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.”
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.
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Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Navigate the workday without a strategy. Navigating the workday without a strategy is counterproductive and can lead to inefficiency and increased stress. Effective time management requires planning and prioritizing tasks to ensure that important responsibilities are addressed promptly. Without a strategy, nurse managers may find themselves overwhelmed and unable to meet their goals.
Choice B Reason:
Delay important tasks until they are motivated to begin them. Delaying important tasks until motivation strikes is a poor time management practice. Procrastination can lead to missed deadlines and increased pressure as tasks pile up. Instead, nurse managers should prioritize their tasks and tackle important ones first, even if they do not feel motivated at the moment.
Choice C Reason:
Only accept projects that exactly fit their specifications. While it is important to take on projects that align with one’s skills and goals, being too selective can limit opportunities for growth and collaboration. Nurse managers should be open to projects that may not fit perfectly but still offer valuable experience and contribute to the team’s objectives.
Choice D Reason:
Refuse requests that do not align with their priorities. This is the most effective time management strategy. By refusing requests that do not align with their priorities, nurse managers can focus on tasks that are most important and relevant to their goals. This approach helps prevent overcommitment and ensures that their time and energy are directed towards activities that have the greatest impact.
Correct Answer is B
Explanation
Choice A Reason:
Language translation, while requiring a good understanding of medical terminology and context, can be effectively managed by AI and translation software. These tools have advanced significantly and can provide accurate translations, although human oversight is still necessary to ensure context and nuances are correctly interpreted.
Choice B Reason:
Intravenous (IV) insertion is a complex skill that requires precise motor control, anatomical knowledge, and the ability to respond to patient-specific variables such as vein size, patient movement, and unexpected complications. This task is challenging to replicate using AI or robotic systems due to the need for tactile feedback and real-time decision-making based on the patient’s condition. The skill involves not only technical precision but also the ability to communicate with and reassure the patient, which adds another layer of complexity.
Choice C Reason:
Medication dispensing, while critical, can be automated to a large extent. Automated dispensing systems and robots are increasingly used in hospitals and pharmacies to ensure accurate and timely medication delivery. These systems reduce human error and improve efficiency, although pharmacists and nurses still play a crucial role in overseeing the process and handling exceptions.
Choice D Reason:
Inventory management is another area where AI and automated systems excel. These systems can track inventory levels, predict usage patterns, and reorder supplies as needed. While human oversight is necessary to handle discrepancies and make judgment calls, the routine aspects of inventory management can be effectively managed by technology.
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