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 A

Explanation

Medicaid: Medicaid is a state and federally funded program that provides health care coverage to low-income individuals and families.
Medicare: Medicare is for individuals aged 65 or older and those with specific disabilities, not income-based.
Social Security: Social Security provides financial support, not direct medical care.
Private Insurance: Private insurance is not state-funded and typically requires personal payment or employment benefits.

A. obtain meals. B. call the nurse. C. use the telephone. D. work the TV.

Correct Answer is B

Explanation

A. Obtain meals: This is important but not a safety priority.

B. Call the nurse. Ensuring the patient knows how to call for help is a safety priority and essential to their care.

C. Use the telephone: While communication is helpful, it is secondary to patient safety.

D. Work the TV: This is a comfort measure, not a critical concern during orientation.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. State medical care coverage for low-income individuals called _______________.

Correct Answer is A

Explanation

The greatest priority during patient orientation to the unit is to show or tell the patient how to

Correct Answer is B

Explanation

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