Author Question: The nurse is providing discharge instruction to an 80-year-old patient and her daughter. The patient ... (Read 42 times)

future617RT · **on:** Jul 24, 2018

The nurse is providing discharge instruction to an 80-year-old patient and her daughter. The patient lives in a two-story home.

When asked if the patient has difficulty climbing the stairs, the patient says No, but the nurse notices a look of surprise on the daughter's face. The nurse should: a. Speak with the daughter separately
b. Cancel the discharge immediately
c. Order a Visiting Nurse consult
d. Notify the physician

Question 2

When a patient's discharge is completed, an activity that may be delegated to assistive personnel is the:

a. Provision of prescriptions to the patient
b. Completion of the discharge summary
c. Gathering of the patient's personal care items
d. Provision of instructions on community health resources

Ahernandez18 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
Patients and family members often disagree on the health care needs of a patient after discharge. Identifying these discrepancies early leads to more accurate development of the discharge plan. It often is necessary to talk with a patient and family separately to learn about their true concerns or doubts.

Answer to Question 2

C
The assessment, care planning, and instruction included in discharging patients cannot be delegated to nursing assistive personnel. The nurse may direct the NAP to gather and secure the patient's personal items and any supplies that accompany the patient.