Exam (elaborations)
Chapter 13 Admission, Transfer, and Discharge
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 13 Admission, Transfer, and Discharge
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Chapter 13: Admission, Transfer, and DischargeMULTIPLE CHOICE
1. 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?
a. Relief about being cared for
b. Fear of the unknown
c. Feeling of powerlessness
d. Concern about cost
ANS: B
Fear of the unknown may be the most common reaction to hospitalization.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 313
OBJ: 3 | 5 TOP: Admission KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
2. A nurse is admitting a patient to an acute care facility. During the admission procedure, what
nursing intervention would best help reduce patient anxiety?
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.
ANS: C
Greeting the patient by name is one of the most important aspects of admission.
PTS: 1 DIF: Cognitive Level: Application REF: Page 316
OBJ: 1 | 4 | 5 TOP: Admission KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
3. What essential part of the admission procedure is performed by the RN?
a. Securing the patient‘s valuables
b. Confirming the type of insurance coverage
c. Obtaining a health history
d. Familiarizing the patient with the room
ANS: C
Admission assessment is performed by the RN.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 318
OBJ: 5 | 6 TOP: Admission KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment
4. When should discharge planning begin?
a. The day before discharge
b. On the first day postoperatively
c. Shortly after admission
d. When the doctor orders it
, ANS: C
Discharge planning begins shortly after admission.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 323
OBJ: 5 | 8 TOP: Discharge KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
5. Where can a nurse refer the family of a patient to find a source of financial aid to meet
medical expenses?
a. A local bank
b. A clinical nurse specialist
c. The hospital administration
d. Social services
ANS: D
Often a patient will require services of various disciplines within the hospital. Social services
can assist with meeting medical financial obligations.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 326 Health Promotion
OBJ: 8 TOP: Social services
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
6. When a patient demands to be discharged without a physician‘s order and is leaving the unit
with his belongings, what should the nurse ask the patient to sign?
a. A form exercising the patient‘s rights
b. A discharge against medical advice form
c. An informed consent
d. An advanced directive
ANS: B
If a doctor cannot convince the patient to stay, the patient should sign an against medical
advice form.
PTS: 1 DIF: Cognitive Level: Application REF: Page 327, Box 13-6
OBJ: 10 TOP: Discharge KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
7. 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 separation anxiety?
a. Withdrawal
b. Anger
c. Depression
d. Regression
ANS: C
The older adult may demonstrate depression as a result of separation anxiety entering the
hospital.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 314
OBJ: 3 TOP: Admission KEY: Nursing Process Step: Assessment
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