The nurse is working toward discharging a patient. Which of following demonstrates patient engagement during the discharge process?
a. Teaching the patient how to use his equipment
b. Having the patient establish daily goals
c. Reviewing the discharge instructions with the patient
d. Including the family in the discharge planning
B
All of the answers are important to the discharge process but having the patient set his own daily goals establishes true patient engagement. The other interventions are aimed at the patient and are not really engaging the patient but rather the nurse focusing interventions at the patient. Patient engagement requires that the patient's preferences be incorporated.
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The nurse is seeing a 10-year-old child at a well-child visit. Knowing that risky behavior begins at this age, what is one of the questions she should include in the assessment of this child?
1. Ask if some of the child's friends have tried smoking. 2. Ask if the child does his homework on time. 3. Ask if he eats a balanced diet every day. 4. Ask if he has friends over regularly.
A female client calls the clinic for advice after forgetting to take her morning dose of twice-daily lithium 5 hours ago. Which instructions should the nurse give the client?
a. Take the dose immediately, and then take the second dose 3 hours late. b. Take half of a dose now, and then take the second dose at the normal time. c. Eliminate the dose missed, and take the second dose at the normal time. d. Immediately take the missed dose, and take the second dose at the normal time.
A patient is admitted with a fractured mandible and several fractured ribs. Which of the following would be indicated for this patient?
1. treat the fractures and transfer to an orthopedic unit 2. maintain on spinal cord injury precautions until ruled out 3. provide pain medication and tape the ribs immediately 4. obtain a chest x-ray to determine lung function
Concerning fetal positioning during labor, nurses should be aware that:
1. position is a measure of the degree of descent of the presenting part of the fetus through the birth canal. 2. birth is imminent when the presenting part is at +4 to +5 cm, below the spine. 3. the largest transverse diameter of the presenting part is the suboccipitobregmatic diameter. 4. engagement is the term used to describe the beginning of labor.