Chapter 23: Admitting, Transferring, and Discharging Patients

Chapter 23: Admitting, Transferring, and Discharging Patients

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is aware that patients who are admitted to the acute care facility as a routine admission under a managed care plan must:

ANS:  B

Managed care insurance programs require that all routine admissions be preapproved. Often the patient is required to come to the acute care facility several days prior to the admission to complete paperwork or laboratory procedures.

DIF:    Cognitive Level: Comprehension     REF:   p. 398             OBJ:   Theory #1

TOP:   Managed Care                                 KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

2. A patient is scheduled to have a diagnostic procedure performed on an outpatient basis at 9:00 AM. The nurse will advise the patient to:

ANS:  A

Patients are usually required to arrive 1 to 2 hours before a scheduled procedure to complete the necessary paperwork. The patient may be requested to pay a co-pay or a deductible, but there is no set amount.

DIF:    Cognitive Level: Comprehension     REF:   p. 399             OBJ:   Theory #1

TOP:   Outpatient Admission                      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

3. If there is a prior authorization for hospitalization required for a routine admission, the nurse explains that the notification to the insurance company is the responsibility of the:

ANS:  D

The office of the admitting primary care provider is the usual agent to get prior approval for a hospitalization. The admissions department confirms that all preadmission requirements are met.

DIF:    Cognitive Level: Knowledge            REF:   p. 399             OBJ:   Theory #1

TOP:   Admission Procedures                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

4. The nurse orienting a new patient to the unit would include:

ANS:  B

Newly admitted patients should be treated with respect without familiarity. The physical arrangement of the room and bath, how to work all controls, such as the call bell, and the names of the nurses who will be giving care should be included in the orientation.

DIF:    Cognitive Level: Comprehension     REF:   p. 400             OBJ:   Clinical Practice #1

TOP:   Admission      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

5. A patient admitted to the acute care facility through the emergency department has jewelry and a large amount of money. The most efficient intervention about these valuables would be:

ANS:  A

Valuables such as credit cards, money, or jewelry should be sent home with a family member.

DIF:    Cognitive Level: Application           REF:   p. 400             OBJ:   Clinical Practice #1

TOP:   Admission      KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort