Foundations Of Nursing 6th Edition By Barbara Lauritsen Christensen – Test Bank

Chapter 11: Admission, Transfer, and Discharge

Test Bank

MULTIPLE CHOICE

1. When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. This behavior suggests a common reaction to hospitalization, which is:
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.

DIF: Cognitive Level: Comprehension REF: Page 248 OBJ: 3
TOP: Admission KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity

2. During the admission procedure, the 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.

DIF: Cognitive Level: Application REF: Page 251 OBJ: 4
TOP: Admission KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

3. An essential part of the admission procedure performed by the RN is to:
a. secure the patient’s valuables.
b. confirm the type of insurance coverage.
c. obtain a health history.
d. familiarize the patient with the room.

ANS: C
Admission assessment is performed by the RN.

DIF: Cognitive Level: Application REF: Page 253 OBJ: 6
TOP: Admission KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment

4. Discharge planning should 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.

DIF: Cognitive Level: Application REF: Page 260 OBJ: 8
TOP: Discharge KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment

5. To help the family of a patient find a source of financial aid to meet medical expenses, the nurse can make a referral to:
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.

DIF: Cognitive Level: Application REF: Page 262, 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, the nurse should ask the patient to sign a(n):
a. form exercising patient’s rights.
b. discharge against medical advice form.
c. informed consent.
d. advanced directive.

ANS: B
If a doctor cannot convince the patient to stay, the patient should sign an against medical advice form.

DIF: Cognitive Level: Application REF: Page 263, Box 11-6
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. A child will usually cry, whereas an older adult will often demonstrate:
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.

DIF: Cognitive Level: Analysis REF: Page 249 OBJ: 3
TOP: Admission KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity

8. Upon admission, the nurse notes that a patient has a billfold filled with cash. Because there is no family member present, the nurse suggests that the money be:
a. placed in a sealed envelope in the bedside table.
b. given to hospital security.
c. locked in the narcotic cupboard.
d. placed in the hospital safe.

ANS: D
Valuables should be locked in the hospital safe.

DIF: Cognitive Level: Application REF: Page 252 OBJ: 6
TOP: Care of valuables KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment

9. If a patient has an order for an interagency transfer, the nurse explains that the patient will be moved from:
a. a double room to a private room.
b. one unit of the hospital to another.
c. one room of the unit to another.
d. one facility to another.

ANS: D
The interagency transfer moves a patient from one health care agency to another.

DIF: Cognitive Level: Comprehension REF: Page 257 OBJ: 7
TOP: Transfer KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

10. Before the actual discharge, the nurse must ensure that the patient:
a. is well enough to go home.
b. has not been overly medicated.
c. understands the discharge instructions.
d. has adequate transportation.

ANS: C
It is essential that the patient be fully aware of the discharge instructions before being discharged.

DIF: Cognitive Level: Application REF: Pages 260, 262, Skill 11-3
OBJ: 9 TOP: Discharge KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment