Exam 2: Admitting, transfer, and Discharge

The patient has decided that he would like to create an advance directive.The nurse is asked if she would be a witness.The nurse should:

The patient has been admitted to the Emergency Department after being beaten and raped.She is agitated and frightened that her attacker may find her in the hospital and try to kill her.The nurse informs the patient that:

The patient is an 83-year-old gentleman who has the beginning stages of dementia.To prevent the patient from falling or "escaping," the nurse should:

The patient is in the Emergency Department of a small community hospital complaining of severe chest discomfort.The patient needs to have emergency cardiac catheterization with possible angioplasty,but to receive the procedure,he will have to be transferred to a larger hospital about 10 miles away.To transport this patient,the nurse will need to:

An unconscious patient is admitted through the emergency room.Identification of the patient should be:

Under the Health Insurance Portability and Accountability Act (HIPAA),a patient must: (Select all that apply.)

The patient is admitted to the unit for a cardiac catheterization.Which of the following can be delegated to nursing assistive personnel (NAP)? (Select all that apply.)

The patient is being admitted to the intensive care department with multiple fractures and internal bleeding.Which of the following are considered roles of the nurse in this situation? (Select all that apply.)

The patient is admitted to the ICU after having been in a motor vehicle accident.He was intubated in the Emergency Department and needs to receive two units of packed red blood cells.He is conscious but is indicating that he is in pain by guarding his abdomen.To admit this patient,the nurse first will focus on:

The patient is being transferred from the Emergency Department to another institution for treatment.Which of the following cannot be delegated to nursing assistive personnel (NAP)?

During admission of a patient,the nurse notes that the patient speaks another language and may have difficulty understanding English.The nurse should:

Completing and documenting an accurate medication history from the patient is the important first step in the _____________ process.

If a patient is having acute physical problems,postpone routine admission procedures until the patient's immediate needs are met.A ________________ assessment is needed at this point.

The patient arrives at the emergency department complaining of severe abdominal pain and vomiting.The patient is severely dehydrated.The physician orders the patient to receive IV fluids for the dehydration and an IV antiemetic.However,the patient states that she is fearful of needles and adamantly refuses to have an IV started.The nurse explains the importance and rationale for the ordered treatment,but the patient continues to refuse.The nurse should:

Any manual method or physical or mechanical device,material,or equipment attached or adjacent to the patient's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body is defined as a ___________________.

When transferring a patient,the nurse must ensure that the patient will receive ____________________.

The nurse is providing discharge instruction to an 80-year-old patient and her daughter.The patient lives in a two-story home.When asked if the patient has difficulty climbing the stairs,the patient says "No," but the nurse notices a look of surprise on the daughter's face.The nurse should:

Which of the following are considered "advance directives?" (Select all that apply.)

The greatest challenge in effective discharge planning is _______________.

The patient is an older male with the diagnosis of "dementia." He is confused and wanders and is occasionally combative.The physician orders "Posey vest (restraint vest)PRN." The nurse should: