A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
Plan to assign a different nurse to the client each shift.
Start discharge planning on the day of admission.
Request that the client complete a satisfaction survey at discharge.
Limit the number of interdisciplinary team members managing the client's care.
The Correct Answer is B
A. Plan to assign a different nurse to the client each shift. Assigning different nurses each shift disrupts continuity of care. Whenever possible, consistent nursing assignments improve client outcomes.
B. Start discharge planning on the day of admission. Discharge planning should begin upon admission to ensure a smooth transition of care, reduce hospital readmissions, and promote better long-term outcomes.
C. Request that the client complete a satisfaction survey at discharge. While client feedback is valuable, it does not directly contribute to continuity of care during the hospital stay.
D. Limit the number of interdisciplinary team members managing the client's care. Interdisciplinary collaboration (e.g., physicians, nurses, physical therapists, social workers) is crucial in providing comprehensive and continuous care, especially for complex cases.
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Correct Answer is D
Explanation
A. Tertiary care Tertiary care refers to specialized medical care provided in hospitals for complex conditions (e.g., ICU care, cancer treatment, neurosurgery). It is not a self-care resource for caregivers.
B. Restorative care Restorative care focuses on rehabilitation and regaining function (e.g., physical therapy, speech therapy) rather than providing relief for caregivers.
C. Telemedicine care Telemedicine involves remote medical consultations, which can benefit clients but does not specifically address caregiver self-care needs.
D. Respite care Respite care provides temporary relief for caregivers by arranging for short-term professional care of their loved ones. This helps prevent caregiver burnout and supports self-care for those providing long-term assistance.
Correct Answer is A
Explanation
A. Request a referral for an occupational therapist. An occupational therapist (OT) can help the client maintain independence by teaching adaptive techniques and providing assistive devices for ADLs, such as dressing, bathing, and eating.
B. Request a home health aide to perform the client's ADLs for them. While a home health aide can assist with ADLs, the goal is to promote independence, not to have someone do everything for the client.
C. Instruct family members to place the client in a nursing home. Placement in a nursing home is a complex decision based on multiple factors. The nurse should focus on interventions to support the client at home before considering long-term care.
D. Contact the client's pharmacy to change their medication doses. Nurses do not have the authority to change medication doses. Medication adjustments should be discussed with the prescribing provider if needed.
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