A new graduate nurse is devising a discharge plan. Which of the following statements made by the nurse demonstrates the nurse’s comprehension of when to initiate discharge planning?

“I will begin once the client’s insurance company approves discharge coverage.”

“I will begin 48 hours before the client’s discharge.”

“I will begin upon the client’s admission to the facility.”

“I will begin once the client’s discharge order is written.”

Answer and Explanation

The Correct Answer is C

Choice A Reason:

“I will begin once the client’s insurance company approves discharge coverage.” This statement indicates a misunderstanding of the discharge planning process. Discharge planning should not be contingent upon insurance approval. While insurance coverage is an important aspect of discharge planning, it should not dictate when the planning process begins. Effective discharge planning starts early to ensure a smooth transition and continuity of care for the patient.

Choice B Reason:

“I will begin 48 hours before the client’s discharge.” Starting discharge planning 48 hours before discharge is too late. Discharge planning is a comprehensive process that involves assessing the patient’s needs, coordinating with various healthcare providers, and arranging for post-discharge care. Beginning the process only 48 hours before discharge does not allow sufficient time to address all necessary aspects of the patient’s care and can lead to rushed and incomplete planning.

Choice C Reason:

“I will begin upon the client’s admission to the facility.” This statement demonstrates a correct understanding of when to initiate discharge planning. Starting discharge planning at the time of admission ensures that the patient’s needs are identified early, and appropriate arrangements can be made for their care after discharge. This proactive approach helps in preventing delays and complications, ensuring a seamless transition from hospital to home or another care setting.

Choice D Reason:

“I will begin once the client’s discharge order is written.” Waiting until the discharge order is written to start planning is too late. By this time, there may not be enough time to arrange for necessary services, equipment, or follow-up care. Effective discharge planning requires early initiation to ensure that all aspects of the patient’s post-discharge needs are addressed in a timely manner.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A Reason

“Be impeccable with your word” is one of the four agreements outlined by Don Miguel Ruiz. This agreement emphasizes the importance of speaking with integrity and saying only what you mean. It encourages individuals to avoid using words to speak against themselves or gossip about others. This principle is foundational for fostering trust and respect in personal and professional relationships.

Choice B Reason

“Do not make assumptions” is another key agreement in the book. This agreement advises against making assumptions about others’ thoughts, feelings, or actions. Instead, it encourages clear communication to avoid misunderstandings and conflicts. By seeking clarity and asking questions, individuals can prevent unnecessary stress and improve their interactions with others.

Choice C Reason

“Take all work matters personally” is NOT one of the four agreements. In fact, one of the actual agreements is “Don’t take anything personally.” This agreement teaches that nothing others do is because of you; it is a reflection of their own reality. By not taking things personally, individuals can avoid unnecessary suffering and maintain their emotional well-being.

Choice D Reason

“Always do your best” is the fourth agreement in the book. This agreement encourages individuals to always strive to do their best, regardless of the circumstances. It acknowledges that one’s best can vary from moment to moment, but consistently putting in effort leads to personal growth and fulfillment. This principle helps individuals to avoid self-judgment and regret.

A. The nurse was discharged after writing a detailed social media post discussing the alleged patient abuse. B. The nurse was discharged after three unsuccessful attempts at progressive discipline had failed. C. The nurse was fired after formally filing a complaint in writing to hospital administration. D. The nurse was fired after threatening to give full details of the patient abuse to local media sources.

Correct Answer is C

Explanation

Choice A Reason:

The nurse being discharged after writing a detailed social media post discussing the alleged patient abuse could be seen as a violation of hospital policy regarding social media use and patient confidentiality. While this action might seem retaliatory, it is more likely related to the breach of confidentiality and professional conduct standards.

Choice B Reason:

The nurse being discharged after three unsuccessful attempts at progressive discipline had failed indicates that the termination was due to performance issues rather than retaliation. Progressive discipline is a standard procedure used to address performance or behavior issues, and if the nurse failed to improve, the termination would be justified based on those grounds.

Choice C Reason:

The nurse being fired after formally filing a complaint in writing to hospital administration closely resembles employer retaliation. Filing a formal complaint is a protected activity under whistleblower protection laws, and retaliating against an employee for engaging in such activity is illegal. This scenario fits the definition of retaliation as it directly follows the nurse’s protected action.

Choice D Reason:

The nurse being fired after threatening to give full details of the patient abuse to local media sources could be seen as a breach of confidentiality and professional conduct. While this action might seem retaliatory, it is more likely related to the potential harm to the hospital’s reputation and breach of confidentiality.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A new graduate nurse is devising a discharge plan. Which of the following statements made by the nurse demonstrates the nurse’s comprehension of when to initiate discharge planning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In Don Miguel’s “The Four Agreements,” a collection of agreements is outlined to foster personal development and consciousness. Which of the following is NOT among the four agreements?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse manager participates in a quality-improvement committee seeking to reduce the risk of sentinel events in a healthcare facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

To develop an effective staffing budget, the nurse manager should:

In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:

During a review of back injuries, a unit manager discovers a large number of injuries are occurring even though mechanical lifts are being used. It is also discovered that some of the mechanical lifts are outdated. In establishing a quality improvement plan, the unit manager should:

A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because: