A Filipino American is preparing for discharge from the hospital. While providing instructions concerning follow-up care, the nurse notes the client is nodding in agreement in response to the nurse's statements

After completing the exchange of information, which of the following actions should the nurse take first? 1. The client's understanding of the discharge instructions should be documented.
2. The nurse should ask the client if she understood the information being relayed.
3. The nurse should ask the client questions to assess understanding of the information provided.
4. The client should be asked to sign the discharge paperwork.


3
Rationale 1: The client's nodding may simply indicate hearing the information being provided.
Rationale 2: Asking the client if she understands is a closed question and may not determine adequate information.
Rationale 3: The client's nodding may simply indicate hearing the information being provided. The nurse should ask questions to assess understanding.
Rationale 4: The client's signature on the discharge paperwork may be indicated as a part of the discharge plan but is not the next step that should be taken by the nurse.

Nursing

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