The Joint Commission standards require all patients admitted to a healthcare facility to have the following documented. (Select all that apply.)
a. Self-care assessment
b. Discharge planning needs
c. Environment assessment
d. Physical assessment
e. Psychosocial assessment
A, B, C, D, E
Current TJC (2012) standards require that all patients who are admitted to a healthcare facility have an assessment of physical, psychosocial, environmental, self-care, patient education, and discharge planning needs.
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A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care?
a. Spiritual distress b. Impaired religiosity c. Moral distress d. Decisional conflict
The nurse is caring for a confused client. The nurse informs the client of the date, day of the week, time, and location each time the room is entered
Which step of the nursing process is the nurse using to orient this client? 1. Implementation. 2. Evaluation. 3. Planning. 4. Assessment.
The nurse is caring for a patient with a mechanical intestinal obstruction. Diagnostic studies indicate that the bowel is twisted and turned on itself. The nurse is aware that this condition is a(n):
A) Intussusception B) Volvulus C) Hernia D) Tumor
Nurse Q has started her walking rounds at the beginning of her shift. She just entered Mr. K's room and has found him sitting on the floor smiling up at her
Mr. K says that he is not hurt, just merely "slipped out of bed" while "hunting for quail," and needs some help getting back into bed. Mr. K is a very large and overweight man. Which nursing task priority does this activity/task encompass? a. first priority c. third priority b. second priority d. fourth priority