Chapter 11

Question 1

Admission ?

Answer 1

-entry of a patient into the health care facility
-begins in the admissions department
-patient will sign several forms

Question 2

Admission routines that are efficient and show appropriate?

Answer 2

-concern for the patient can ease anxiety and promote cooperation and positive response to treatment

Question 3

The patient self-determination act of 1991 ?

Answer 3

-addresses the patient rights to refuse or accept medical treatment

Question 4

HIPAA (Health insurance portability and accountability Act ?

Answer 4

-addresses the privacy of all information received from the patient

Question 5

Common Patient Reactions to Hospitalization on The nurse can anticipate some common ?

Answer 5

-fear of the unknown
-loss of identity
-disorientation
-separation anxiety
-loneliness

Question 6

Nursing Interventions for Common Patient Reaction?

Answer 6

-have a warm,caring attitude and be courteous
-show empathy
-treat patient with respect
-maintain their dignity
-involve them in the plane of care -whenever possible,adjust hospital routine to meet their desires

Question 7

Cultural Consideration?

Answer 7

-secure an interpreter when needed
-respect the patient as an individual
-avoid treating these patient differently than other patients “special” treatment may be interpreted as patronizing
-do not assume they are angry,aggressive or hostile if they speak loudly or more emotionally than most patients -use titles such as Mr or Mrs

Question 8

Nursing Process ?

Answer 8

-assessment
-patient problem
-expected outcome and planning
-implementation
-evaluation

Question 9

Nurses Responsibilities?

Answer 9

-when unit staff is notified that a new patient is being escorted to a room,the room should be made ready
-special equipment should be placed and ready when the patient arrives
-greet the patient
-give an orientation to the unit and the room
-explain the hospital routine

Question 10

Admitting Procedure on the Patient Care Unit?

Answer 10

-check the ID band and verify the information with patient
-assess immediate needs such as a pain,shortness of breath or severe anxiety
-introduce roommate,if present
-jewelry,money and medication should be given to the family to take home

Question 11

Once the patient is established in the room,the nurse should?

Answer 11

-take the health history
-perform the initial assessment
-the provider is notified when the patient has been admitted

Question 12

Transferring A Patient?

Answer 12

-the changing condition of a patient,whether improved or more critical,may require transfer either to another unit in the hospital or to another health care institution,such as nursing home or rehabilitation hospital

-the patient transfer requires thorough preparation and careful documentation

Question 13

Discharge Planning ?

Answer 13

-systematic process of planning for patient care after discharge from the hospital
-although discharge from a healthcare facility is usually considered routine ,effective discharge requires careful planning and continuing assessment of the patient needs during hospitalization
-risk factors should be identified
-discharge planning involves multidisciplinary action with participation by all members of the health care team,the patient and the patient family
-referrals for health care service are considered

Question 14

Discharge Process?

Answer 14

-many hospitals have a form with written instruction and teaching documentation for the patient to sign and acknowledge understanding of the instructions

-these instructions serve as a guide for the patient to use at home

Question 15

Against Medical Advice (AMA)?

Answer 15

-this is when a patient leaves a healthcare facility without a provider’s order for discharge

-notify the provider immediately

-if the provider fails to convince the patient to remain in the facility,the provider will ask the patient to sign an ama form,releasing the facility from legal responsibility for any medical problem the patient may experience after discharge

-do not detain the patient this violates his or her legal right

Question 16

Admission ?

Answer 16

(entry of a patient into the health care facility) to a hospital

-other health care facility (any agency that provides health care ) is an anxious time for patients and their families

Question 17

Some common reactions include?

Answer 17

fear of the unknown , loss of identity , disorientation ( mental confusion characterized by inadequate or incorrect perception of place , time , and identity ) , separation anxiety ( fears and apprehension caused by separation from familiar surroundings and significant people ) , and loneliness

Question 18

ability to recognize and to some extent share the emotions and state of mind of another and to understand the meaning and significance of that person’s behavior?

Answer 18

empathy

Question 19

Culture Considerations ?
religious beliefs

Answer 19

• religious beliefs , this belief must be considered an influencing variable

-Many Haitians believe that leaves have a special significance in healing

-Haitian cultures , a nurse is given more authority and status than a physician

-A traditional Japanese belief is that contact with blood, skin disease, and corpses causes illness. Some Japanese also believe improper care of the body including poor diet and lack of sleep , causes illness

-Orthodox Jewish patients observe sundown Friday to sundown Saturday as the Sabbath which is a time of rest The

Question 20

The role of the LPN /LVN in the nursing process as stated is that the LPN /LVN will ?

Answer 20

-Participate in planning care for patients based on patient needs
-Review patient’s plan of care and recommend revisions as necessary
-Review and follow defined prioritization for patient care -Use clinical pathways , care maps, or care plans to guide and review patient care

Question 21

Subject date and objective data are collected ?

Answer 21

Assessment

Question 22

do staff ensure continuity of care?

Answer 22

(continuing of established patient care from one setting to another ) and provides legal protection for the transferring facility and its staff.

Question 23

Discharge planning is defined as the ?

Answer 23

systematic process of planning for patient care after discharge from a hospital or health care facility

Question 24

discharge?

Answer 24

from a facility usually is considered routine, effective discharge requires careful planning and continued assessment of the patient’s needs during the stay in facility

Question 25

Referrals and Discharge Planning ?

Answer 25

1.DIETITIAN
-Provides proper nutrient and food source requirements in patients ‘ diets Instructs patients on meal planning and diet restrictions
2.SOCIAL WORKER
-Provides counseling for major life crises, such as terminal illness and family problems
-Assists in finding community resources, such as equipment for home health care or an agency that accepts patients after discharge from a facility
-Assists in finding financial resources to cover medical costs 3.PHYSICAL THERAPIST
- Assists in the examination and treatment of physically disabled people
-Assists in rehabilitating patients and restoring musculoskeletal function to a patient’s greatest potential 4.OCCUPATIONAL THERAPIST
-Teaches patients to adapt to physical or cognitive challenges by learning new vocational skills or activities of daily living
5.SPEECH THERAPIST
-Assists patients with disorders that affect normal oral communication Assists patients with techniques that address swallowing disorders
6.CLINICAL NURSE SPECIALIST
-Consults with nursing staff on appropriate nursing interventions for complex nursing diagnoses Provides instruction to patients and family members who will assume patient care
7.HOME HEALTH CARE NURSE
-Provides follow-up discharge visits to a patient’s home for the delivery of nursing services

Question 26

What is AMA?

Answer 26

-against medical advice (AMA; when a patient leaves a health care facility without a health care provider’s order for discharge)
-If this occurs, notify the health care provider immediately
-If the health care provider is not available , discuss the discharge form with the patient and obtain the patient’s signature.
-If the patient refuses to sign the AMA form, do not detain the patient
-After the patient leaves, document the incident thoroughly in your notes and notify the health care provider