Prep U unit THREE {Test 2/14/2020}

Which statement by an older adult indicates to the nurse that this client is fearful that being admitted will take away his independence?

Why all the fuss? I would do much better at home. It is just a little cough."

One of the fastest growing venues of practice for the nurse is home health care. What is the basis for the growth in this health care setting? The discharge home of clients who are more critically ill The chronic nursing shortage The focus on treatment of disease The preference of nurses to work during the day instead of evening or night shifts

The discharge home of clients who are more critically ill

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as:

transition.

The nurse informed the relatives of an older client as to why the client will be referred to a life care housing option. Which statement by the relative indicates that the teaching was effective?

"This means that my relative will be living in a residential complex that provides services and accommodations as each resident's needs change."

The physician invited a medical intern to assist in the admission process. Which statement by the nurse would indicate that the nurse understands the responsibility of the medical intern?

"Please complete the physical assessment for the client."

Which nursing action could result in clients losing their identity in health care facilities? Invite clients to furnish their rooms with personal items from home. Encourage clients to display pictures of their families. Encourage clients to dress in their own clothing. Allow clients to wear gowns that tend to look alike.

Allow clients to wear gowns that tend to look alike.

A nurse observes behaviors from a client that indicate anxiety. How can the nurse determine how much anxiety the client is feeling?

Ask the client to rate the anxiety on a scale from 0-10.

You have been notified that a patient is being admitted from emergency with abdominal pain. The patient will be admitted by wheelchair to the unit for observation. You delegate the preparation of the room to the unlicensed worker with which instructions? Select all that apply. Place a "No Visitors" sign on the patient's door until admission is complete. Bring all equipment for vital signs to the patient's room. Bring the patient's bed to the highest position for easy transfer. Prepare an open bed in the low position. Place an admission pack in the room.

Bring all equipment for vital signs to the patient's room. Place an admission pack in the room. Prepare an open bed in the low position.

One significant change in the health care delivery system in recent years is earlier hospital discharges. What is one result of earlier hospital discharges?

Clients with high home care needs are being discharged into the community.

A nurse has admitted a new client to the hospital unit and completed a comprehensive assessment. After the nurse has collected these data, what should the nurse do next? Create a plan of nursing care. Ensure that necessary safety equipment is present at the bedside. Determine the best course of medical treatment for the client. Teach the client about the reasons for admission.

Create a plan of nursing care.

In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective?

Demonstrate and explain the procedure and then have the daughter perform it.

After a period of initial recovery, a client who experienced a stroke is being transferred from the acute neurological unit to a rehabilitative unit of the same hospital. What are the neurological nurse's responsibilities during the transfer? Select all that apply.

Ensure the client and the client's family are made aware of the transfer. Complete a written summary of the client's current health status. Liaise with a nurse on the rehabilitative unit to arrange a time for the transfer.

Which phrase best describes continuity of care?

Facilitating transition between settings

The nurse is completing an admission assessment on an older adult who lives alone. The client states, "I am worried about who is going to care for my dog Trixie." What is the mostappropriate action by the nurse? Take care of the pet for the client. Tell the client not to worry about the pet. Let the client bring the pet to the hospital. Make arrangements for care of the pet.

Make arrangements for care of the pet.

Which nursing strategies should be included in the discharge planning to reduce the necessity for readmission of clients? Select all that apply. Provide written and verbal instructions at the family's level of understanding. Ascertain that clients have follow-up care arranged at discharge. Verbally explain instructions to the client prior to discharge. Ignore the client's need for a wheelchair. Avoid the involvement of the family in the decision to discharge the client to a nursing home.

Provide written and verbal instructions at the family's level of understanding. Ascertain that clients have follow-up care arranged at discharge. Verbally explain instructions to the client prior to discharge.

The nurse is administering medication to a patient and notices that the client's identification bracelet is missing. What should the nurse do? Nothing, as the client is well known to the nurse. Replace the bracelet as soon as possible. Call the charge nurse. Ask the client why the client removed the bracelet.

Replace the bracelet as soon as possible.

An older adult is admitted to the hospital. When the certified nursing assistant (CNA) brings in an admission kit, the nurse overhears the CNA say to the client, "Hi, Sally. I'm the CNA who will be with you this evening." What should the nurse discuss with the CNA? "Old people don't like you calling them by their first names. Call the client by their last name." "I always call clients by their first name unless they tell me that they want to be called by their last name." "The client is probably glad that you used her first name. Most clients like that familiarity." "Thank you for bringing the kit. To prevent a loss of identity, please use the client's last name unless the client requests otherwise."

Thank you for bringing the kit. To prevent a loss of identity, please use the client's last name unless the client requests otherwise."

What is the result of increasing health care costs on hospital admissions?

The length of hospital stay has decreased.

Which is the best example of a nurse providing continuity of care?

The nurse collaborating with other members of the health care team in caring for a client

Which statement by the nurse best describes the specific skilled care needs of clients in a nursing home?

The nursing home provides care for clients whose condition have improved, but the need for gastrostomy feeds remains."

What is the rationale for conducting discharge planning?

To ensure that client and family needs are met consistently

Which statement by the client would indicate to the nurse that the client's need for privacy is not being adhered to?

Visitors can see me while the nurse is attending to me."

Why is it important for the nurse to maintain a physical arm's length distance from the client experiencing anxiety?

When standing too close, anxiety may increase the client's discomfort.

A client enters the hospital with physician orders for a surgical procedure. The client entering the hospital goes through what process?

admission

A client has just been admitted to the medical/surgical unit. When is the best time for the nurse to begin discharge teaching?

at the time of admission

Which client at a health care facility requires immediate medical attention from a nurse? client with fever client with bleeding client with a cataract client with tonsillitis

client with bleeding

A nurse is discharging a surgical client to home. The client will need to be referred to a home health agency. Which action made by the nurse ensures the client receives appropriate follow-up care?

completing a summary of the client's current condition for the agency

client is admitted to the intensive care unit with a diagnosis of myocardial infarction. What type of admission is this? emergency observational direct planned

emergency

The findings of an audit revealed that 40% of medical errors are attributed to inadequate medication reconciliation. Which finding would indicate to the nurse that there is evidence of inadequate medication reconciliation? inadequate storage of the client's medication by the nurse failure of the nurse to verify the client's current medication obtaining the medications that the client is on the nurse sending home the client's current medication

failure of the nurse to verify the client's current medication

A new client arrived on the unit while the nurse was obtaining the end-of-shift report from the night nurse. This client is admitted walking and is here for a cardiac workup; the client is assigned to the nurse. The nursing assistant has settled the client in the room and oriented the client to the surroundings, call system, bathroom, bedside supplies, and where to place clothes. The priority nursing action is to: call the dietary department to get breakfast for the client. gather information and complete the admission database. ask the nursing assistant to obtain vital signs. obtain the physician's orders.

gather information and complete the admission database.

A client was newly diagnosed with essential hypertension. Which information should the nurse record in the client's health record under family history? right fracture femur 2 years ago drug sensitivity to penicillin grandparents dying from high blood pressure admitted with measles as a child

grandparents dying from high blood pressure

A nurse is caring for a client involved in an accident. The client informs the nurse that he wants to leave the facility immediately after first aid, although the physician has ordered tests and not given permission for discharge. Which nursing action is the priority at this time? providing written discharge instructions preparing the client for discharge from the facility completing all discharge procedures obtaining the client's signature on a dated release form

obtaining the client's signature on a dated release form

A client who has completed all the admission formalities is escorted to the nursing unit. Meanwhile, the admission department also informs the nursing unit about the arrival of the client. Which nursing action is the priority at this time?

placing oxygen administration equipment

Prior to the discharge of a client who is recovering from a stroke from an acute care facility, the nursing case manager has the nursing staff, client, client's family, physical therapist, and home health nurse meet. The most likely purpose of this meeting is to: prepare the client for home care. determine hospital-based services needed by the client. provide client education. evaluate the effectiveness of the hospitalization.

prepare the client for home care.

Public health nursing is the branch of nursing that: assesses individuals for community care. administers care for a defined geographic community. provides primary care to individuals. provides health care for the community.

provides health care for the community.

The nurse understands that planning for discharge actually begins at admission to the facility. The purpose of discharge planning is best described as: ensuring client safety and health maintenance. promoting less dependence on others. providing continuity of care that is goal directed. decreasing stress for client and family members.

providing continuity of care that is goal directed.

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning? Developing goals with the client Making home health care referrals Assessing the client's needs and identifying problems Providing client education

providing patient teaching

What does the nurse recognize as indications of anxiety? Select all that apply. low blood pressure restlessness talking excessively slow heart rate irritability

restlessness talking excessively irritability

A client is being discharged from the hospital to a facility that will provide tracheostomy care while the client is under 24-hour supervision by a registered nurse. What type of facility would best fit the needs of this client?

skilled nursing facility

The licensed practical nurse (LPN) is admitting a client to the medical-surgical unit. What part of the admission process is the responsibility of the registered nurse (RN)? the admission assessment obtaining data obtaining vital signs assisting the client to bed

the admission assessment