admission, transfer, discharge Flashcards

1
Q

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

Fear of the unknown may be the most common reaction to hospitalization.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

During the admission procedure, the nursing intervention would best help reduce patient anxiety?

A

Greeting the patient by name is one of the most important aspects of admission.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

Admission assessment is performed by the RN.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Discharge planning should begin:

A

Discharge planning begins shortly after admission.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

Often a patient will require services of various disciplines within the hospital. Social services can assist with meeting medical financial obligations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

If a doctor cannot convince the patient to stay, the patient should sign an against medical advice form.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

The older adult may demonstrate depression as a result of separation anxiety entering the hospital.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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:
Care Environment

A

Valuables should be locked in the hospital safe.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

The interagency transfer moves a patient from one health care agency to another.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

It is essential that the patient be fully aware of the discharge instructions before being discharged.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

notify the physician that the patient is threatening to leave AMA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

allowing the patient to keep leaves in her room.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A

allowing the patient to walk out of the hospital when discharged.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

a. Medications
b. Rehabilitation techniques
c. Referral to community agencies
d. Medical equipment to be used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

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.

17
Q

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

A

leaves

Haitian-Americans perceive a mystical power in leaves.

18
Q

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

A

disorientation
In a normally alert and oriented older adult, medical conditions that necessitate hospitalization often result in some level of disorientation.