Chapter 13 Flashcards
The______________,____________, and ______________ require that all hospitals and other healthcare facilities present a patients Bill of Rights to the patient or the patient’s legal guardian at the time of admission
Joint Commission, medicare and Medicaid services
And intra-agency transfers required documentation from the ______________ and the healthcare providers as well as a(n)________________ for the patient indicating the years she understands the risk and benefits associated with the transfer
Documentation from accepting facility
Signed consent
The Joint Commission (TJC) requires each hospitalized patient to have an admission assessment pre-paired buy a registered nurse within ______ hour(s) of the mission
24
A rational patient wishes to leave the hospital against medical advice (AMA), despite the nurses best attempt at therapeutic communication. What is the nurses first responsibility?
Notify the health care provider
The patient has an old head injury and demonstrates intermediate periods of belligerents and confused interspersed with appropriate behaviors. He is currently angry and wants to leave AMA. The nurse is unable to reach the healthcare provider. What should the nurse do first?
Notify the RN, because the patient now has acute needs
During the admission of a patient to a health care facility, the responsibilities of the admission department representative include
- Obtaining identifying information
- Giving information on health insurance portability and accountability act
- place correct ID band on patient’s wrist
- obtaining emergency contact information
- gathering insurance information
Which newly admitted patient is most likely to need and benefit from an individualized explanation of the bathroom facilities?
-A 65 year old man who is from a rural farming region of China
The nurse is placing an ID been on a patient who was admitted through the emergency department. What is the best thing to say as the band is applied
“The primary purpose of the band is to maintain safety.”
The patient is newly admitted in seems anxious, but also appears very tentative about asking questions. Which statement by the nurse best demonstrate empathy?
“You seem a little uncertain; do you have any questions?”
The nurse is trying to explain the big controls in the call button and other items related to hospitalization, but the elderly patient keeps telling the nurse to “wait for my son to get here.” What should the nurse do first?
Offer comfort measures and ensure patient safety.
Which task(s) related to admitting a new patient can be delegated by the U a P?
- obtain personal care items, such as a water pitcher or packaged cleaning cloths
- position the bid for transferred from stretcher or wheelchair
- assist patient to arrange a desired items, such as eyeglasses, within reach
The patient tells the nurse that he will like to be transferred to hospital X, because his cardiologist doesn’t come to hospital Y. What should the nurse do?
Advise the patient that a transfer requires in order from the healthcare provider
A patient with Alzheimer’s disease is being transferred from a long term care visit with you to an acute care hospital for possible sepsis and change in mental status. Which question is the most important to ask the nurse who is giving the report?
“what is the patient’s baseline mental status and behavior?”
Which patient is likely to have the most complex discharge plan?
A 73-year-old man with chronic disease who has no family in the area
The nurses giving instructions to a family caregiver of an older patient who will need help after discharge from the hospital. The nurse senses tension, resentment, and unwillingness from the caregiver. What should the nurse do first?
Assess the caregivers attitude towards the patient in the circumstances
