Chapter 11 - Admission, Transfer, And Discharge, NUR 101

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Nursing Quizzes & Trivia

The nurse within a hospital has some very distinct duties that are specifically set for them to accomplish. Being that you just started venturing in the world of nursing, you must have covered some duties you will be required to do perfectly in nursing 101. Take this quiz on chapter 11 covering admission, transfer, and discharge to see how much you understood.


Questions and Answers
  • 1. 
    Fear of the unknown is related to this need as indicated by Maslow.  
    • A. 

      Safety

    • B. 

      Belonging

    • C. 

      Self-Esteem

    • D. 

      Physiologic

  • 2. 
    Common reactions to hospitalization. Select all that apply:
    • A. 

      Fear of the unknown

    • B. 

      Loss of identity

    • C. 

      Disorientation

    • D. 

      Excitement

    • E. 

      Separation anxiety

  • 3. 
    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.
    • A. 

      Empathy

    • B. 

      Sympathy

    • C. 

      Understanding

    • D. 

      Mercy

  • 4. 
    Definition of Admission
    • A. 

      When a client walks into a health care facility

    • B. 

      An entry of a client into a health care facility

    • C. 

      When a client receives health care

    • D. 

      When health care is performed on a client

  • 5. 
    • A. 

      Concern about comfort of facility

    • B. 

      Concern about health problems, potential health problems, potential outcome of treatment

    • C. 

      Concern about cost and expense

    • D. 

      Concern about the qualification of doctors and nurses

    • E. 

      Concern about the quality of food

  • 6. 
    • A. 

      Be objective and impersonal

    • B. 

      Follow routines that are efficient

    • C. 

      Show appropriate concern for the patient

    • D. 

      Always wear gloves and smile

    • E. 

      Wash your hand before talking to a patient

  • 7. 
    Which of the following is not a common reaction to hospitalization?
    • A. 

      Fear of the unknown

    • B. 

      Loss of identity

    • C. 

      Disorientation to place and time

    • D. 

      Anger due to excessive lab work

    • E. 

      Separation anxiety

  • 8. 
    Mr. Smith does not want to be in the hospital. He is sleepless, continuously asks questions, and constantly says he wants to go home. While administering his morning medication, he started talking about his concerns. How would you best respond to him?
    • A. 

      Tell him to talk to his physician who could explain everything

    • B. 

      Let him know that he will not stay long in the hospital

    • C. 

      Offer some magazines or give the television remote control

    • D. 

      Answer his questions directly, explain about hospital policies and provide medical information

    • E. 

      Refer him to the nurse supervisor

  • 9. 
    • A. 

      Use terms of endearment like "dear, sweetie, honey"

    • B. 

      If patient is elderly, it is okay to use "Gramps" or "Grandma"

    • C. 

      Address the patient with "Mr., Ms., or Miss"

    • D. 

      Use patient's first name with or without patient's consent

    • E. 

      It is also effective not to use the name at all

  • 10. 
    Separation anxiety and loneliness reflect which part of Maslow's needs?
    • A. 

      Belongingness and love

    • B. 

      Safety

    • C. 

      Identity

    • D. 

      Realization

    • E. 

      Physiological

  • 11. 
    • A. 

      Your wife and friends will be here any moment now.

    • B. 

      Do you want some snacks?

    • C. 

      Do you want me to turn the television on?

    • D. 

      Look how good the weather is

  • 12. 
    Signs of separation anxiety among older adults. Select all that apply
    • A. 

      Reticence

    • B. 

      Loquaciousness

    • C. 

      Disorientation

    • D. 

      Paranoia

    • E. 

      Depression

  • 13. 
    Possible results of hospitalization among older adults due to a change of environment. Select all that apply:
    • A. 

      Loss of appetite

    • B. 

      Helpless and dependency

    • C. 

      Lack of control

    • D. 

      Reversal of sleeping patterns

    • E. 

      Nosocomial disease

  • 14. 
    • A. 

      Ask the patient's medical history

    • B. 

      Review the patient's medication

    • C. 

      Obtain important identifying information

    • D. 

      Educate a patient about hospital policies

    • E. 

      Instruct patient on what to do before surgery

  • 15. 
    • A. 

      The patient has the right to accept or refuse medical treatment

    • B. 

      The patient has the right to select his own food from the hospital menu.

    • C. 

      The patient has the right to select his own nurse

    • D. 

      The patient has the right to decide for his care.

  • 16. 
    • A. 

      Patient has the right to gain access to their records

    • B. 

      Patient has the right to requests amendments to their PHI

    • C. 

      Patient has the right to restrict the use of their PHI

    • D. 

      Patient has the right to receive a copy of their PHI and the right to have them sent to an alternate address

    • E. 

      Patient has the right to delete unwanted data in his PHI

  • 17. 
    If the patient does not speak English and is not accompanied by a translator or a family member who speaks English, what would be the most appropriate thing to do next?
    • A. 

      Try to guess what is being discussed

    • B. 

      Call for an interpreter

    • C. 

      Use sign language

    • D. 

      Delegate the patient to another nurse who speaks that language

  • 18. 
    Which of the following is NOT an appropriate nursing practice with respect to cultural considerations?  
    • A. 

      Be attentive to patient's nonverbal communication

    • B. 

      Respect the patient as an individual

    • C. 

      Win patient's trust by letting them know that you have friends from the same racial background

    • D. 

      Never attempt to use ethnic dialects with patients

  • 19. 
    • A. 

      Nursing department before patient goes to bed

    • B. 

      Billing department after insurance card is copied

    • C. 

      Admitting department before transfer to nursing unit

    • D. 

      Nursing department after patient is in bed

    • E. 

      Admitting department after patient is in the nursing unit

  • 20. 
    • A. 

      When a patient is directly admitted to a patient care room or a special care unit (SCU)

    • B. 

      When a patient is in an intensive care unity (ICU)

    • C. 

      When a patient is in a coronary care unit (CCU) or burn unit

    • D. 

      When a patient does not feel like doing so and delegates the task to someone else.

  • 21. 
    Which of the following is NOT included during a patient room orientation?
    • A. 

      Relationship of the room to the nurses' station

    • B. 

      How to use the intercom system

    • C. 

      How to order movies on demand

    • D. 

      The location of the shower and bathroom facilities

    • E. 

      How to adjust the bed and the lights

  • 22. 
    Which color normally indicates allergies when a patient wears a wrist band?
    • A. 

      Blue

    • B. 

      Orange

    • C. 

      White

    • D. 

      Red

  • 23. 
    • A. 

      Make the room ready

    • B. 

      Greet patient by name using his/her surname if patient is an adult

    • C. 

      Explain hospital routine

    • D. 

      Provide directions to closest shopping malls and restaurants

    • E. 

      Explain when meals are served and when friends are allowed to visit

  • 24. 
    • A. 

      Orient patient to unit, lounge, and nurse's station

    • B. 

      Orient patient to room. Explain use of equipment

    • C. 

      Use side rails and position call light within easy reach

    • D. 

      Invite family back into the room if they left earlier

  • 25. 
    • A. 

      Immediately after insurance data has been gathered

    • B. 

      Once patient is established in his or her room

    • C. 

      Could be done in the admissions office

    • D. 

      Before patient enters his/her room

  • 26. 
    • A. 

      Reason for admission

    • B. 

      Signs and symptoms

    • C. 

      Past illnesses, surgical procedures and hospitalization

    • D. 

      Medication and allergies

    • E. 

      Language spoken

  • 27. 
    Which of the following is not included in the initial physical assessment?
    • A. 

      Level of consciousness, height and weight

    • B. 

      Breath sounds and bowel sounds

    • C. 

      Range of motion, skin condition, vision and hearing

    • D. 

      Cultural and religious background

  • 28. 
    • A. 

      Do you want me to ask the doctor to help you?

    • B. 

      Here are some brochures about the procedure

    • C. 

      Do you want to be alone with your family?

    • D. 

      Do you want me to leave?

  • 29. 
    Upon doing an inventory of patient property, you realize that he/she arrived with a bag load of herbal and mineral supplements. What do facilities normally require? 
    • A. 

      Allow the patient to keep them without much ado

    • B. 

      All medication brought in by patient must be sent to pharmacy to be identified. These same medications are then returned to patient upon dismissal

    • C. 

      Forfeit the bag of herbal and mineral supplements and then discard in garbage disposal

    • D. 

      Mandates the patient to consume them before interventions begin

  • 30. 
    Which of the following is not a part on an initial assessment?
    • A. 

      Vital signs

    • B. 

      Height and weight

    • C. 

      Vision and hearing

    • D. 

      Culture and sensitivity test

  • 31. 
    • A. 

      A time frame is needed for the completion of the admission procedure

    • B. 

      Physician should be notified when patient has been admitted

    • C. 

      Privacy is not a priority during admission

    • D. 

      Losing a patient's property does not incur serious legal implications.

    • E. 

      Only a registered nurse is required to do an initial assessment during admission.

  • 32. 
    A new patient has been admitted from the ER because of vehicular accident. What is the next step?
    • A. 

      A health assessment needs to be done immediately

    • B. 

      Admitting clerk will have to ask about payer source and insurance information

    • C. 

      All admission procedures should be repeated because it is an intra-agency transfer

    • D. 

      Immediate treatment takes priority over routine admission procedures

    • E. 

      Obtain and record the patient's vital signs before anything else.

  • 33. 
    • A. 

      Participate in planning care for patients based on patient needs

    • B. 

      Review patient's plan of care and recommend revisions if needed

    • C. 

      Review and follow defined prioritization for patient care

    • D. 

      Coordinate with different members of health care team for a holistic approach

    • E. 

      Use clinical pathways, care maps, or care plans to guide and review patient care.

  • 34. 
    Which of the following is true about expected outcomes and planning
    • A. 

      They should be according to what the nurse wants to obtain

    • B. 

      They should be in line with what the physician wants to obtain

    • C. 

      They should be according to what the medication is expected to do

    • D. 

      They should be patient oriented based on nursing diagnosis

    • E. 

      They should be patient oriented based on medical diagnosis

  • 35. 
    • A. 

      Orient patient to the hospital

    • B. 

      Confirm that patient understands diagnostic tests and procedures

    • C. 

      Monitor patient's ability to ambulate independently

    • D. 

      Monitor patient's understanding of nurse's culture and environment

    • E. 

      Monitor patient's ability to operate hospital bed, call light and emergency button.

  • 36. 
    When transferring a patient, how is the continuity of care established?
    • A. 

      By utilizing the best equipment available

    • B. 

      By allowing only trained personnel to do the transfer

    • C. 

      By documenting the patient's condition before and during transfer

    • D. 

      By calling on family members to help during the transfer

  • 37. 
    Which of the following statements expressed by a nursing student indicates that he/she needs more training about discharge planning?
    • A. 

      Transitional care is the process of treating a patient who is being transferred from a hospital back to home.

    • B. 

      Discharge from a home health agency requires the same teaching as discharge from a hospital

    • C. 

      Family members who will be the primary caregivers do not need assessments or education

    • D. 

      Assess the skills and availability of a primary caregiver

  • 38. 
    • A. 

      Tell Mr. Smith that his physician is about to arrive and he needs to wait a bit

    • B. 

      Allow him to leave since he already talked to his physician anyway

    • C. 

      Call the security and let them know Mr. Smith should be stopped

    • D. 

      Offer to have the patient sign an AMA form before anything else

  • 39. 
    What is the principal rational of having an AMA form signed when a patient leaves against any written discharge order?
    • A. 

      It respects the patient's free will

    • B. 

      It honors patient autonomy and self determination

    • C. 

      It releases the facility from legal responsibility

    • D. 

      It is a requirement for patient discharge

  • 40. 
    During the registration process, who is the person responsible to ensure that the patient has an allergy band?
    • A. 

      Admission clerk

    • B. 

      Admitting nurse

    • C. 

      Student nurse

    • D. 

      Registered nurse

  • 41. 
    Nursing documentation at discharge should include a:
    • A. 

      Summary account of the hospital stay

    • B. 

      Account of all financial obligations

    • C. 

      Method of discharge

    • D. 

      List of staff who cared for the patient

  • 42. 
    Who is primarily responsible for discharge planning?
    • A. 

      Staff or head nurse

    • B. 

      Director of Nursing

    • C. 

      Licensed Vocational Nurse

    • D. 

      Administrator

  • 43. 
    • A. 

      To ensure that the patient can rely on family members

    • B. 

      To ensure that the family members can take care of the patient

    • C. 

      To ensure that the patient receives proper care at home

    • D. 

      To ensure that patients and family members know what to do

  • 44. 
    What does a discharge summary include? Select all that apply
    • A. 

      Patient learning needs

    • B. 

      Patient teaching completed

    • C. 

      Short and long term goals for care

    • D. 

      Projected cost for continuity of care

  • 45. 
    The nurse is admitting a patient to the nursing unit. The nurse's first action is to:
    • A. 

      Greet the patient by name

    • B. 

      Ask the patient his or her name

    • C. 

      Tell the patient everything will be all right

    • D. 

      Introduce the room mate

  • 46. 
    When a patient arrives on the nursing unity, the LPN is probably responsible for:
    • A. 

      Admission charting

    • B. 

      Admission interview

    • C. 

      Formulating nursing diagnoses

    • D. 

      Obtaining vital signs

  • 47. 
    The patient is being discharged. The nurse should:
    • A. 

      Tell the patient everything will turn out just fine

    • B. 

      Encourage patient not to worry

    • C. 

      Wish the patient well

    • D. 

      Introduce patient to office staff