Answer to Question 1
C
Discharge planning requires assessing the patient's plan of care to determine whether the out-come criteria are met. If a need exists for continuation of the plan of care, then the RN must eva-luate whether the patient and family can continue with the necessary interventions or whether they need assistance. If the patient and the family are able to continue the plan of care, discharge teaching with regard to the continued care is needed. Discharge teaching will require the RN to assess the level of the patient's understanding with regard to his or her illness state and treatment regimen. There is no need to obtain an order to begin this process.
Answer to Question 2
B
A clinical pathway is a standardized care map that defines nursing care, outcome criteria, and evaluation time frames for specific disorders. Clinical pathways are designed to manage the re-sources of the health care agency, as well as enable consistent, safe care for patients. A clinical pathway defines the standard assessment data and frequency of the collection of the data needed for a specific illness or surgical procedure. These data include medical diagnostic tests, laboratory results, and vital signs, as well as fluid intake and output, for example. The pathway time frame also includes assessment points with defined outcome criteria. The responsibility of the RN is to evaluate the effectiveness of the plan of care and the patient's progress toward dis-charge.
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