Page 215 - Saunders Comprehensive Review For NCLEX-RN

Habit
Routine, set behaviors are often hard to change.

Secondary Gains
Benefits or payoff are present, so there is no incentive to change.

Threats to Satisfying Basic Needs
Change may be perceived as a threat to self-esteem, security, or survival.

Fear
One fears failure or has fear of the unknown.

Box 7-6
Transfer Reports

▪ Client’s name, age, health care provider, and diagnoses
▪ Current health status and plan of care
▪ Client’s needs and priorities for care
▪ Any assessments or interventions that need to be performed after transfer, such
as laboratory tests, medication administration, or dressing changes
▪ Need for any special equipment
▪ Additional considerations such as allergies, resuscitation status, precautionary
considerations, cultural or religious issues, or family issues

Box 7-7

Process for Medication Reconciliation

1. Obtain a list of current medications from the client.
2. Develop an accurate list of newly prescribed medications.
3. Compare new medications to the list of current medications.
4. Identify and investigate any discrepancies and collaborate with the health care
provider as necessary.
5. Communicate the finalized list with the client, caregivers, primary health care
provider, and other team members.

From Potter P, Perry A, Stockert P, Hall A: Fundamentals of nursing, ed 8, St. Louis,
2013, Mosby.

Box 7-8

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