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

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

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. 
    Usual concern of a patient upon admission
    • 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 28 year old male patient who was recently admitted due to syncope, never admitted to a hospital before, is showing signs of restlessness and anxiety. What are the ways to ease his anxiety? Select all that apply.  
    • 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. 
    Which of the following is an inappropriate way to address a patient? Select all that apply
    • 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. 
    Mr. James, a 75 year old man is showing signs of depression, loneliness, and apathy. What would be the best thing to tell him?  
    • 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. 
    Which of the following can a Nurse delegate to an admitting clerk or secretary?
    • 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. 
    For patients under Medicare/Medicaid program and who are receiving  hospital treatment, which of the following is directly related to the Patient Self-Determination Act?
    • 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. 
    Under HIPAA rules, which of the following statements are correct. Select all that apply
    • 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. 
    Which department is responsible to obtain the signature of consent for treatment and when is it usually done?
    • 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. 
    When can a patient's next of kin or family member be allowed to go to an admitting office to provide the necessary information in behalf of the patient? Select all that apply.
    • 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. 
    Important procedures for admission. Select all that apply:
    • 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. 
    When admitting a patient, which of the following procedures promote safety? Select all that apply:
    • 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. 
    When is the initial nursing assessment and health history usually done?  
    • 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

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