Admission, Transfer, And Discharge Of Patient Quiz

1. Which of the following is not a part of an initial assessment?

Vital signs

Height and weight

Vision and hearing

Culture and sensitivity test

p. 253

Explanation

p. 253

2. Which of the following is not included in the initial physical assessment?

Level of consciousness, height, and weight

Breath sounds and bowel sounds

Range of motion, skin condition, vision, and hearing

Cultural and religious background

p. 253

Explanation

p. 253

3. When transferring a patient, how is the continuity of care established?

By utilizing the best equipment available

By allowing only trained personnel to do the transfer

By documenting the patient's condition before and during transfer

By calling on family members to help during the transfer

p. 257

Explanation

p. 257

4. 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.

Empathy

Sympathy

Understanding

Mercy

p. 249

Explanation

p. 249

5. Which of the following is NOT included during a patient room orientation?

Relationship of the room to the nurses' station

How to use the intercom system

How to order movies on demand

The location of the shower and bathroom facilities

How to adjust the bed and the lights

p. 251

Explanation

p. 251

6. Which color normally indicates allergies when a patient wears a wristband?

Blue

Orange

White

Red

p. 249

Explanation

p. 249

7. Separation anxiety and loneliness reflect which part of Maslow's needs?

Belongingness and love

Safety

Identity

Realization

Physiological

p. 249

Explanation

p. 249

8. Who is primarily responsible for discharge planning?

Staff or head nurse

Director of Nursing

Licensed Vocational Nurse

Administrator

p. 260

Explanation

p. 260

9. Important procedures for admission. Select all that apply:

Make the room ready

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

Explain hospital routine

Provide directions to closest shopping malls and restaurants

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

p. 251

Explanation

p. 251

Submit

10. Mr. James, a 75-year-old man, is showing signs of depression, loneliness, and apathy. What would be the best thing to tell him?

Your wife and friends will be here any moment now.

Do you want some snacks?

Do you want me to turn the television on?

Look how good the weather is

p. 249

Explanation

p. 249

11. Fear of the unknown is related to this need, as indicated by Maslow.

Safety

Belonging

Self-Esteem

Physiologic

p. 248

Explanation

p. 248

12. 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?

Try to guess what is being discussed.

Call for an interpreter.

Use sign language

Delegate the patient to another nurse who speaks that language

p. 250

Explanation

p. 250

13. Which of the following is not a common reaction to hospitalization?

Fear of the unknown

Loss of identity

Disorientation to place and time

Anger due to excessive lab work

Separation anxiety

p. 248

Explanation

p. 248

14. Common reactions to hospitalization. Select all that apply:

Fear of the unknown

Loss of identity

Disorientation

Excitement

Separation anxiety

p. 248

Explanation

p. 248

Submit

15. The patient is being discharged. The nurse should:

Tell the patient everything will turn out just fine

Encourage the patient not to worry

Wish the patient well

Introduce patient to office staff

p. 265, question 10

Explanation

p. 265, question 10

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

Be attentive to patient's nonverbal communication.

Respect the patient as an individual

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

Never attempt to use ethnic dialects with patients

p. 250-251

Explanation

p. 250-251

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

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

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

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

Assess the skills and availability of a primary caregiver

p. 260

Explanation

p. 260

18. When a patient arrives on the nursing unit, the LPN is probably responsible for:

Admission charting

Admission interview

Formulating nursing diagnoses

Obtaining vital signs

p. 265, question number 12

Explanation

p. 265, question number 12

19. When admitting a patient, which of the following procedures promote safety? Select all that apply:

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

Orient patient to the room. Explain use of equipment

Use side rails and position call light within easy reach

Invite family back into the room if they left earlier

pages 252-253

Explanation

pages 252-253

Submit

20. Which of the following is not a part of a nursing intervention during patient admission?

Orient patient to the hospital

Confirm that patient understands diagnostic tests and procedures

Monitor patient's ability to ambulate independently

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

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

p. 257

Explanation

p. 257

21. What does a discharge summary include? Select all that apply

Patient learning needs

Patient teaching completed

Short and long term goals for care

The projected cost for continuity of care

p. 260

Explanation

p. 260

Submit

22. Which of the following can a Nurse delegate to an admitting clerk or secretary?

Ask the patient's medical history.

Review the patient's medication

Obtain important identifying information

Educate a patient about hospital policies

Instruct patient on what to do before surgery

p. 249

Explanation

p. 249

23. Nursing documentation at discharge should include a:

A summary account of the hospital stay

Account of all financial obligations

Method of discharge

List of staff who cared for the patient

p. 265

Explanation

p. 265

24. Upon explaining a surgical intervention to a patient, the patient says, "I need some time to decide on this". What could be an appropriate response?

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

Here are some brochures about the procedure

Do you want to be alone with your family?

Do you want me to leave?

p. 253

Explanation

p. 253

25. Match the specialist referral on the left with their specific tasks on the right

dietitian

social worker

physical therapist

occupational therapist

speech therapist

home health care nurse

clinical nurse specialist

p. 262

Explanation

p. 262

Submit

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

Loss of appetite

Helpless and dependency

Lack of control

Reversal of sleeping patterns

Nosocomial disease

p. 249

Explanation

p. 249

Submit

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

Admission clerk

Admitting nurse

Student nurse

Registered nurse

p. 264, review question 1

Explanation

p. 264, review question 1

28. Signs of separation anxiety among older adults. Select all that apply

Reticence

Loquaciousness

Disorientation

Paranoia

Depression

p. 249

Explanation

p. 249

Submit

29. What is generally included in health history? Select all that apply

Reason for admission

Signs and symptoms

Past illnesses, surgical procedures, and hospitalization

Medication and allergies

Language spoken

p. 253

Explanation

p. 253

Submit

30. Match the ethnic group on the left with a corresponding cultural consideration on the right

Orthodox Jewish Patients

Haitian patients

Chinese Americans

Japanese belief

Appalachians

p. 250

Explanation

p. 250

Submit