Pennsylvania Nurse, Front Page 71(4) | Page 12

CE: 0.25 contact hours Post-Test: ED Discharge Failure Instructions: (1) After reading the article, take the test that follows these instructions. Send completed test by mail, fax or e-mail to: Continuing Education ([email protected]), PSNA, 3605 Vartan Way, Suite 204, Harrisburg, PA 17110, P: 717-798-9975 • F: 717-657-3796. (2) To pass the test, you must score 80 percent or better. Once PSNA receives your test, it will be checked for accuracy and a certificate will be sent to you via e-mail or U.S. mail. Be sure to complete the information section on the test page. (3) This test may also be completed online at https://ce.psna.org/. All of the articles published in Pennsylvania Nurse are available on our website under Continuing Education Center. (4) This CE is free to members and $10 for non-members. Name_______________________________________________________________________ PSNA Member?  Yes  No Address_________________________________________________________________________________________________________________________ City / State / Zip__________________________________________________________________________________________________________________ Phone_________________________________________________ E-mail___________________________________________________________________ License Number__________________________________________________________________________________________________________________ 1. If a patient decides to leave against medical advice (AMA):  a. Discharge instructions should not mention that the patient could die  b. The hospital is automatically exempt from all civil liability  c. Never provide discharge instructions  d. Always provide discharge instructions when possible 2. Errors not caught in discharge instructions:  a. Could cause medication error  b. Could cause patient to die  c. Could be evidence in civil litigation  d. All of the above 3. Literature shows that up to 41% of patients:  a. Leave the hospital AMA  b. Do not understand their diagnosis  c. Find errors in their discharge paperwork  d. Are readmitted to the hospital for the same problem within 24 hours Fall 2016 Pennsylvania Nurse 10 4. The Joint Commission’s core measure for a heart failure diagnosis does not include which of the following topics on discharge instructions?  a. Daily weights  b. Stress reduction  c. Diet  d. Activity 5. Which method of discharge teaching best evaluates the patient’s understanding of the instructions?  a. Teach-back  b. See one, do one, teach one  c. Pantomime  d. Mayo Clinic method 6. Discharge instructions should only be given to patients who are ready to receive them.  a. True  b. False 7. Using computer programs that print discharge instructions, with which of the following provide better patient understanding and compliance?  a. Instructions printed in native language and English  b. Cartoons  c. Pictures and diagrams  d. All of the above  e. None of the above 8. A follow-up appointment made while the patient is still in the hospital is more likely to result in follow-up care.  a. True  b. False 9. Discharge instructions are not part of the patient chart?  a. True  b. False 10. An intoxicated patient who is cleared for discharge may have discharge instructions provided to a competent responsible family member?  a. True  b. False 10.What percentage of patients fail to fill prescriptions given from the hospital?  a. 3-9%  b. 12-20%  c. 38-43%