Question 1

Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath, which is a time of rest.

Accepted Answer

Orthodox Jewish
Some Orthodox Jewish patients consider sundown Friday to sundown Saturday to be the Sabbath, which is a time of rest. These patients may avoid the use of any electronic equipment, so the nurse should find alternatives to the use of this equipment if possible.

Question 2

When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. What does this behavior suggest as a common reaction to hospitalization?

Accepted Answer

A)  Relief about being cared for 
B)  Fear of the unknown 
C)  Feeling of powerlessness 
D)  Concern about cost 
A)  Relief about being cared for 
B)  Fear of the unknown 
C)  Feeling of powerlessness 
D)  Concern about cost B

Question 3

Before the actual discharge occurs, what must the nurse ensure ?

Accepted Answer

A)  The patient is well enough to go home. 
B)  The patient has not been overly medicated. 
C)  The patient understands the discharge instructions. 
D)  The patient has adequate transportation. 
A)  The patient is well enough to go home. 
B)  The patient has not been overly medicated. 
C)  The patient understands the discharge instructions. 
D)  The patient has adequate transportation. C

Question 4

When a patient demands to be discharged without a physician's order and is leaving the unit with his belongings, what should the nurse ask the patient to sign?

Accepted Answer

A)  A form exercising the patient's rights 
B)  A discharge against medical advice form 
C)  An informed consent 
D)  An advanced directive 
A)  A form exercising the patient's rights 
B)  A discharge against medical advice form 
C)  An informed consent 
D)  An advanced directive

Question 5

The nurse completes thorough documentation before, during, and after a transfer to ensure _______ of _______.

Accepted Answer

continuity, care
Clear documen

Question 6

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?

Accepted Answer

A)  Forcibly detain and restrain the patient. 
B)  Administer a sedative hypnotic medication. 
C)  Prevent patient from leaving until an AMA form is signed. 
D)  Notify the physician that the patient is threatening to leave AMA. 
A)  Forcibly detain and restrain the patient. 
B)  Administer a sedative hypnotic medication. 
C)  Prevent patient from leaving until an AMA form is signed. 
D)  Notify the physician that the patient is threatening to leave AMA.

Question 7

If a patient has an order for an interagency transfer where does the nurse explain that the patient will be moved?

Accepted Answer

A)  A double room to a private room 
B)  One unit of the hospital to another 
C)  One room of the unit to another 
D)  One facility to another 
A)  A double room to a private room 
B)  One unit of the hospital to another 
C)  One room of the unit to another 
D)  One facility to another

Question 8

Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses?

Accepted Answer

A)  A local bank 
B)  A clinical nurse specialist 
C)  The hospital administration 
D)  Social services 
A)  A local bank 
B)  A clinical nurse specialist 
C)  The hospital administration 
D)  Social services

Question 9

Because of the stress caused by hospitalization, the nurse assesses a newly admitted older adult patient for ________________.

Accepted Answer

disorientation
In a normally a

Question 10

When should discharge planning begin?

Accepted Answer

A)  The day before discharge 
B)  On the first day postoperatively 
C)  Shortly after admission 
D)  When the doctor orders it 
A)  The day before discharge 
B)  On the first day postoperatively 
C)  Shortly after admission 
D)  When the doctor orders it

Question 11

The nurse adheres to the discharge standards set by The Joint Commission (TJC), which include that patients will receive instruction regarding which aspect(s) of care? (Select all that apply.)

Accepted Answer

A)  Medications 
B)  Rehabilitation techniques 
C)  Referral to community agencies 
D)  Medical equipment to be used 
E)  Obtaining health insurance 
A)  Medications 
B)  Rehabilitation techniques 
C)  Referral to community agencies 
D)  Medical equipment to be used 
E)  Obtaining health insurance

Question 12

Upon admission, the nurse notes that a patient without family members present has a billfold filled with cash. Where can the nurse suggest the money be placed?

Accepted Answer

A)  In a sealed envelope in the bedside table 
B)  In the care of hospital security 
C)  Locked in the narcotic cupboard 
D)  In the hospital safe 
A)  In a sealed envelope in the bedside table 
B)  In the care of hospital security 
C)  Locked in the narcotic cupboard 
D)  In the hospital safe

Question 13

How can the nurse demonstrate cultural sensitivity to a Haitian American patient?

Accepted Answer

A)  By providing a well-lit room 24 hours a day 
B)  By writing out all instructions given to the patient 
C)  By allowing the patient to keep leaves in her room 
D)  By asking the physician to provide all directions to the patient 
A)  By providing a well-lit room 24 hours a day 
B)  By writing out all instructions given to the patient 
C)  By allowing the patient to keep leaves in her room 
D)  By asking the physician to provide all directions to the patient

Question 14

How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)

Accepted Answer

A)  Show the patient how bedside equipment works. 
B)  Explain the need to establish a clear source of reimbursement. 
C)  Give simple explanation of policies. 
D)  Involve the patient in the plan of care. 
E)  Keep family interventions to a minimum. 
A)  Show the patient how bedside equipment works. 
B)  Explain the need to establish a clear source of reimbursement. 
C)  Give simple explanation of policies. 
D)  Involve the patient in the plan of care. 
E)  Keep family interventions to a minimum.

Question 15

A nurse is admitting a patient to an acute care facility. During the admission procedure, what nursing intervention would best help reduce patient anxiety?

Accepted Answer

A)  Transport the patient by wheelchair. 
B)  Inform the physician that the patient is admitted. 
C)  Greet the patient by name. 
D)  Collect financial information during the interview. 
A)  Transport the patient by wheelchair. 
B)  Inform the physician that the patient is admitted. 
C)  Greet the patient by name. 
D)  Collect financial information during the interview.

Question 16

A nurse is caring for a Haitian American patient. How might the nurse demonstrate cultural sensitivity?

Accepted Answer

A)  Discarding any leaves the patient may have brought with them 
B)  Assigning the patient to a room with any Haitian American patient 
C)  Instructing the patient to ride in a wheelchair when discharged 
D)  Allowing the patient to walk out of the hospital when discharged 
A)  Discarding any leaves the patient may have brought with them 
B)  Assigning the patient to a room with any Haitian American patient 
C)  Instructing the patient to ride in a wheelchair when discharged 
D)  Allowing the patient to walk out of the hospital when discharged

Question 17

What essential part of the admission procedure is performed by the RN?

Accepted Answer

A)  Securing the patient's valuables 
B)  Confirming the type of insurance coverage 
C)  Obtaining a health history 
D)  Familiarizing the patient with the room 
A)  Securing the patient's valuables 
B)  Confirming the type of insurance coverage 
C)  Obtaining a health history 
D)  Familiarizing the patient with the room

Question 18

The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital. When a child experiences separation anxiety they will usually cry. What will an older adult often demonstrate when experiencing separation anxiety?

Accepted Answer

A)  Withdrawal 
B)  Anger 
C)  Depression 
D)  Regression 
A)  Withdrawal 
B)  Anger 
C)  Depression 
D)  Regression

Exam 13: Admission, Transfer, and Discharge

Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath, which is a time of rest.

When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. What does this behavior suggest as a common reaction to hospitalization?

Before the actual discharge occurs, what must the nurse ensure ?

When a patient demands to be discharged without a physician's order and is leaving the unit with his belongings, what should the nurse ask the patient to sign?

The nurse completes thorough documentation before, during, and after a transfer to ensure _______ of _______.

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?

If a patient has an order for an interagency transfer where does the nurse explain that the patient will be moved?

Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses?

Because of the stress caused by hospitalization, the nurse assesses a newly admitted older adult patient for ________________.

When should discharge planning begin?

The nurse adheres to the discharge standards set by The Joint Commission (TJC), which include that patients will receive instruction regarding which aspect(s) of care? (Select all that apply.)

Upon admission, the nurse notes that a patient without family members present has a billfold filled with cash. Where can the nurse suggest the money be placed?

How can the nurse demonstrate cultural sensitivity to a Haitian American patient?

How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)

A nurse is admitting a patient to an acute care facility. During the admission procedure, what nursing intervention would best help reduce patient anxiety?

A nurse is caring for a Haitian American patient. How might the nurse demonstrate cultural sensitivity?

What essential part of the admission procedure is performed by the RN?

The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital. When a child experiences separation anxiety they will usually cry. What will an older adult often demonstrate when experiencing separation anxiety?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters

The nurse completes thorough documentation before, during, and after a transfer to ensure _ of _.