Practice Question 11 Flashcards
When the patient is received from the admitting department, what does the nurse expect has been completed? ( Select all that apply )
- The patient has been informed of the Patient’s Bill of Rights
2.A list of patient allergies has been recorded in the patient’s record
- The patient has been informed of current health care provider’s orders.
- The patient has an allergy band in place
- The patient has an ID band in place with proper identification information .
1,5
A patient is admitted for observation and various diagnostic tests . What is the initial nursing action in the admission process ?
- The nurse introduces self and roommates .
- The nurse measures vital signs
- The nurse helps the patient get undressed and into bed
- The nurse notifies the physician
1
A 90 -year -old patient has been hospitalized with pneumonia and needs reorientation to his surroundings periodically . The nurse assisting him with his morning care hears the unlicensed assistive personnel (UAP ) refer to the patient as “Gramps “ What action should the nurse take ?
- Tell the UAP it is okay to call him “Gramps “ if hehas grandchildren
- Inform the UAP that it is acceptable if the UAP cannot remember his name
- Explain that it is acceptable if the UAP feels comfortable calling him “Gramps . “
- Educate the UAP that it is not acceptable to call the patient “Gramps “ unless the patient has requested to be called this .
4
A patient has been transferred out of the to a medical unit . A nurse has been assigned to complete the transfer Which type of transfer is this ?
- Patient -initiated transfer
- Interagency transfer
- Business office transfer
- Intra -agency transfer
4
A patient is being transferred to the surgical unit from the recovery room after extensive surgery as the result of trauma from an automobile accident. What concept should the nurse remember when transferring this patient ?
- The patient is a human who deserves dignity, courtesy, and respect.
- The patient is ill and unable to make decisions or give accurate information.
- The nurse knows best and should tell the patient what to do.
- Families get in the way and should be encouraged not to get involved in the patient’s care.
1
A patient has been recently diagnosed and hospitalized for type 1 diabetes. The multidisciplinary health care team has been preparing her for discharge. What is the primary purpose of discharge planning ?
- Verifying prescribed medications
- Providing accurate medical treatment
- Supplying ongoing patient education
- Ensuring continuity of care
4
A patient has been hospitalized for 6 days with a diagnosis of a stroke . When should the nurse begin the patient’s discharge planning?
- When his condition has stabilized
- On his admission to the hospital
- When he begins to ask questions
- When his family asks for information
2
A patient is determined to leave the hospital. His health care provider is not aware of his intent, nor is it in his best interest to be discharged at this time. When patient chooses to leave a health care facility without a health care provider’s order, what should the nurse do? (Select all that apply )
- Call the family so that they can expect the patient at home
- Allow the patient to leave because no one can be held against his or her will
- Call security because a physician’s order is necessary before a patient may leave
- Notify the physician as soon as possible regarding the patient’s intent.
5.Explain the risks of leaving and request that the patient sign a paper accepting responsibility for problems that may occur .
4,5
The nurse is admitting a patient to the long-term care facility. What nursing diagnosis is most appropriate at this time?
- Self-care deficit, activities of daily living related to necessary admission to a long-term care facility
- Anxiety related to new living environment
- Ineffective coping related to admission to a long-term care facility
- Loneliness related to separation from family and friends
2
The patient is being discharged from the hospital to home and will be assisted with abdominal bandage changes by his wife. Which nursing action is most important?
- Ask the patient if he has any questions .
- Have the patient and wife read all discharge instructions .
- Demonstrate how to change the bandage every time the wife visits .
- After teaching , ask the patient and his wife to perform the bandage change and observe their technique .
4
A patient is being admitted to the hospital for stabilization of a heart condition . Before the patient arrives on the nursing unit , what tasks will the admissions department complete ? (Select all that apply)
- The patient will have signed consent for treatment .
- The admissions staff will itemize the patient’s belongings .
- The patient’s vital signs will be measured .
- The physician’s orders will be reviewed .
- The admissions staff will place the hospital ID band on the patient’s wrist .
1,5
During the admission of a patient to a long-term care facility, for what is the LPN/ LVN most likely responsible ?
- Admission charting
- Admission interview
- Formulating nursing diagnoses
- Obtaining vital signs and assisting with assessment
4
The nurse is discharging a patient for the first time. What documentation demonstrates that the nurse understands the discharge process? ( Select all that apply.)
- A summary of the patient’s stay
- An account of all financial obligations
- The method of discharge
- A summary of personnel who cared for the patient
- Where the patient is being discharged to
3,5
The services of a transition specialist for patient discharge are most important for which reason?
- Increasing insurance reimbursement rates for facilities
- Improving continuity of care from facility to home
- Ensuring completion of facility documentation requirements
- Preventing readmitting of patients to hospitals
2
What is the correct order of the steps for discharging a patient from a long-term care facility?
- Asking the patient what the home situation is in regard to people who can assist in care, levels of floors, and number of steps
- Giving the patient written discharge instructions
- Obtaining the order for the resident to be discharged
- Meeting with members of the health care team such as the physical therapist or dietitian , to discuss the patient’s discharge
1,4,3,2
