The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

Asking the patient, "Did you graduate from high school?"

Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?"

Giving the patient some printed materials and saying. "After you have read this, I’ll ask you some questions about what's in them, to see if you've learned it."

Asking the patient, "Are you able to read?"

Answer and Explanation

The Correct Answer is C

A. Asking the patient, "Did you graduate from high school?" This question is not a direct way to assess reading or comprehension ability. A person’s educational level does not necessarily reflect literacy skills.

B. Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?" This approach is indirect and does not confirm whether the patient can actually read or understand the instructions.

C. Giving the patient some printed materials and saying, "After you have read this, I'll ask you some questions about what's in them, to see if you've learned it." This option allows the nurse to assess both the patient's reading ability and understanding by following up with questions, ensuring comprehension.

D. Asking the patient, "Are you able to read?" While this question is direct, it may embarrass the patient, and it does not assess comprehension.

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Correct Answer is C

Explanation

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.

A. “The information in your medical record is confidential, and you cannot leave this facility with it." B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." 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." D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here."

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.

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The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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