Deck 13: Admission, Transfer, and Discharge

Question 1

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

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.

Answer 1

Show the patient how bedside equipment works.
Give simple explanation of policies.
Involve the patient in the plan of care.

Question 2

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?

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

Answer 2

A discharge against medical advice form

Question 3

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?

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

Answer 3

In the hospital safe

Question 4

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

Question 5

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?

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

Question 6

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

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 7

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?

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

Question 8

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

Question 9

When should discharge planning begin?

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

Question 10

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

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.

Question 11

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) 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 12

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

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 13

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

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

Question 14

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

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 15

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.)

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

Question 16

How can the nurse demonstrate cultural sensitivity to a Haitian American 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 17

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

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 18

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