Chapter 2
Clinical Nursing Skills and Techniques · 9 exercises
Problem 1
In which of the following steps of the admission process can the admission personnel participate? (Select all that apply.) 1 Explaining information about a patient's rights to health care services 2 Attaching an ID band after verifying that the information is correct 3 Reviewing the details of a patient's advance directive for clarity 4 Explaining how HIPAA is enforced in the agency 5 Printing a patient's allergies on the allergy band before attaching it to the patient 6 Helping a patient know what is included in the basic admission process
9 step solution
Problem 2
Who is responsible for developing a patient's discharge plan? 1 The primary nurse 2 The medical social worker 3 The nurse caring for the patient the longest 4 The patient's health care team
4 step solution
Problem 3
Which statement best explains why it is essential to assess and document the clinical status of a patient immediately before transfer or at time of discharge? 1 Increased reimbursement to the hospital occurs because of additional diagnosis codes. 2 Potential changes in a patient's clinical needs may require nursing interventions to provide for patient safety during transport. 3 Hospital documentation requirements could prevent transfer of a patient unless the information is current. 4 The necessary information needs to be reflective of a discharge plan for visiting accrediting agencies.
6 step solution
Problem 4
A toddler is hospitalized for the first time. Which strategy is most effective to make the child feel more comfortable? 1 Have the parents visit only sporadically so the toddler does not get upset. 2 Have the child bring a favorite blanket for comfort. 3 Ask the parents what time the toddler usually goes to bed. 4 Find out the toddler's favorite foods and beverages.
3 step solution
Problem 5
You are caring for a hospitalized patient who requires transfer to a skilled nursing facility. Which of the following interventions best facilitates a referral to a skilled nursing facility? 1 Providing teaching and instruction that supports the patient's continued independence 2 Providing a variety of options for skilled care facilities to the patient and family 3 Matching the services provided at the skilled care facility with the patient's needs 4 Providing accurate information about the patient to the skilled care facility so nurses have a clear understanding of patient's needs
7 step solution
Problem 6
When completing an admission on a patient from a different culture, the nurse needs to: 1 Speak slowly and clearly so the patient can understand the nurse. 2 Respect the patient's health beliefs and customs. 3 Get all information about the patient from the family members. 4 Use common slang terms that the culture understands.
5 step solution
Problem 7
When a patient arrives on the nursing division for admission to his or her room, what is the first thing the nurse should do? 1 Complete the admission assessment 2 Orient the patient to the room 3 Order all the patient's medication 4 Complete all ordered diagnostic tests
3 step solution
Problem 8
You are caring for a patient in the ED who decides to leave without completion of his medical treatment. Which type of patient discharge should the nurse document? 1 Against medical advice (AMA) 2 Patient-initiated discharge (PID) 3 Voluntary discharge (VD) 4 Without physician or health care provider order (WPO)
4 step solution
Problem 10
When determining the health literacy of your patient before beginning discharge teaching, it is essential that the information is at which appropriate reading level? 1 Sixth grade 2 Tenth grade 3 Fifth grade 4 College level
4 step solution