Which situation constitutes nurse abandonment of a home health care patient?

1. The nurse fails to assess the patient on a daily basis.
2. The nurse fails to file the patient's Medicare claim.
3. The nurse terminates the relationship without affording the patient reasonable notice.
4. The nurse terminates the relationship by mutual accord.


3
Rationale: The nurse-patient relationship begins when the nurse accepts responsibility for providing nursing care based upon an oral or written report of the patient's needs. This relationship ends when the nurse transfers that responsibility to another nurse or health care provider and gives that person information necessary to care for the patient. The relationship may also end if the patient is discharged from care. If the nurse terminates this relationship prior to this transfer of responsibility, the nurse has abandoned the patient. While a patient may agree to the end of care, the nurse cannot end the care relationship without prior notice to the patient.

Nursing

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The patient has returned from recovery and been on the unit for 1 hour. The patient's vital signs have been stable. How often should the nurse be assessing the patient's vital signs?

A) Every 5 minutes B) Every 15 minutes C) Every 4 hours D) Every 30 minutes

Nursing

The nurse manager on a medical-surgical unit wants to change to "walking rounds" in the patients' rooms for change of shift report. In the past, it has been "face to face" at the nurses' station

The nurse manager is meeting resistance from the staff, because they think that it will take longer, and the nurses will not finish their shift on time. What could the manager do to increase the nurses' acceptance of this change? a. Inform all shifts that there have been some lapses in communication regarding patient needs and that involving the patient in the report will help alleviate this. b. Inform all nurses that to reach Magnet status, this type of change of shift report is required. c. Ask the nurses to participate in the plan-ning and implementation of the change. d. Ask the nurses to try this type of change of shift report for 1 week and then have them evaluate it.

Nursing

The clinic nurse knows that health promotion can include:

Select all answers that apply: A) A shared understanding of the health threat B) A shared vision about hope for the future C) A shared meaning about the timing of the illness D) A shared confusion about why the illness happened

Nursing

The client receives efavirenz (Sustiva) as treatment for acquired immune deficiency syndrome (AIDS). The nurse assesses the client for which serious adverse effect?

1. Cardiac arrest 2. Rash 3. Bone marrow suppression 4. Seizures

Nursing