#2021-06-015 - Self Study: The Right to Designate a Caregiver Prior to Discharge

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* 1. What is the “Caregiver Advise, Record, and Enable Act” that became effective on January 27, 2016?

It gives admitted patients or their legal representative the right to elect a caregiver before the patient’s discharge from the healthcare facility for after care services.

It reduces admitted patients’ or their legal representative’s right to elect a caregiver before the patient’s discharge from the healthcare facility for after care services.

It only gives admitted patients the right to elect a caregiver before their discharge from the healthcare facility for after care services.

None of the above

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* 2. Which statement is False

Hospital discharge planning is not part of the Nurses Scope of Practice

Patients want to be more involved in making decisions regarding their care

Hospital discharge planning is very complex and entails a number of steps leading to the discharge, the discharge, and even after to manage the patient’s care

All are true

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* 3. Which of the following is considered as potential “strengths” of this policy?

Sense of autonomy

Patient-centered approach

Reduces patient anxiety

All of the above

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* 4. Which of the following is considered as potential “weaknesses” of this policy?

It doesn’t have any criteria for caregiver evaluation

Ineffective training systems

A and B

None of the above

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* 5. Which is listed to have the biggest political influences on this policy?

Health insurance organization

Home care organizations

Medicare and Medicaid

All of the above

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* 6. This policy can affect hospitals financially by increasing readmission rates. How do increases in readmission rates affect the nursing profession?

Increases workload

Increases nurse satisfaction

Increases staff retention

Decreases work hours

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* 7. Which requirement in the Caregiver Advise, Record and Enable Act directly challenges ANA’s positional statement on “Addressing Nurse Fatigue to Promote Safety and Health”?

“The hospital must provide each patient or the patient’s legal representative with an opportunity to designate a caregiver”

“The instruction to the caregiver can occur as the opportunity arises while the patient is hospitalized and the caregiver is present”

“hospitals should make a reasonable effort to reach the caregiver. Leaving a message is acceptable”

All of the above

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* 8. What are key nursing barriers to effective patient-centered care?

Staffing

Work hours

Work load

All of the above

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* 9. Which revision change is NOT being proposed for this policy?

Initiating a top 2-choice in caregiver for patients

Structured training and instruction for caregivers

Nurse retraining on time management and effective delegation

Implementing a minimal criterion for chosen caregivers

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* 10. What benefits arise from implementing the revisions proposed for this policy?

Enables staff to evaluate the requested caregiver to determine if they are physically and mentally competent to provide the necessary care and if they are willing to receive training.

Enables staff to contact other potential caregivers in the care that the requested caregiver cannot perform after-care requirements.

Will retrain staff to delegate and time manage nursing tasks effectively

A and B

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* 11. TO WHAT EXTENT DID COMPLETING THIS SELF-STUDY ALLOW YOU TO ACHIEVE THE OUTCOME BELOW:

After reading the article, have increased knowledge of the advantages and disadvantages, as well as the political, financial, and social influences of The Caregiver Advise, Record, and Enable Act and its proposed policy revisions.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 12. How do you anticipate this program affecting your practice?

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* 13. How many minutes did it take you to read and complete this program?

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* 14. Suggestions for improvements? Future Topics?

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* 15. MEMBERSHIP

ANA-Illinois Member - $8 USD

Member of Organizational Affiliate - PNAI, NAHN-Illinois, IOADN, ISAPN, IACN or IASN (MEMBER RATE) - $8 USD

Non-Member - $15 USD

You’ll enter payment info after the survey.

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* 16. Demographics

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number