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 C

Explanation

A. “The information in your medical record is confidential, and you cannot leave this facility with it." While confidentiality is true, this response may seem dismissive and doesn’t address the patient’s right to access their health information.

B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." Leaving AMA does not negate the patient’s rights to access their medical information.

C. "You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you." This response respects the patient’s rights and explains that while the original record is hospital property, a copy can be made.

D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here." This response is inaccurate as the original medical record must remain with the hospital per legal guidelines.

A. "What was your daughter's reaction to your desire for hospice?" B. "Did you sleep all night without waking?" C. "How many bowel movements have you had today?" D. “Is your pain less today than it was yesterday?"

Correct Answer is A

Explanation

A. "What was your daughter's reaction to your desire for hospice?" This is an open-ended question as it invites the patient to share feelings or reactions in a broad, unrestricted way.

B. "Did you sleep all night without waking?" This is a closed-ended question that can be answered with a simple "yes" or "no."

C. "How many bowel movements have you had today?" This is a closed-ended question asking for a specific number.

D. “Is your pain less today than it was yesterday?" This is a closed-ended question that requires a "yes" or "no" answer.

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The nurse appropriately begins discharge planning when:

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Naxlex Comprehensive Predictor Exams

A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

Correct Answer is C

Explanation

An example of a nurse communicating with a patient using open-ended questions would be:

Correct Answer is A

Explanation

The nurse appropriately begins discharge planning when:

When communicating with an adolescent, the nurse should be very sensitive to avoid:

During the initial interview of a patient, the nurse should: (Select all that apply.)

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to:

A nurse is showing a diabetic patient how to draw insulin out of a syringe. The mode of learning that the nurse is using is:

The nurse can best ensure that communication is understood by:

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be: