Chapter 11: Admission, Transfer, and Discharge

Chapter 11: Admission, Transfer, and Discharge

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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