Taylor Ch 9 Continuity of Care End of Chapter Questions

A patient is being transferred from the ICU to a regular hospital room. What must the ICU nurse be prepared to do as part of this transfer? A. Provide a verbal report to the nurse on the new unit B. Provide a detailed written report to the unit secretary C. Delegate the responsibility for providing information D. Make a copy of the patient's medical record

a.The ICU nurse gives a verbal report about the patient's condition and nursing care needs to the nurse on the new unit. This information is not given to a unit secretary, nor is it delegated to others. The medical record is transferred with the patient; a copy is not made.

What is the primary purpose of the ID bracelet worn by hospitalized patients? A. Safety B. Communication C. Advocacy D. Legality

a.The identification bracelet is a safety measure ensuring that the correct patient is given medications, has surgery, and so forth.

Which of the following phrases best describes the philosophy of community-based care? A. It considers the healthcare needs of the community as a whole B. It centers on individuals and families with acute and chronic illness needs C. It has a population-based focus, with an emphasis on illness prevention D. It provides direction for the roles of the nurse in the acute care setting

b.Community-based care centers on individuals and families with acute and chronic healthcare needs.

Which of the following statements or questions would be appropriate in establishing a discharge plan for a patient who has had minor abdominal surgery? A. I'll bet you will be so glad to be home in your own bed B. What are your expectations for recovery from your surgery C. Be sure and take your pain medications and change your dressing D. You will be just fine! Please stop worrying.

b.It is important to assess the expectations of the patient (and family) when assessing healthcare need f or discharge planning.

Based on the Health Insurance Portability and Accountability Act (HIPPA), a patien admitted to a healthcare facility must be provided with a written explanation of: A. The names and addresses of responsible providers B. A Patient's Bill of Rights C. How health information will be used and disclosed D. How often family members or friends may visit or call

c.HIPAA ensures privacy of information use and disclosure.

A nurse is the discharge planner at a large metropolitan hospital. What would the nurse do to ensure continuity of care as patients move from acute care to home care? A. Perform an admission health assessment B. Participate in the transfer of patients to the ICU C. Make referrals to appropriate agencies D. Maintain records of patient satisfaction with services

c.Making appropriate referrals for patients as they move from acute care to home care is an essential component of discharge planning for continuity of care.

The Patient Care Partnership form, given to patients on admission to the hospital, includes several specific rights during hospitalization. Which of the following is included in this form? A. The right to wear one's own bed clothing B. The right to use a personal cell phone C. The right to have help when leaving the hospital D. The right to take medications brought from home

c.One item on the Patient Care Partnership form is the right to have help when leaving the hospital.

A patient who decides to leave the hospital against medical advice (AMA) must sign a form. What is the purpose of this form? A. To indicate the patient's wishes B. To use in the event of readmission C. To release the physician and hospital from legal responsibility for the patient's health status D. To ethically illustrate that the patient has control of his or her own care and treatment

c.Patients who leave the hospital AMA sign a form releasing the physician and hospital from legal responsibility for their health status. This signed form becomes part of the medical record.

At what point during a hospital stay should discharge planning be initiated? A. After surgery and successful recovery B. After the patient is less anxious C. Immediately before discharge D. On admission to the acute care setting

d.Effective discharge planning begins on admission.

When admitting a patient to the hospital, the nurse may delegate some activities to other members of the healthcare team. Which activity would be appropriate to delegate? A. Collecting information for a health history B. Performing a physical assessment C. Contacting the physician for medical orders D. Preparing the bed and collecting needed supplies

d.The nurse may delegate preparation of the bed and collection of needed supplies to unlicensed personnel but would perform the other activities listed.