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Foundations/ nuring
Chapter 11 Admission, Transfer, and discharge
| Question | Answer |
|---|---|
| Admission | entry of a patient into the health care facility |
| Against Medical Advice (AMA | when a patient leaves a health care facility without a health care provider’s order for discharge |
| Continuity of Care | continuing of established patient care from one setting or another |
| Discharge Planning | the systematic process of planning for patient care after discharge from a hospital or health care facility |
| Disorientation | mental confusion characterized by inadequate or incorrect perception of place, time, and identity |
| Empathy | ability to recognize and to some extent share the emotions and state of mind of another and to understand the meaning and significance of that person’s behavior |
| Health Care Facility | any agency that provides health care |
| Home Health Agency | an organization that provides health care in the home |
| Separation Anxiety | fears and apprehension caused by separation from familiar surroundings and significant people |
| Third-party Payers | entities other than the giver or receiver of service responsible for payment |
| Transfer | Moving a patient from one unit to another or moving a patient from one health care facility to another. |
| 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? | 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? | Greet the patient by name |
| What essential part of the admission procedure is performed by the RN? | Obtaining a health history |
| When should discharge planning begin? | Shortly after admission |
| Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses? | 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 discharge against medical advice 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 separatio | 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? | 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? | One facility to another |
| Before the actual discharge occurs, what must the nurse ensure? | 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? | 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? | 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? | Allowing the patient to walk out of the hospital when discharged |
| How can the nurse help reduce the stress of a hospital admission? | Show the patient how beside equipment works Give simple explanation of policies Involve the patient in the plan of care |
| 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? | Medication |
| 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? | Rehabilitation techniques |
| 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? | Referral to community agencies |
| 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? | Medical equipment to be used |
| The nurse completes thorough documentation before, during, and after a _________ to ensure continuity of care. | Transfer |
| Some Orthodox Jewish patients consider sundown Friday to sundown ____________ to be the Sabbath, which is a time of rest. | Saturday |
| Because of the stress caused by hospitalization, the nurse assesses a newly admitted older adult patient for ________________. | Disorientation |
| How can the nurse demonstrate cultural sensitivity to a Haitian American patient? | By allowing the patient to keep leaves in her room. |
| A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? | Orient client to the room |
| A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the following actions are essential steps of the admission procedure? | Explain the roles of other care delivery staff Begin discharge planning Document the client's wishes about organ donation Introduce the client to his roommates |
| Nurse is caring for a client who has had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? | Ensure that the client has possession of his valuables Confirm that the rehabilitation center has a room available at the time of transfer Give a verbal transfer report via telephone Complete a transfer form for the receiving facility |
| A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? | Follow up care Instruction for diet and medications Contact information for the home health care agency |
| As part of the admission process a nurse at a long term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client' | Any difficulty swallowing |
| When the patient is received from the admitting department, what does the nurse expect has been completed? | The patient has been informed of the patient's bill of rights The patient has an ID band in place with proper identification information |
| A patient is admitted for observation and various diagnostic rests. What is the initial nursing action in the admission process? | The nurse introduces self and roommates |
| 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 personnel refer the patient as "gramps" what action should the nurse ta | Educate the UAP that it is not acceptable to call the patient " gramps" unless the patient has requested to be called this way |
| A patient has been transferred out of the ICU to a medical unit. A nurse has been assigned to complete the transfer. Which type of transfer is this? | Intra-agency transfer |
| 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 focus for discharge planning? | Ensure continuity of care |
| A patient is determined to leave the hospital. His health care provider is not aware of his intent, nor is it in the best interest to be discharged at this time. When a patient chooses to leave a health care facility without a health care provider's order | Notify the physician a soon as possible regarding the patient's intent Explain the risks of leaving and request that the patient sign a paper |
| The nurse is admitting a patient to the long term care facility. What nursing diagnosis is most appropriate at the time? | Anxiety related to new living environment |
| The patient is being discharged from the hospital to home and is being assisted with abdominal bandage changed by his wife. Which nursing action is most important? | After teaching, ask the patient and his wife to perform the bandage change and observe their technique |
| A patient is being admitted to the hospital for stabilization of a heart condition. Before the patient arrives at the nursing unit, what tasks will the admission department complete? | The patient will have signed consent for treatment The admission staff will place the hospital ID band on the patient's wrists |
| During the admission of a patient to a long-term care facility, for what is the LVN most likely responsible? | Obtaining vital signs and assisting with assessment |
| The nurse is discharging a patient for the first time. What documentation demonstrates that the nurse understands the discharge process? | The method of discharge Where the patient is being discharged to |
| The services of a transition specialist for patient discharge are most important for which reason? | Improving continuity of care from facility to home |
| he nurse reminds the staff that the Haitian American patient perceives a mystical and healing power in | Leaves |
| Because of the stress caused by hospitalization, the nurse assesses a newly admitted older adult patient for ________________. | Disorientation |
| Disorientation The nurse is caring for a patient after a motor vehicle accident and instructs the patient to avoid turning independently because the spine is unstable. Which explanation should the nurse use to explain the purpose of the safeguards in re | They keep the neck and spine in straight alignment |
| The nurse and an assistant are moving a dependent patient from the supine to the lateral position. Which should the nurse implement to begin repositioning? | Move the patient away from the center toward a side of the bed. |
| After 3 hours in the supine position, an older patient tells the nurse that he or she is stiff and too uncomfortable to move. Which is the best nursing intervention to maintain skin integrity? | Assess the patient's need for pain medication before repositioning. |
| Assess the patient's need for pain medication before repositioning. The patient with hemiparesis is very hesitant to transfer from the bed to the chair with a new nurse's help. Which action should this nurse take first to accomplish the transfer? | Ask questions about how the patient usually transfers. |
| The nurse is helping a patient set a goal for ambulating after surgery. Which outcome statement for this patient with generalized postoperative weakness is best? | The patient transfers self safely from bed to chair 4 times daily within 2 days. |
| The nurse assists the patient with transferring from bed to chair by using a transfer belt. Which is the first instruction that the nurse gives to the patient after properly positioning him or her? | Rock to help stand while pushing up with your hands |
Created by:
nursingEli