Chapter 35: Home Care Test Bank
MULTIPLE CHOICE 1. At what point during the patient’s admission to the hospital should discharge planning begin? a. On admission b. Once the patient gets situated in a private or semiprivate room c. Once the patient stabilizes d. When the patient stabilizes and after all resources have been evaluated ANS: A
When patients arrive at a neonatal or pediatric intensive care facility, the unit is already planning for discharge to an alternative site of care. REF: p. 659 2. What are the goals of discharge planning?
I. To reduce the number of hospitalizations II. To have the patient resume activities of daily living III. To reduce the number of emergency room visitsIV. To reduce the patient’s length of stay a. I and IV only b. I, II, and III only c. I, II, and IV only d. II, III, and IV only ANS: D
The intent for discharge planning is to reduce the hospital stay, which minimizes medical costs and risk of additional infection. REF: p. 659 3. Before the patient is discharged home, who needs to meet and assess the needs of both the
child and family? a. The family and the physician b. The nurse and the family c. The physician and nurse d. The family and the health care team ANS: D
The entire discharge planning team should meet and assess the needs of both the child and family. Before discharge home, the child must be medically stable and receiving optimal ventilatory, nutritional, and developmental support. Assessment includes evaluation of the family's ability, availability, and commitment to care for their child as well as a psychosocial assessment for parenting risk factors that could potentially result in adverse outcomes.
