Question 1

Before the actual discharge,the nurse must ensure that the patient:

Accepted Answer

A)  is well enough to go home. 
B)  has not been overly medicated. 
C)  understands the discharge instructions. 
D)  has adequate transportation. 
A)  is well enough to go home. 
B)  has not been overly medicated. 
C)  understands the discharge instructions. 
D)  has adequate transportation. C

Question 2

The nurse completes thorough documentation before,during,and after a transfer to ensure _______ of _______.

Accepted Answer

continuity,care
Clear documentation before,during,and after a transfer ensures that the patient's condition is being monitored and maintains the continuity of care.

Question 3

An essential part of the admission procedure performed by the RN is to:

Accepted Answer

A)  secure the patient's valuables. 
B)  confirm the type of insurance coverage. 
C)  obtain a health history. 
D)  familiarize the patient with the room. 
A)  secure the patient's valuables. 
B)  confirm the type of insurance coverage. 
C)  obtain a health history. 
D)  familiarize the patient with the room. C

Question 4

When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.This behavior suggests a common reaction to hospitalization,which is:

Accepted Answer

A)  relief about being cared for. 
B)  fear of the unknown. 
C)  feeling of powerlessness. 
D)  concern about cost. 
A)  relief about being cared for. 
B)  fear of the unknown. 
C)  feeling of powerlessness. 
D)  concern about cost.

Question 5

How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)

Accepted Answer

A)  Show the patient how bedside equipment works. 
B)  Explain the need to establish a clear source of reimbursement. 
C)  Give simple explanation of policies. 
D)  Involve the patient in the plan of care. 
E)  Keep family interventions to a minimum. 
A)  Show the patient how bedside equipment works. 
B)  Explain the need to establish a clear source of reimbursement. 
C)  Give simple explanation of policies. 
D)  Involve the patient in the plan of care. 
E)  Keep family interventions to a minimum.

Question 6

Discharge planning should begin:

Accepted Answer

A)  the day before discharge. 
B)  on the first day postoperatively. 
C)  shortly after admission. 
D)  when the doctor orders it. 
A)  the day before discharge. 
B)  on the first day postoperatively. 
C)  shortly after admission. 
D)  when the doctor orders it.

Question 7

If a patient has an order for an interagency transfer,the nurse explains that the patient will be moved from:

Accepted Answer

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. 
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.

Question 8

During the admission procedure,the nursing intervention would best help reduce patient anxiety?

Accepted Answer

A)  Transport the patient by wheelchair. 
B)  Inform the physician that the patient is admitted. 
C)  Greet the patient by name. 
D)  Collect financial information during the interview. 
A)  Transport the patient by wheelchair. 
B)  Inform the physician that the patient is admitted. 
C)  Greet the patient by name. 
D)  Collect financial information during the interview.

Question 9

The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital.A child will usually cry,whereas an older adult will often demonstrate:

Accepted Answer

A)  withdrawal. 
B)  anger. 
C)  depression. 
D)  regression. 
A)  withdrawal. 
B)  anger. 
C)  depression. 
D)  regression.

Question 10

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).The nurse should:

Accepted Answer

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 physician that the patient is threatening to leave AMA. 
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 physician that the patient is threatening to leave AMA.

Question 11

The nurse adheres to the discharge standards set by The Joint Commission (TJC),which include that patients will receive instruction regarding which aspect(s)of care? (Select all that apply.)

Accepted Answer

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 
E)  Obtaining health insurance

Question 12

To help the family of a patient find a source of financial aid to meet medical expenses,the nurse can make a referral to:

Accepted Answer

A)  a local bank. 
B)  a clinical nurse specialist. 
C)  the hospital administration. 
D)  social services. 
A)  a local bank. 
B)  a clinical nurse specialist. 
C)  the hospital administration. 
D)  social services.

Question 13

The nurse reminds the staff that the Haitian-American patient perceives a mystical and healing power in ________.

Accepted Answer

leaves
Haitian-Ameri

Question 14

When a patient demands to be discharged without a physician's order and is leaving the unit with his belongings,the nurse should ask the patient to sign a(n):

Accepted Answer

A)  form exercising patient's rights. 
B)  discharge against medical advice form. 
C)  informed consent. 
D)  advanced directive. 
A)  form exercising patient's rights. 
B)  discharge against medical advice form. 
C)  informed consent. 
D)  advanced directive.

Question 15

A nurse is caring for a Haitian-American patient.The nurse demonstrates cultural sensitivity by:

Accepted Answer

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. 
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.

Question 16

The nurse demonstrates cultural sensitivity to a Haitian-American patient by:

Accepted Answer

A)  providing a well lit room 24 hours a day. 
B)  writing out all instructions given to the patient. 
C)  allowing the patient to keep leaves in her room. 
D)  asking the physician to provide all directions to the patient. 
A)  providing a well lit room 24 hours a day. 
B)  writing out all instructions given to the patient. 
C)  allowing the patient to keep leaves in her room. 
D)  asking the physician to provide all directions to the patient.

Question 17

Upon admission,the nurse notes that a patient has a billfold filled with cash.Because there is no family member present,the nurse suggests that the money be:

Accepted Answer

A)  placed in a sealed envelope in the bedside table. 
B)  given to hospital security. 
C)  locked in the narcotic cupboard. 
D)  placed in the hospital safe. 
A)  placed in a sealed envelope in the bedside table. 
B)  given to hospital security. 
C)  locked in the narcotic cupboard. 
D)  placed in the hospital safe.

Question 18

Because of the stress caused by hospitalization,the nurse assesses a newly admitted older adult patient for ________________.

Accepted Answer

disorientation
In a normally a

Exam 11: Admission, Transfer, and Discharge

Before the actual discharge,the nurse must ensure that the patient:

The nurse completes thorough documentation before,during,and after a transfer to ensure _______ of _______.

An essential part of the admission procedure performed by the RN is to:

When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.This behavior suggests a common reaction to hospitalization,which is:

How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)

Discharge planning should begin:

If a patient has an order for an interagency transfer,the nurse explains that the patient will be moved from:

During the admission procedure,the nursing intervention would best help reduce patient anxiety?

The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital.A child will usually cry,whereas an older adult will often demonstrate:

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).The nurse should:

The nurse adheres to the discharge standards set by The Joint Commission (TJC),which include that patients will receive instruction regarding which aspect(s)of care? (Select all that apply.)

To help the family of a patient find a source of financial aid to meet medical expenses,the nurse can make a referral to:

The nurse reminds the staff that the Haitian-American patient perceives a mystical and healing power in ________.

When a patient demands to be discharged without a physician's order and is leaving the unit with his belongings,the nurse should ask the patient to sign a(n):

A nurse is caring for a Haitian-American patient.The nurse demonstrates cultural sensitivity by:

The nurse demonstrates cultural sensitivity to a Haitian-American patient by:

Upon admission,the nurse notes that a patient has a billfold filled with cash.Because there is no family member present,the nurse suggests that the money be:

Because of the stress caused by hospitalization,the nurse assesses a newly admitted older adult patient for ________________.

the Evolution of Nursing

Legal and Ethical Aspects of Nursing

Communication

Vital Signs

Physical Assessment

Nursing Process and Critical Thinking

Documentation

Cultural and Ethnic Considerations

Life Span Development

Loss, grief , dying, and Death

Medical-Surgical Asepsis and Infection Prevention and Control

Surgical Wound Care

Safety

Body Mechanics and Patient Mobility

Pain Management, Comfort, Rest, and Sleep

Complementary and Alternative Therapies

Hygiene and Care of the Patient’s Environment

Specimen Collection and Diagnostic Examination

Selected Nursing Skills

Basic Nutrition and Nutrition Therapy

Fluids and Electrolytes

Mathematics Review and Medication Administration

Emergency First Aid Nursing

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical Disorder

Care of the Child with a Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Basic Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

Filters

The nurse completes thorough documentation before,during,and after a transfer to ensure _ of _.