A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.)
a. Contact interpreter services to interpret discharge instructions to the patient.
b. Provide discharge instructions for the pa-tient that are written in German.
c. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them.
d. Forego the interpreter because you are just showing him how to change a dressing.
e. Give the patient discharge instructions that are written in English.
A, B, C
The nurse should contact interpreter services and request a German-speaking interpreter. The nurse should provide all discharge instructions with the help of the interpreter and ask the patient to repeat back what he has heard. By using a Team STEPPS strategy "check back," the nurse can ensure that the patient understands the discharge instructions what he needs to do for himself when he leaves.
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A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patient's obstetric history using the TPALM system?
a. Gravida 2, para 20120 b. Gravida 3, para 10011 c. Gravida 3, para 10110 d. Gravida 2, para 11110
Somatization becomes a mental health problem when it interferes with
1. social activities. 2. cultural orientation. 3. recreational activities. 4. activities of daily life.
Nurses who work on a medical unit do not have personal professional liability coverage. In the event of a lawsuit, which options are true?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. They can be covered under the employer's insurance policy. 2. They may be refused coverage under the employer's insurance policy. 3. They will be covered under the professionals' group policy. 4. They need to contact their own attorneys. 5. They will be covered with their state's Emergency Health Care Providers policy.
A nurse documents the following in a patient's medical record: "2/1/__, 1500. Patient appears weak and faint. Patient's skin is moist and cool, vomited bright red blood with clots
Health care provider notified and order received to give 2 u of packed red blood cells if stat Hgb is < 8.0. Pain medication will be given." This documentation meets which documentation principle? 1. Document objectively. 2. Do not document procedures in advance. 3. Use approved abbreviations. 4. Document changes in patient condition.