Which transition of care intervention would the community health nurse perform when a client is discharged from the hospital to home?

Correct Answer: C

Rationale: The correct answer is C: Performing medication reconciliation. This intervention involves ensuring the accuracy of a patient's medication list during care transitions. It is crucial to prevent medication errors and adverse drug events. Assisting with activities of daily living (option A) and administering medications in the home setting (option B) are important but not specific to care transitions. Transporting the client to medical appointments (option D) is also important but not directly related to care coordination during the transition from hospital to home.

Correct Answer: B

Rationale: The correct answer is B because engaging clients and their families in the discharge planning process promotes a collaborative approach, ensuring individualized care and increased understanding of the plan. This active involvement enhances compliance and reduces readmission rates. Choice A is incorrect because using medical terms may confuse clients. Choice C is incorrect as it only assesses understanding post-teaching, not actively involving in planning. Choice D is incorrect as a standardized plan may not meet individual needs.

Correct Answer: D

Rationale: The correct answer is D because coordinating care among health care providers is crucial in ensuring a smooth transition for the older adult client between the hospital and the community. This role involves communicating with different healthcare professionals to ensure continuity of care, preventing gaps in services, and promoting patient safety. Option A is not the priority responsibility as it does not address the coordination aspect. Option B focuses on direct client care, which is important but not the primary role of the community health nurse in this context. Option C, while important, does not directly address the coordination of care among providers.

Correct Answer: A

Rationale: The correct answer is A: Ensuring effective communication among health care providers. This intervention is crucial for coordinating care, sharing important information, and preventing gaps in care during the transition. Effective communication ensures that all providers are on the same page regarding the client's treatment plan, medications, and follow-up care. This promotes continuity of care and reduces the risk of misunderstandings or errors. Choice B, reducing the number of providers, may limit access to necessary resources and expertise. Choice C, requiring medications to be taken under direct observation, may not be feasible or necessary for all clients and could impede autonomy. Choice D, attending follow-up appointments with the client, is important but does not address the broader issue of communication among all providers involved in the client's care.

Correct Answer: C

Rationale: Health protection detects disease early or maximizes health within disease constraints. Screenings are secondary prevention, not primary health promotion.