Chapter 13: Admission, Transfer, and Discharge

Chapter 13: 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. What does this behavior suggest as a common reaction to hospitalization?

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| 5

TOP:   Admission      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity

 

2. A nurse is admitting a patient to an acute care facility. During the admission procedure, what 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:   1| 4| 5

TOP:   Admission      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

 

3. What essential part of the admission procedure is performed by the RN?

a.	Securing the patient’s valuables
b.	Confirming the type of insurance coverage
c.	Obtaining a health history
d.	Familiarizing the patient with the room

 

 

ANS:  C

Admission assessment is performed by the RN.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 253        OBJ:   5| 6

TOP:   Admission      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Safe, Effective Care Environment

 

4. When should discharge planning 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: Knowledge            REF:   Page 260        OBJ:   5| 8

TOP:   Discharge       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment

 

5. Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses?

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: Comprehension     REF:   Page 262, Health Promotion

OBJ:   8                    TOP:   Social services

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment