The definition of medication reconciliation is?
An accurate record of the client’s current medications including prescribed medications and all supplements, herbal compounds, and regular use of over-the-counter (OTC) medications.
An accurate list of the medications that were prescribed at the point of discharge.
An accurate list of the patient’s medication allergies.
Obtaining the list of medication interactions of the current medications the patient is taking.
The Correct Answer is A
Choice A reason: Medication reconciliation involves compiling a complete, accurate list of current medications, including prescriptions, supplements, herbals, and OTC drugs, to ensure safe transitions across care settings. This prevents errors like omissions or duplications, critical for patient safety, guiding accurate prescribing and reducing adverse drug events in clinical practice.
Choice B reason: Listing medications prescribed at discharge is part of discharge planning, not full medication reconciliation, which includes all current medications across settings. This narrow definition risks missing ongoing therapies, leading to errors like discontinued drugs, compromising safety and continuity of care during transitions in healthcare settings.
Choice C reason: Listing medication allergies is part of allergy documentation, not medication reconciliation, which focuses on current medications. Confusing these risks overlooking active prescriptions, leading to potential drug errors or interactions. Reconciliation ensures a comprehensive medication profile, critical for safe prescribing and patient care across healthcare transitions.
Choice D reason: Obtaining medication interactions is a pharmacist’s analysis, not medication reconciliation, which compiles a current medication list. Assuming this misaligns with reconciliation’s purpose, risking incomplete profiles and errors like missed doses. Reconciliation ensures accurate medication records, essential for preventing adverse events and supporting safe care transitions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Pain level assessment is important but unrelated to orientation, which evaluates mental state via time, place, and person questions. Assuming pain assesses orientation risks missing cognitive deficits, delaying diagnosis of delirium or dementia, critical for tailoring care and interventions in patients with altered mental status.
Choice B reason: Personal hygiene reflects self-care ability, not orientation to time, place, or person, which assesses mental state. Assuming hygiene evaluates orientation misguides assessment, risking oversight of cognitive impairments, essential for diagnosing conditions like Alzheimer’s or acute confusion, requiring targeted interventions in clinical practice.
Choice C reason: Orientation questions assess mental state, evaluating cognitive function through awareness of time, place, and person. This detects impairments in conditions like delirium or dementia, guiding care planning. Accurate assessment ensures timely interventions, critical for managing cognitive decline and supporting patient safety and communication in healthcare settings.
Choice D reason: Family medical history provides genetic context but doesn’t assess orientation, which targets mental state. Assuming history evaluates orientation risks missing cognitive issues, delaying diagnosis of acute or chronic cognitive impairments, critical for implementing cognitive support or pharmacological interventions in patients with suspected mental status changes.
Correct Answer is A
Explanation
Choice A reason: Assessment in the nursing process involves collecting subjective and objective data via interviews, physical exams, and observations to inform clinical judgments. This foundational step identifies patient needs, guiding subsequent planning. Accurate data collection ensures comprehensive care, preventing oversight of critical health issues and supporting effective diagnosis and intervention in clinical practice.
Choice B reason: Using problem-solving to prioritize outcomes and develop interventions describes the planning step, not assessment. Assessment focuses on data collection, not goal-setting. Assuming this misaligns with the nursing process, risking premature intervention without thorough data, which could lead to ineffective care plans or missed health issues in patient management.
Choice C reason: Assessing goal effectiveness and adjusting interventions pertains to the evaluation step, not assessment. Assessment gathers data to identify needs, not evaluate outcomes. Misidentifying this risks skipping data collection, leading to incomplete assessments and inappropriate interventions, compromising patient safety and care quality in the nursing process.
Choice D reason: Using clinical judgment to formulate problems is part of diagnosis, not assessment. Assessment collects raw data, while diagnosis analyzes it to identify issues. Assuming this conflates steps, risking incomplete data collection, which could result in inaccurate diagnoses and ineffective care plans, undermining the systematic approach of the nursing process.
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