When assessing teaching and learning needs at discharge, the nurse should focus on which of the following? (Select all that apply.)
a. What potential problems are likely to prevent a safe discharge
b. The client's ability to pay for his or her hospitalization
c. What potential problems are likely to cause complications or readmission
d. What prior knowledge or experience the client and family has with the current problem
e. What skills and equipment are needed to manage the problem at home
f. Who or what agency will assume responsibility for continuing care
ANS: A, C, D, E, F
Assessing teaching and learning needs at discharge includes asking the following questions: What potential problems are likely to prevent a safe discharge? What potential problems are likely to cause complications or readmission? What prior knowledge or experience does the client and family have with this problem? What skills and equipment are needed to manage the problem at home? Who (what agency) will assume responsibility for continuing care? The client's ability to pay for hospitalization should not be a focus of teaching and learning needs at discharge. If the client has concerns about ability to pay for hospitalization, the nurse can ask a case manager to visit with the client.
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