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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. is appropriate only in special circumstances, such as with young children.
While touch can be especially comforting to children, it can be beneficial in various circumstances, depending on the patient's needs and cultural preferences.
B. can convey caring and support when words are difficult.
Touch can be a powerful, nonverbal way to express empathy and support, especially when patients are distressed or words may not suffice.
C. is a nursing intervention of choice in almost all situations.
Touch may not always be appropriate, as some patients may have cultural or personal preferences against physical contact. It should be used selectively.
D. should be avoided because of problems of cultural misinterpretation.
Touch should not be avoided entirely but should be used with cultural sensitivity and respect to avoid any misinterpretation.
Correct Answer is D
Explanation
A. Include another person in the instruction because an 82-year-old person will be unable to master the technique. This is an assumption based on age and is incorrect. Age alone does not determine learning ability; many older adults are fully capable of learning new skills.
B. Provide written material and diagrams alone. While written materials are helpful, they should be supplemented with hands-on practice and guidance, especially for skill-based learning.
C. Speed through the details because age and experience will shorten learning time. Older adults may actually require a slower pace to absorb new information, particularly for complex tasks.
D. Slow the pace and frequently ask questions to assess comprehension. Slowing the pace and asking questions helps ensure the patient has the time needed to process the information and provides the nurse with feedback on understanding.
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