A nurse who is a discharge planner in a large metropolitan hospital is preparing a discharge plan for a patient after a kidney transplant. Which actions would this nurse typically perform to ensure continuity of care as the patient moves from acute care to home care? Select all that apply.
*a.* Pe...
Chapter 9: Discharge Planning
Questions & Answers 100% Correct!!
A nurse who is a discharge planner in a large metropolitan hospital is preparing a discharge plan for a
patient after a kidney transplant. Which actions would this nurse typically perform to ensure
continuity of care as the patient moves from acute care to home care? Select all that apply.
*a.* Performing an admission health assessment
*b.* Evaluating the nursing plan for effectiveness of care
*c.* Participating in the transfer of the patient to the postoperative care unit
*d.* Making referrals to appropriate agencies
*e.* Maintaining records of patient satisfaction with services
*f.* Assessing the strengths and limitations of the patient and family - ANSWER-B,D,F
A discharge nurse is evaluating patients and their families to determine the need for a formal
discharge plan and/or referrals to another agency. Which patients would most likely be a candidate
for these services? Select all that apply.
*a.* An older patient who is diagnosed with dementia in the hospital
*b.* A 45-year-old male who is diagnosed with Parkinson's disease
*c.* A 35-year-old female who is receiving chemotherapy for breast cancer
*d.* A 16-year-old who is being discharged with a cast on his leg
*e.* A new mother who delivered a healthy infant via a cesarean birth
*f.* A 59-year-old male who is diagnosed with end-stage bladder cancer - ANSWER-A,B,F
A home health care nurse is scheduled to visit a 38-year-old female client who has been discharged
from the hospital with a new colostomy. Which duties would the nurse perform for this patient in the
entry phase of the home visit? Select all that apply.
*a.* Collect information about the patient's diagnosis, surgery, and treatments.
*b.* Call the patient to make initial contact and schedule a visit.
*c.* Develop rapport with the patient and her family.
*d.* Assess the patient to identify her needs.
*e.* Assess the physical environment of the home.
*f.* Evaluate safety issues including the neighborhood in which she lives. - ANSWER-C,D,E
, A hospital nurse is admitting a patient who sustained a head injury in a motor vehicle accident.
Which activities could the nurse delegate to licensed assistive personnel?
*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 - ANSWER-D
A nurse is preparing an infant and his family for a hernia repair to be performed in an ambulatory
care facility. What is the primary role of the nurse during the admission process?
*a.* Assist with screening tests.
*b.* Provide patient teaching.
*c.* Assess what has been done and what still needs to be done.
*d.* Assist with hernia repair. - ANSWER-C
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. - ANSWER-A
Which statements or questions would be appropriate in establishing a discharge plan for a patient
who has had major 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 just be fine! Please stop worrying." - ANSWER-B
A nurse ensures that a hospital room prepared by an aide is ready for a new ambulatory patient.
Which condition would the nurse ask the aide to correct?
*a.* The bed linens are folded back.
*b.* A hospital gown is on the bed.
*c.* Equipment for taking vital signs is in the room.
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