The general rule is that the initial care plan for a patient is:
developed by an RN
completed on the day of admission.
used as the basis of care throughout a hospital stay without alteration.
developed by the primary care provider and incorporated into the nursing care
The Correct Answer is B
A. Developed by an RN:
This option suggests that an RN (Registered Nurse) is solely responsible for creating the initial care plan. While nurses significantly contribute to the care plan, it is often a collaborative effort involving various healthcare professionals, including doctors, nurses, and other specialists.
B. Completed on the day of admission:
This choice means that the initial care plan, outlining the patient's immediate healthcare needs and interventions, is developed and documented on the day the patient is admitted to the healthcare facility. It's essential to establish a plan promptly to ensure the patient receives appropriate and timely care.
C. Used as the basis of care throughout a hospital stay without alteration:
This option suggests that the initial care plan remains unchanged throughout the patient's hospital stay. However, healthcare plans need to be dynamic, adapting to the patient's evolving condition. Care plans are continuously assessed and modified based on the patient's response to treatments and interventions.
D. Developed by the primary care provider and incorporated into the nursing care:
This choice implies that the initial care plan is created by the primary care provider (which could be a doctor) and then integrated into the nursing care. While doctors provide medical diagnoses and orders, nurses play a crucial role in implementing and coordinating the care plan, ensuring the patient's needs are met.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Level of English Literacy:
Understanding the patient's level of English literacy is crucial for effective communication. It helps healthcare providers tailor their communication to ensure the patient comprehends their condition, treatment, and instructions.
B. Dietary Concerns:
Cultural dietary practices and restrictions can significantly impact a patient's nutrition and recovery. Knowing about dietary concerns allows healthcare providers to plan meals that respect the patient's cultural preferences and restrictions.
C. Beliefs About Causality of Illness:
Different cultures have unique beliefs about the causes of illnesses, which can influence their perceptions of healthcare and treatment. Understanding these beliefs helps healthcare providers provide culturally sensitive care and explain medical conditions and treatments in a way that aligns with the patient's beliefs.
D. Number of Children in the Immediate Household:
While this information might be relevant for social context, it's not directly related to cultural factors. However, it could be useful in some cases, such as understanding family dynamics or support systems.
E. Primary Language Spoken:
Knowing the patient's primary language is essential for effective communication. It ensures that healthcare providers can provide accurate information, understand the patient's concerns, and involve interpreters if necessary to bridge language barriers.
Correct Answer is B
Explanation
A. Patient leaving against medical advice:
When a patient decides to leave the hospital against medical advice, it's crucial to communicate this decision effectively. However, this situation does not specifically require a structured communication tool like SBAR. Rather, it necessitates clear communication to ensure the patient understands the risks and implications of leaving against medical advice.
B. Patient transfer to another facility:
During a patient transfer, especially between different healthcare facilities, it's essential to provide a comprehensive hand-off communication. SBAR is commonly used in such situations.
Situation: Describes the current situation and why the patient is being transferred.
Background: Provides relevant medical history and context.
Assessment: Presents the patient's current condition and vital signs.
Recommendation: Specifies what care and interventions the receiving facility should provide.
Using SBAR in this context ensures that all critical information is passed on accurately, minimizing the risk of errors and improving the continuity of care.
C. Visitor fall:
While a fall involving a visitor is an important incident, it doesn't typically require a structured communication tool like SBAR. Instead, it necessitates immediate response, assessment, and appropriate reporting within the hospital’s incident reporting system.
D. Needle stick injury to a nurse:
In the case of a needle stick injury, prompt reporting and proper follow-up are vital. While communication is crucial, it doesn't usually follow the structured format of SBAR. The nurse needs to report the incident to their supervisor or employee health, which would initiate appropriate protocols for testing, treatment, and documentation. Clear communication is necessary, but it doesn’t typically involve the use of the SBAR tool.
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