Deck 11: Admission, Transfer, and Discharge

Question 1

If a patient has an order for an interagency transfer,the nurse explains that the patient will be moved from:

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.

Answer 1

one facility to another.

Question 2

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

Answer 2

continuity,care
Clear documentation before,during,and after a transfer ensures that the patient's condition is being monitored and maintains the continuity of care.

Question 3

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

Answer 3

Medications
Rehabilitation techniques
Referral to community agencies
Medical equipment to be used

Question 4

During the admission procedure,the 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 5

Discharge planning should begin:

A) the day before discharge.
B) on the first day postoperatively.
C) shortly after admission.
D) when the doctor orders it.

Question 6

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).The nurse should:

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

When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.This behavior suggests a common reaction to hospitalization,which is:

A) relief about being cared for.
B) fear of the unknown.
C) feeling of powerlessness.
D) concern about cost.

Question 8

To help the family of a patient find a source of financial aid to meet medical expenses,the nurse can make a referral to:

A) a local bank.
B) a clinical nurse specialist.
C) the hospital administration.
D) social services.

Question 9

The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital.A child will usually cry,whereas an older adult will often demonstrate:

A) withdrawal.
B) anger.
C) depression.
D) regression.

Question 10

The nurse reminds the staff that the Haitian-American patient perceives a mystical and healing power in ________.

Question 11

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.

Question 12

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

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

Question 13

Upon admission,the nurse notes that a patient has a billfold filled with cash.Because there is no family member present,the nurse suggests that the money be:

A) placed in a sealed envelope in the bedside table.
B) given to hospital security.
C) locked in the narcotic cupboard.
D) placed in the hospital safe.

Question 14

The nurse demonstrates cultural sensitivity to a Haitian-American patient by:

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

Question 15

An essential part of the admission procedure performed by the RN is to:

A) secure the patient's valuables.
B) confirm the type of insurance coverage.
C) obtain a health history.
D) familiarize the patient with the room.

Question 16

A nurse is caring for a Haitian-American patient.The nurse demonstrates cultural sensitivity by:

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

Before the actual discharge,the nurse must ensure that the patient:

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

Question 18

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