SKILLS AND TECHNIQUES 1ST EDITION BY PERRY
TEST BANK
, TEST 3rBANK 3rFOR 3rCANADIAN 3rCLINICAL 3rNURSING 3rSKILLS 3rAND 3rTECHNIQUES 3r1ST 3rEDITION
3rBY 3rPERRY
Chapter 3r02: 3rTransitions 3rin 3rCare
Perry 3ret 3ral.: 3rCanadian 3rClinical 3rNursing 3rSkills 3r& 3rTechniques, 3r1st 3rEdition
MULTIPLE 3rCHOICE
1. The 3rpatient 3ris 3rscheduled 3rto 3rgo 3rhome 3rafter 3rhaving 3rcoronary 3rangioplasty. 3rWhat
3r would 3rbe 3rthe 3rmost 3reffective 3rway 3rto 3rprovide 3rdischarge 3rteaching 3rto 3rthis 3rpatient?
a. Provide 3rhim 3rwith 3rinformation 3ron 3rhealth 3rcare 3rwebsites.
b. Provide 3rhim 3rwith 3rwritten 3rinformation 3ron 3rwhat 3rhe 3rhas 3rto 3rdo.
c. Sit 3rand 3rcarefully 3rexplain 3rwhat 3ris 3rrequired 3rbefore 3rhis 3rfollow-up.
d. Use 3ra 3rcombination 3rof 3rverbal 3rand 3rwritten 3rinformation.
ANS: 3 r D
For 3rdischarge 3rteaching, 3ruse 3ra 3rcombination 3rof 3rverbal 3rand 3rwritten 3rinformation. 3rThis
3rmost 3reffectively 3rprovides 3rpatients 3rwith 3rstandardized 3rcare 3rinformation, 3rwhich 3rhas 3rbeen
3rshown 3rto 3rimprove 3rpatient 3rknowledge 3rand 3rsatisfaction.
DIF: Cognitive 3rLevel: 3rApplication REF: 3 r 3 r Skill 3r2.3 3r(Teaching)
OBJ: 3 r 3 r Identify 3rthe 3rongoing 3rneeds 3rof 3rpatients 3rin 3rthe 3rdischarge 3rplanning 3rprocess.
TOP: 3 r Admission 3rto 3rDischarge 3rProcess KEY: 3 r Nursing 3rProcess 3rStep:
3rImplementation 3rMSC: 3 r NCLEX: 3rSafe 3rand 3rEffective 3rCare 3rEnvironment
2. While 3rpreparing 3rfor 3rthe 3rpatient’s 3rdischarge, 3rthe 3rnurse 3ruses 3ra 3rdischarge 3rplanning
3rchecklist 3rand 3rnotes 3rthat 3rthe 3rpatient 3ris 3rconcerned 3rabout 3rgoing 3rhome 3rbecause 3rshe 3rhas
3rto 3rdepend 3ron 3rher 3rfamily 3rfor 3rcare. 3rThe 3rnurse 3rrealizes 3rthat 3rsuccessful 3rrecovery 3rat
3rhome 3ris 3roften 3rbased 3ron
a. the 3rpatient’s 3rwillingness 3rto 3rgo 3rhome.
b. the 3r family’s 3r perceived 3r ab iliNt yUtR
o 3rS
caIreNfGoT
r 3r tBh.
e 3rC
paOtiM
ent.
c. the 3rpatient’s 3rability 3rto 3rlive 3ralone.
d. allowing 3rthe 3rpatient 3rto 3rmake 3rher 3rown 3rarrangements.
ANS: 3 r B
Discharge 3rfrom 3ra 3rfacility 3ris 3rstressful 3rfor 3ra 3rpatient 3rand 3rfamily. 3rBefore 3ra 3rpatient 3ris
3rdischarged, 3rthe 3rpatient 3rand 3rfamily 3rneed 3rto 3rknow 3rhow 3rto 3rmanage 3rcare 3rin 3rthe 3rhome
3rand 3rwhat 3rto 3rexpect 3rwith 3rregard 3rto 3rany 3rcontinuing 3rphysical 3rproblems. 3rFamily
3rcaregiving 3ris 3ra 3rhighly 3rstressful 3rexperience. 3rFamily 3rmembers 3rwho 3rare 3rnot 3rproperly
3rprepared 3rfor 3rcaregiving 3rare 3roften 3roverwhelmed 3rby 3rpatient 3rneeds, 3rwhich 3rcan 3rlead 3rto
3runnecessary 3rhospital 3rreadmissions.
DIF: Cognitive 3rLevel: 3rAnalysis REF: 3 r Skill 3r2.3: 3rDischarging
3rPatients 3rOBJ: 3 r Identify 3rthe 3rongoing 3rneeds 3rof 3rpatients 3rin 3rthe 3rdischarge
3rplanning 3rprocess.
TOP: 3 r Medication 3rReconciliation KEY: 3 r Nursing 3rProcess 3rStep:
3rAssessment 3rMSC: 3 r NCLEX: 3rPsychosocial 3rIntegrity
3. The 3rpatient 3rarrives 3rin 3rthe 3remergency 3rdepartment 3rand 3ris 3rcomplaining 3rof 3rsevere
3rabdominal 3rpain 3rand 3rvomiting, 3rand 3ris 3rseverely 3rdehydrated. 3rThe 3rphysician 3rprescribes
3rintravenous 3r(IV) 3rfluids 3rfor 3rthe 3rdehydration 3rand 3ran 3rIV 3rantiemetic 3rfor 3rthe 3rpatient.
3rHowever, 3rthe 3rpatient 3rstates 3rthat 3rshe 3ris 3rfearful 3rof 3rneedles 3rand 3radamantly 3rrefuses 3rto
3rhave 3ran 3rIV 3rstarted. 3rThe 3rnurse 3rexplains 3rthe 3rimportance 3rof 3rand 3rrationale 3rfor 3rthe
3rprescribed 3rtreatment, 3rbut 3rthe 3rpatient 3rcontinues 3rto 3rrefuse. 3rWhat 3rshould 3rthe 3rnurse 3rdo?
a. Summon 3rthe 3rnurse 3rtechnician 3rto 3rhold 3rthe 3rarm 3rdown 3rwhile 3rthe 3rIV 3ris 3rinserted.
b. Use 3ra 3rnumbing 3rmedication 3rbefore 3rinserting 3rthe 3rIV.
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