A hospitalized patient tells the nurse that he intends to leave the acute care facility, against medical advice. The nurse's initial action(s) should be to:

Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient.

Call both the supervisor and a family member to try to get the patient to reconsider.

Obtain a written explanation of the reasons from the patient and have the patient sign at the bottom of the sheet.

Advise the patient that this may mean that insurance would not pay for this hospitalization.

Answer and Explanation

The Correct Answer is A

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. Understanding the patient’s concerns and providing information may help address their reasons for leaving and promote informed decision-making. Involving the supervisor or physician allows for further discussion.

B. Call both the supervisor and a family member to try to get the patient to reconsider: Family involvement should only occur with the patient’s consent.

C. Obtain a written explanation of the reasons from the patient: This can be done after addressing the patient’s concerns.

D. Advise the patient that insurance may not pay for this hospitalization: This may seem coercive and is not an immediate priority.

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Correct Answer is C

Explanation

A. Assisting the patient to get dressed: This is a supportive task that can be performed by any nursing staff.

B. Accompanying the patient to the acute care facility entrance: This is not a specific RN responsibility and can be done by other staff.

C. Writing the discharge instructions: Writing discharge instructions requires the professional judgment of an RN, ensuring that the patient receives comprehensive education about their care post-discharge.

D. Packing the patient's personal belongings: This is a clerical or supportive task and not specific to the RN role.

A. have a personal experience of a similar nature. B. read a number of articles about death and dying. C. have an understanding that all people deal with death in due time. D. deal with personal feelings about death and dying.

Correct Answer is D

Explanation

A. Have a personal experience of a similar nature: While personal experience can help, it is not required and may lead to projection of personal emotions onto the family.

B. Read a number of articles about death and dying: Knowledge is helpful, but it is not a substitute for emotional preparedness and personal reflection.

C. Have an understanding that all people deal with death in due time: True, but it does not directly prepare the nurse to support grieving families.

D. Deal with personal feelings about death and dying. Nurses must confront and manage their personal feelings to provide unbiased and empathetic support to grieving families.

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A hospitalized patient tells the nurse that he intends to leave the acute care facility, against medical advice. The nurse's initial action(s) should be to:

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Naxlex Comprehensive Predictor Exams

A patient has an acute care facility discharge order for later that day. The LPN/LVN understands that part of the discharge process to be performed by the registered nurse is:

Correct Answer is C

Explanation

For the nurse to provide support to families of patients who have died, it is most important to:

Correct Answer is D

Explanation

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