a shower in the morning or at bedtime. allow the nonsurgical female pt to determine wherther or not you leave her underwear in place.

your are completing a valuable inventory for a new pt. the pt tells you that the ring is platinum with a 1.5 carat diamond and six emerald totaling 1.2 carats total weight. how can you objectively describe the ring on the inventory? why would it be a problem to describe it as it is written in this question?

avoid using terms other than what you can see objectively, such as "white metal ring, with 1 clear stone and 6 green stones." the tones may not be real diamonds and emeralds and the metal may not be gold. The hospital would be liable for replacing them with real gems should the ring be lost. Or the pt could claim the "real" gems had been replaced with fake ones, again holding the hospital liable.

the discharge process includes notifying the ________departments.

buisness office and housekeeping department

the fisrt impression you make on the pt

can be a negative one can lead to improving the pts stay can be the first step in establishing rapport with the pt is partially determined by your facial expression is partially determined by the time you take to explain things to the pt during the admission process

which of th following will enhance communication with a pt from a different culture

clarify info when you do not understand what the pt has said use simple, common, and proper english avoid use of slang demonstrate respect for and acceptance of the pts cultural and religious differences

the chart from that is used to list the pts medications and how to take them, required modifications or restrictions of diet or activity, situations and signs and symptoms that warrant physician notification, and care of treatment that th pt is to continue at home is know as?

discharge instruction form

Working together with thep t and family to systematically plan how to best meet the pts needs after hospitalization is the process known as?

discharge planning

which of the following is/are not included as part of the admission process?

eating the diet tray ordered by the physician . transporting th pt to physical therapy.

simple things that you ma do to reduce seperation anxiety in a chld includes?

encouraging a parent or guardian to stay with the child as much as possible. asking the parent or guardian to bring a familiar blanket, pillow, or stuffed animal that the child sleeps with at home. asking the parent or guardian to bring a gav toy and book from home. offering to arrange for meals to be sent for the parent at each mealtime.

after explaining a test or procedure to the pt you would observe for both objective and subjective signs of understanding or confusion, which will indicate whether or not your pt teaching was effective. This is know as which phase of the nursing process?

evaluation

childrena nd older adults are more prone to

experiencing seperation anxiety

which of the following should be included on an admission orientation checklist

how to use the call light times meals will be served location of th ebathroom two methods staff will use to check the pts identity bf each procedure or medication administration

what should you always do before entering a pts room?

knock

if a pt becomes unhappy with his or her care, decides against treatment, or for any other reason simply decides to leave the hospital before the physician authorizes a discharge, this is known as?

leaving AMA

which of the following data should be included in a discharge summary

list of discharge medications activity restrictions pts condition follow up appt diet discharge teaching that has been done

what information should be found on a pt identification band?

name, room number, hospital identification number, age, birthdat, physician's name.

at what point bf discharge should discharge planning begin?

on the day of admission or shortly thereafter

Objective components of an initial assessment database would include some, but not all, of the following. Which component would not be considered objective?

pain level, location, and characteristics.

which of the following statements is -are- accurate regarding the delegation of admission assessment duties?

portions of the assessment can be assigned to the LPN/LVN. some things such as assessment of vital signs, weight, and height may be delegated to unlicensed personnel.

ways to reduce seperation anxiety in an older adult might include which of the following?

providing the pt with a brief but factual explanation of his or her diagnosis and why he or she must be in the hospital. reassuring the pt whenever possible without giving false reassurance allowing a spouse or family member to stay with the pt.

your are discharging a pt and have a list of duties to perform to complete this discharge.Which of the following responsibilitite is most important?

reconciling the pts medications

the loss of control that pts often experience when hospitalized comes under which level of Maslow's hierarchy of pt needs?

safety and security

when a child or an older adult who is dependet on a caregiver are seperated from their caregiver such as when hospitalized, it can cause severe anxiety and loneliness, which is know as?

seperation anxiety

you are admitting a small child to your unit at the hospital. What things could you do that might decrease fear and anxiety for the child?

smile and greet the child and the parent in a calm and somewhat quiet voice. Take your time approaching the child. If possible, allow the parent to hold the child. If the child has brought a toy or book from home, comment on the toy or book to draw the child's attention away from you to something pleasant that he or she is familiar. Allow the child to handle your stehoscope and listen to mom's hear bf trying to listen to the child.

your are caring for sam willanbanks, a 37 yr old father of four children, who has been hospitalized for a myocardial infarction (heart attack). He tells you that he has no health insurance and cannot miss any further work. To whom should you refer Mr. Willbanks?

social worker.

discharge planning may cover many subjects. which of the following subjects mught be included as part of discharge planning?

teaching hot to perform colostomy irrigation. providing the pt with a list of available commmunity resources, sucha s meals on Wheels or women, infant, and children services. providing trhe family with a list of longer term care facilities that would meet their needs. making a referral to a home health agency.

your are preparing to transfer a pt to another facility and the physician asks you to fac the discharge summary to the recieving facility. prior to faxing pt rexords to the recieving facility, what should you do to help ensure privacy is maintained?

telephone the recieving facility to report the impending transmission so the appropriate personnel can recieve the fax

what accrediting agency requires that each pt be assessed by and RN upon admission?

the joing commision

an RN must assess each pt upon admission to health care facilities. the source of this requirement is?

the joint commision

whic of the following may contribute to a pts loss of identify?

the pt may feel that he or she is just another pt out of many pts. the pt may feel like her or she is just another pt number. the pt may feel that he or she is just another diagnosis. the pt is of a different culture than the general population of his or her health care providers.

which of the following should be included in your last nurse's note entry at discharge?

the pts condition. vitals signs. the time the pt actually leaves. the method of transportation.

the form used to document th pts condition and reason for transfer an dincludes a comprehensive list of the pts medications is the?

transfer summary form

some of the following individuals contribute to the discharge plan. Which ones would not contribute?

unlicensed assistant

common fears a pt may experinece and ask about include?

what is wrong with me. what test, procedures, treatments, or surgeries will i undergo. how long will i have to be here. how much will this cost.