admission, transfer, discharge Flashcards
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:
Fear of the unknown may be the most common reaction to hospitalization.
During the admission procedure, the nursing intervention would best help reduce patient anxiety?
Greeting the patient by name is one of the most important aspects of admission.
An essential part of the admission procedure performed by the RN is to:
Admission assessment is performed by the RN.
Discharge planning should begin:
Discharge planning begins shortly after admission.
To help the family of a patient find a source of financial aid to meet medical expenses, the nurse can make a referral to:
Often a patient will require services of various disciplines within the hospital. Social services can assist with meeting medical financial obligations.
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):
If a doctor cannot convince the patient to stay, the patient should sign an against medical advice form.
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:
The older adult may demonstrate depression as a result of separation anxiety entering the hospital.
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
Valuables should be locked in the hospital safe.
If a patient has an order for an interagency transfer, the nurse explains that the patient will be moved from:
The interagency transfer moves a patient from one health care agency to another.
Before the actual discharge, the nurse must ensure that the patient:
It is essential that the patient be fully aware of the discharge instructions before being discharged.
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). The nurse should:
notify the physician that the patient is threatening to leave AMA.
The nurse demonstrates cultural sensitivity to a Haitian-American patient by:
allowing the patient to keep leaves in her room.
A nurse is caring for a Haitian-American patient. The nurse demonstrates cultural sensitivity by:
allowing the patient to walk out of the hospital when discharged.
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. Give simple explanation of policies.
C. Involve the patient in the plan of care.
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