The nurse appropriately begins discharge planning when:

the patient feels ready to be discharged home.

the primary care provider writes orders to discharge the patient.

the patient is admitted to the health care facility.

it is anticipated the patient will be discharged in 8 hours.

Answer and Explanation

The Correct Answer is C

A. The patient feels ready to be discharged home. While it’s important to consider the patient’s readiness, discharge planning ideally begins earlier to ensure comprehensive education and preparation.

B. The primary care provider writes orders to discharge the patient. Waiting for discharge orders may delay necessary teaching and preparation for the patient.

C. The patient is admitted to the health care facility. Discharge planning should begin upon admission to ensure that the patient’s needs post-discharge are assessed and met in a timely manner.

D. It is anticipated the patient will be discharged in 8 hours. Starting discharge planning only hours before discharge may lead to rushed and incomplete education, potentially affecting continuity of care.

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Correct Answer is D

Explanation

A. Use unfamiliar language.
Unfamiliar language can confuse or intimidate young children, making it harder for them to understand and communicate effectively.

B. Use abstract explanations. Preschoolers are concrete thinkers and may not grasp abstract ideas, so explanations should be simple and direct.

C. Use long, complex sentences. Long, complex sentences may overwhelm a preschooler, who benefits more from short and clear sentences.

D. Consider the developmental level, using familiar words.
This approach is ideal as it aligns with the child’s cognitive abilities, helping the child feel comfortable and understand the nurse’s communication.

A. "Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch." B. "Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch." C. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids." D. "Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."

Correct Answer is C

Explanation

A. "Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch."
This documentation provides details but lacks specific information on the pain’s nature and duration.

B. "Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch."
This statement includes diet details but lacks a pain intensity rating and specific location.

C. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids." This statement is the most thorough, including location, nature, intensity, duration, and lack of relief from interventions.

D. "Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse."
This is incomplete, as it lacks a specific location and description of the pain’s onset.

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The nurse appropriately begins discharge planning when:

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Naxlex Comprehensive Predictor Exams

When communicating with a preschooler, the nurse should:

Correct Answer is D

Explanation

A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

Correct Answer is C

Explanation

A nurse using active listening techniques would:

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