Answer to Question 1
ANS: A
Research shows that comprehensive discharge planning reduces complications and readmissions. Home care planning adapts to the situation as the patient's condition improves or deteriorates as a result of advancing disease. Because most patients are in the hospital for only a short time, nurses must begin discharge planning on admission and continue until a patient is dismissed.
Answer to Question 2
ANS: D
Some interventions originate from health care provider orders. These are dependent nursing interventions. The nurse incorporates these orders into the patient's overall care plan by associating each with the appropriate nursing diagnosis. The ability of nurses to enact independent interventions has expanded in recent years, allowing nurses to initiate care that they recognize as essential in meeting patient needs or preventing complications. Ordering heel protectors for patients susceptible to skin breakdown and initiating preventive measures (e.g., activity regimens, consultations with social workers, preadmission teaching) are often independent, nurse-initiated interventions. Collaborative interventions require cooperation among several health care professionals and unlicensed assistive personnel (UAP). Collaborative interventions include activities such as physical therapy, home health care, personal care, spiritual counseling, medication reconciliation, and palliative or hospice care.
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