Chapter 11 Flashcards
When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. What does this behavior suggest as a common reaction to hospitalization?
a. Relief about being cared for
b. Fear of the unknown
c. Feeling of powerlessness
d. Concern about cost
b. Fear of the unknown
A nurse is admitting a patient to an acute care facility. During the admission procedure,
what nursing intervention would best help reduce patient anxiety?
a. Transport the patient by wheelchair.
b. Inform the health care provider that the patient is admitted.
c. Greet the patient by name.
d. Collect financial information during the interview.
c. Greet the patient by name.
What essential part of the admission procedure is performed by the RN?
a. Securing the patient’s valuables
b. Confirming the type of insurance coverage
c. Obtaining a health history
d. Familiarizing the patient with the room
c. Obtaining a health history
When should discharge planning begin?
a. The day before discharge
b. On the first day postoperatively
c. Shortly after admission
d. When the health care provider orders it
c. Shortly after admission
Where can a nurse refer the family of a patient to find a source of financial aid to meet
medical expenses?
a. A local bank
b. A clinical nurse specialist
c. The hospital administration
d. Social services
d. Social services
When a patient demands to be discharged without a health care provider’s order and is
leaving the unit with his belongings, what should the nurse ask the patient to sign?
a. A form exercising the patient’s rights
b. A discharge against medical advice (AMA) form
c. An informed consent
d. An advanced directive
b. A discharge against medical advice (AMA) form
The nurse must be sensitive to an older adult patient experiencing separation anxiety when
admitted to the hospital. When a child experiences separation anxiety, they will usually cry.
What will an older adult often demonstrate when experiencing separation anxiety?
a. Withdrawal
b. Anger
c. Depression
d. Regression
c. Depression
Upon admission, the nurse notes that a patient without family members present has a
billfold filled with cash. Where can the nurse suggest the money be placed?
a. In a sealed envelope in the bedside table
b. In the care of hospital security
c. Locked in the narcotic cupboard
d. In the hospital safe
d. In the hospital safe
If a patient has an order for an interagency transfer, where does the nurse explain that the
patient will be moved?
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
d. One facility to another
Before the actual discharge occurs, what must the nurse ensure?
a. The patient is well enough to go home.
b. The patient has not been overly medicated.
c. The patient understands the discharge instructions.
d. The patient has adequate transportation.
c. The patient understands the discharge instructions.
A patient who is alert and oriented is threatening to leave the hospital against medical
advice (AMA). What action should the nurse take?
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 health care provider that the patient is threatening to leave AMA.
d. Notify the health care provider that the patient is threatening to leave AMA.
How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
a. By providing a well-lit room 24 hours a day
b. By writing out all instructions given to the patient
c. By allowing the patient to keep leaves in her room
d. By asking the health care provider to provide all directions to the patient
c. By allowing the patient to keep leaves in her room
A nurse is caring for a Haitian American patient. How might the nurse demonstrate cultural
sensitivity?
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
d. Allowing the patient to walk out of the hospital when discharged
The nurse adheres to the discharge standards set by The Joint Commission (TJC), which
include that patients will receive instruction regarding which aspects 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
a. Medications
b. Rehabilitation techniques
c. Referral to community agencies
d. Medical equipment to be used
