Exam 2: Admitting, Transfer, and Discharge

The nurse is providing discharge instruction to an 80-year-old patient and her daughter.The patient lives in a two-story home.When asked if the patient has difficulty climbing stairs, the patient says "No," but the nurse notices a look of surprise on the daughter's face.What should the nurse do in this circumstance?

The patient has been admitted to the emergency department after being beaten and raped.She is agitated and is frightened that her attacker may find her in the hospital and try to kill her.What should the nurse tell her?

The greatest challenge in effective discharge planning is _______________.

The patient is being transferred from the intensive care unit to the acute care unit.The nurse must ensure that the following activities are completed: (Select all that apply.)

At what age is separation anxiety a common problem?

If a patient is having acute physical problems, postpone routine admission procedures until the patient's immediate needs are met.A ________________ assessment is needed at this point.

When transferring a patient, the nurse must ensure that the patient will receive ____________.

The patient is being transferred from the emergency department to another institution for treatment.Which of the following cannot be delegated to nursing assistive personnel (NAP)?

Which of the following are considered "advance directives"? (Select all that apply.)

When does the plan for patient discharge from a health care facility begin?

The patient is admitted to the ICU after having been in a motor vehicle accident.He was intubated in the emergency department and needs to receive two units of packed red blood cells.He is conscious but is indicating that he is in pain by guarding his abdomen.To admit this patient, the nurse first will focus on:

Under the Health Insurance Portability and Accountability Act ( HIPAA ), a patient must: (Select all that apply.)

A document that provides a patient's instructions in terms of future medical care or that designates another person(s) to make medical decisions if the individual loses decision-making capacity is known as an ________________.

The patient is scheduled to go home after having coronary angioplasty.What would be the most effective way to provide discharge teaching to this patient?

The nurse is admitting the patient to the medical unit.The patient indicates that he has had several surgeries in the past and has been a diabetic for the past 15 years.He also earlier that morning, but the pain has finally gone since he received a "pain shot" in the emergency department.What does this information prompt the nurse to do next?

The phase of the discharge process where medical attention dominates discharge planning efforts is known as the _____ phase.

The patient arrives in the emergency department complaining of severe abdominal pain and vomiting, and is severely dehydrated.The physician orders IV fluids for the dehydration and an IV antiemetic for the patient.However, the patient states that she is fearful of needles and adamantly refuses to have an IV started.The nurse explains the importance of and rationale for the ordered treatment, but the patient continues to refuse.What should the nurse do?

Once a patient's discharge has been completed, which activity may be delegated to assistive personnel?

The patient is being admitted to the intensive care department with multiple fractures and internal bleeding.Which of the following are considered roles of the nurse in this situation? (Select all that apply.)

During admission of a patient, the nurse notes that the patient speaks another language and may have difficulty understanding English.What should the nurse do to facilitate communication?