A nurse caring for a patient who is hospitalized following a right knee replacement is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship?
Identify each other by name and provide the patient with orientation to the healthcare system.
Clarify roles of nurse and patient and establish an agreement about the relationship.
Determine if patient goals have been met and make suggestions for future needs after discharge.
Work together to meet patient's needs and provide teaching and counseling to the patient.
The Correct Answer is C
A. Identifying each other by name and providing orientation to the healthcare system are typically actions in the orientation phase, not the termination phase.
B. Clarifying roles and establishing an agreement about the relationship are more relevant to the orientation phase.
C. The termination phase involves determining if patient goals have been met and making suggestions for future needs after discharge.
D. Working together to meet the patient's needs and providing teaching and counseling are aspects of the working phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To answer this question, we need to use the formula: D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the drug on hand, and X is the amount to administer. In this case, D is 15 mg, H is 30 mg, Q is 1 mL, and X is unknown. Plugging these values into the formula, we get:
15/30 x 1 = X
0.5 = X
Therefore, the nurse will administer 0.5 mL of codeine to the patient every four hours.
Correct Answer is C
Explanation
A. Palpating the abdomen may provide additional information but is not the next step in this situation.
B. Documenting the finding as normal volume is not appropriate; a bladder volume of more than 600mL is considered significant.
C. Performing In & Out catheterization is the next step to relieve urinary retention.
D. Rechecking the bladder scan in 6 hours is not appropriate when immediate intervention is needed.
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