When working on a hospital unit, the nurse should begin the ...

[FButt]

When working on a hospital unit, the nurse should begin the discharge planning process at which time?
 
  a. With a careful review of initial admission data.
  b. Within 24 hours of the hospital admission.
  c. Just prior to the client's hospital admission.
  d. Immediately before the client is discharged.

Question 2

The nurse recognizes that a characteristic of effective team collaboration includes which of the following?
 
  a. It promotes inclusion of the client and family.
  b. It increases fragmentation of client care.
  c. It discourages synergistic creativity among professionals.
  d. Its goal is to duplicate efforts to promote safe, high-quality care.

[voltaire123]

Answer to Question 1

ANS: A
A complex discharge planning process begins with a careful review of initial admission data and continues as a thread with each subsequent review. Starting early in the hospitalization allows time for clients and families to become physically and emotionally prepared for transition and to have needed supports available postdischarge.

Answer to Question 2

ANS: A
Shared goals are an essential product of effective team collaboration. The client and family should be team members involved in determining, refining, and updating goals. Their inclusion as a collaborative team member allows for a more realistic assessment of a client's needs, preferences, resources, and personal goals. They can provide important input into the development and evaluation of care and can sensitize providers to realistic needs and priorities.