ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 12 : Interprofessional Collaborative Practice and
Care Coordination Across Settings Questions
Question 1 of 5
A home health nurse is scheduled to visit a patient recently discharged from the hospital with a new colostomy. During the entry phase of the home visit, what actions will the nurse perform? Select all that apply.
Correct Answer: C,D,E
Rationale: In the entry phase of the home visit, the nurse develops rapport with the patient and family, makes assessments, determines nursing diagnoses, establishes desired outcomes, plans and implements prescribed care, and provides teaching. In the pre-entry phase of the home visit, the nurse collects information about the patient's diagnoses, surgical experience, socioeconomic status, and treatment orders. In the pre-entry phase, the nurse also gathers supplies needed, makes an initial phone contact with the patient to arrange for a visit, and assesses the patient's neighborhood for safety issues.
Question 2 of 5
A nurse and AP are planning to receive a patient who sustained a traumatic head injury in a motor vehicle accident. Which activity can the nurse safely delegate to the AP?
Correct Answer: D
Rationale: The nurse may delegate preparation of the bed and collection of needed supplies to assistive personnel but performs the other activities listed, as they require clinical judgment and specialized skills.
Question 3 of 5
A home care nurse is observing the patient's family member perform a wound irrigation and dressing change for a postoperative wound dehiscence containing purulent drainage. In which situation will the nurse provide additional education?
Correct Answer: C
Rationale: The nurse teaches the patient and family to effectively wash their hands before and after having direct contact with the patient, before performing invasive procedures, when handling dressing or touching open wounds, and when administering medications or feeding the patient. All other options are correct.
Question 4 of 5
A patient is being transferred from the intensive care unit (ICU) to a medical-surgical unit. What is the responsibility of the ICU nurse during the transfer of care?
Correct Answer: A
Rationale: The transferring (ICU) nurse gives a verbal report on the patient's condition and nursing care needs to the receiving nurse. This information should not be given to a unit secretary, nor can this be delegated to others. The medical record is transferred with the patient; a copy is not made for transfers within the agency.
Question 5 of 5
A nurse is reviewing the discharge plan with a patient who had major abdominal surgery. Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: The purpose of discharge planning is to ensure for continuity of care for the patient and family needs. The nurse uses open-ended assessment questions to begin a planning session. Essential components of discharge planning include assessing the strengths and limitations of the patient, the family or support person, and the environment; implementing and coordinating the care plan; considering individual, family, and community resources; and evaluating the effectiveness of care. Answers a and c are examples of communication or interventions, which may be included after an assessment. The statement 'You will just be fine! Please stop worrying,' is a clich?© and is avoided.