Admissions, Transfers, and Discharges

Question 1

Which of the following is true about patient concerns?
They are details that will work themselves out
They are not as important as getting your task done
They should be left to the nurses and therapy staff to work on
They should be prepared for and addressed with the patient

Answer 1

They should be prepared for and addressed with the patient

Question 2

Which form must be reviewed and signed by the patient or a responsible family member?
Personal inventory
Valuables list
All of the above

Answer 2

Personal inventory

Valuables list

Question 3

Which of the following is true of an assistant’s involvement with a patient’s belongings during an admission?
The assistant should list the patient’s belongings and file it without signatures.
The assistant should list the patient’s belongings and then get the patient to review it and sign it.
The patient’s personal belongings are the patient’s responsibility and the assistant should not get involved.

Answer 3

The assistant should list the patient’s belongings and then get the patient to review it and sign it.

Question 4

Which of the following occurs when a patient arrives at a health care facility?
Transfer
Discharge
Admission

Answer 4

Admission

Question 5

During Mr. Miller’s admission, he expresses his concerns about getting help when it is needed to the assistant, Nevin. What could Nevin do to reassure Mr. Miller that his needs will be met?
Show Mr. Miller how to use the call signal and explain with sincerity that someone on the staff will check on him often.
Laugh and tell Mr. Miller not to be so silly, of course nothing is going to happen to him.
Gently scold Mr. Miller for thinking that the staff wouldn’t do their job in looking after him.
All of the above

Answer 5

Show Mr. Miller how to use the call signal and explain with sincerity that someone on the staff will check on him often.

Question 6

Why must assistants be familiar with admission, transfer, and discharge processes?
Assistants are typically responsible for the procedure.
Physicians expect that anyone on staff can fill-in if there is an emergency.
Knowing everything about your facility is part of being a professional.
Tasks for these procedures are often assigned to assistants.

Answer 6

Tasks for these procedures are often assigned to assistants.

Question 7

Cara, an assistant, was about to begin a patient transfer, but was called away on an emergency. She quickly asks Marc, another assistant, to do the transfer for her. What should Marc do first?
Rush into the patient’s room and explain that he just got this assignment
Calmly take a minute to find out the patient’s name, any special needs the patient may have, and confirm where and how the patient is being transferred and if the new location is ready
Ask an assistant with less seniority to do the transfer

Answer 7

Calmly take a minute to find out the patient’s name, any special needs the patient may have, and confirm where and how the patient is being transferred and if the new location is ready

Question 8

Which form lists the patient’s personal items that will be stored in a safe in the facility?
Personal inventory
Valuables list
All of the above

Answer 8

Valuables list

Question 9

Regina, an assistant, is breezing through her admission routine with Mrs. Sampson, a new patient, and her adult children. She notices that Mrs. Sampson has a look of concern on her face. What should Regina do?
Slow down and with sincerity ask Mrs. Sampson if she has any questions or concerns
Keep going and hope that Mrs. Sampson will tune back in before she’s done
Continue the process, but speak directly to Mrs. Sampson’s children instead
All of the above

Answer 9

Slow down and with sincerity ask Mrs. Sampson if she has any questions or concerns

Question 10

Which form lists all the patient’s personal items that will be kept in the patient’s room?
Personal inventory
Valuables list
All of the above

Answer 10

Personal inventory

Question 11

Which of the following is a good way to address patient concerns?
Be courteous, but try not to get involved
Tell the patient that the nurse can address these issues with them
Have equipment and materials prepared
Focus on getting your task completed

Answer 11

Have equipment and materials prepared

Question 12

Which of the following is the most important indicator of health of the body?
Level of consciousness
Pain and the patient’s reaction to stimuli
Vital signs
Color of the skin and size of the pupils

Answer 12

Vital signs

Question 13

Which of the following is true of vital signs?
You will rarely need to measure a patient’s vital signs
Vital signs are the only indicators of a patient’s health.
It is critical you know how to measure vital signs accurately.
Measurement of pain isn’t necessary if you have already measured the patient’s vital signs.

Answer 13

It is critical you know how to measure vital signs accurately.

Question 14

Which type of examination typically includes a blood and urine test?
 General
 EENT
 GYN
 All of the above

Answer 14

General

Question 15

Which patient is likely to be uncomfortable in the supine position?
 A patient with back pain
 An elderly patient
 A patient with a hip replacement
 A patient with arthritis

Answer 15

A patient with back pain

Question 16

During admission, what should you do if the patient is unable to answer questions?
Ask all family members to wait in the lounge or lobby
Ask all responsible family members to remain in the room
Ask a responsible family member to remain in the room and excuse the others
All of the above

Answer 16

Ask a responsible family member to remain in the room and excuse the others

Question 17

Which type of examination requires an ophthalmoscope?
 General
 EENT
 GYN
 All of the above

Answer 17

EENT

Question 18

What is the purpose of a baseline assessment?
To schedule the correct ratio of nurses to patients
To determine the total cost of the patient’s care
Used as a reference point to measure the patient’s progress
To determine if the patient needs to see a doctor

Answer 18

Used as a reference point to measure the patient’s progress

Question 19

Which of the following would likely be included in a baseline assessment?
 Vital signs
 Body measurement
 Pain assessment
 Fall risk assessment
 All of the above

Answer 19

Vital signs
Body measurement
Pain assessment
Fall risk assessment

Question 20

Why should a supervisor be consulted before placing an elderly patient into the prone position?
Limited range of motion in their necks can make it uncomfortable
It is an undignified position
It can cause circulatory problems in those with leg disabilities
All of the above

Answer 20

Limited range of motion in their necks can make it uncomfortable

Question 21

Your patient is considerably overweight. As you measure the patient’s body weight, what should you do?
Attempt to put the patient at-ease by saying something like, “I never would have guessed that!”
Tell the patient that they have gained weight since their last appointment and suggest diet and exercise.
Tell the patient the weight measurement, despite being in a busy area of the office.
Record the patient’s weight in the chart and allow the physician to discuss it with the patient.

Answer 21

Record the patient’s weight in the chart and allow the physician to discuss it with the patient.

Question 22

For which type of examination would a vaginal speculum be used?
 General
 EENT
 GYN
 All of the above

Answer 22

GYN

Question 23

Tara, an assistant, usually helps patients unpack their belongings before orienting them to the room. A new patient, Mrs. Long, is preoccupied with concerns about how to find and use the telephone to call her daughter. What should Tara do?
Stick to her usual plan because that is how she likes to do it.
Be flexible by showing Mrs. Long how to use the phone first, so that she’ll be able to relax and concentrate on the rest of the important information.
Roll her eyes if Mrs. Long mentions the phone one more time.
All of the above

Answer 23

Be flexible by showing Mrs. Long how to use the phone first, so that she’ll be able to relax and concentrate on the rest of the important information.

Question 24

During admission, at what point should observation of the patient begin?
After the admission forms have been completed
As soon as the assistant greets the patient
After the patient is settled in bed and belongings are put away
As soon as the initial examination begins

Answer 24

As soon as the assistant greets the patient

Question 25

Which position uses stirrups?
 Supine
 Lithotomy
 Knee-chest
 Sim’s
 All of the above

Answer 25

Lithotomy

Question 26

During admission, how can an assistant help relieve patient anxiety?
By being self-conscious and unsure of one’s self
By making a good first impression
By ignoring the patient’s family members
All of the above

Answer 26

By making a good first impression

Question 27

Which of the following measurements can be used to record height?
 Inches
 Feet
 Centimeters
 All of the above

Answer 27

Inches
Feet
Centimeters

Question 28

If an assistant knows that a patient has decided to leave the facility before being discharged by a physician, what should the assistant do?
Sign discharge papers for the patient
Immediately report it to a nurse or supervisor
Restrain the patient
Try to talk the patient out of it

Answer 28

Immediately report it to a nurse or supervisor

Question 29

Which of the following would NOT result in a patient transfer?
The patient has asked to be moved to a quieter area.
The patient’s condition and needs have changed.
The patient does not get along with his roommate.
The patient’s needs are being met in the current room.

Answer 29

The patient’s needs are being met in the current room.

Question 30

During discharge, what is the most common method of transporting patients out of the facility?
The patient walks with assistance
The patient walks unassisted
The patient is transported by wheelchair
The patient is transported by stretcher

Answer 30

The patient is transported by wheelchair

Question 31

Lisa, an assistant, confirmed with Leo, another assistant, that Mr. Martin’s private room was ready for him. However, when Lisa arrives with Mr. Martin, all of the staff are busy with an unexpected emergency. What should Lisa do?
Return Mr. Martin to his original location.
Wait with Mr. Martin at the nurse’s station while the staff is preoccupied with the emergency.
Take Mr. Martin to his new room and start orienting him to his new surroundings until a staff member arrives.
Take Mr. Martin to his new room and leave him there with the call signal.
All of the above

Answer 31

Take Mr. Martin to his new room and start orienting him to his new surroundings until a staff member arrives.

Question 32

Which of the following occurs during a transfer, but not during an admission or discharge?
The assistant should try to relieve the patient’s concerns.
The assistant from the patient’s original location must work together with the health care workers in the patient’s new location.
It can be stressful to patients and their family members.
All of the above

Answer 32

The assistant from the patient’s original location must work together with the health care workers in the patient’s new location.

Question 33

Mr. Smith is very eager to leave the hospital. Wanda, an assistant, has been instructed to tell Mr. Smith that his physician has unexpectedly been called into surgery, but will complete his discharge order as soon as he is finished. Mr. Smith decides to leave immediately. What should Evan do?
Restrain Mr. Smith
Help Mr. Smith pack
Call Mr. Smith’s family
Immediately tell a nurse that Mr. Smith plans to leave AMA

Answer 33

Immediately tell a nurse that Mr. Smith plans to leave AMA

Question 34

How many times should an assistant who is performing a transfer go over the patient's belongings?
 One
 Two
 Three
 Only if there is time

Answer 34

Two

Question 35

In a patient discharge situation, what does AMA stand for?
 Against medical advice
 Approval for medical advancement
 Action for medical attention
 Application of medical advice

Answer 35

Against medical advice