Deck 45: Admission, Transfer, and Discharge

Question 1

What is the primary purpose of the admission process?

A) Review the care for the client's clothing on admission
B) Review the care for the client's valuable items on admission
C) Identify the admission information that the LPN should report to the registered nurse
D) Help establish how clients feel about their admission

Answer 1

Help establish how clients feel about their admission

Question 2

What information does the admitting department enter into a client's electronic medication? Select all that apply.

A) Age
B) Marital status
C) Religion
D) Social Security number
E) Health insurance
F) Gender

Answer 2

Age
Marital status
Health insurance

Question 3

The nurse is orienting the client to the facility. Which personal items should the nurse encourage the client to send home with family members? Select all that apply.

A) Glasses
B) Jewelry
C) Credit cards
D) Cash
E) Family photos

Answer 3

Jewelry
Credit cards
Cash

Question 4

What client information must the nurse have to ensure is available on the ID band? Select all that apply.

A) Full name
B) Home address
C) Date of birth
D) Medical diagnosis
E) Telephone number

Question 5

What is the primary reason the nurse should measure the weight of the client during the admission interview?

A) To provide a baseline for later comparison
B) To determine if the client is retaining fluids
C) To calculate dosage of medications or anesthesia
D) To determine if the client is overweight or underweight

Question 6

A client is receiving follow-up care for a draining wound at the clinic. How should the nurse prepare the client for the dressing change? Select all that apply.

A) Position the client on the exam table for ease of access to the wound
B) Allow the client to remain in their street clothing if unsoiled
C) Prepare the client by covering them with a bath blanket
D) Provide the client with an appropriately sized gown
E) Instruct the client to remove their street clothing

Question 7

A nurse is conducting an admission assessment on a 7-year-old. Which intervention should the nurse implement first to facilitate the process?

A) Be aware the child's fears can affect vital signs
B) Provide explanations in language that is age appropriate
C) Encourage the parents to stay with the child during the process
D) Determine the ability of the child to understand the information.

Question 8

Which nursing intervention is implemented to help prevent dehumanization of the hospitalized client?

A) Develop rapport and trust with the client before delving into personal matters.
B) Review the client's condition and treatment plan with client and family members.
C) Explain pending invasive diagnostic tests using only nonthreatening descriptions
D) Emphasize with the client about the costs associated with hospitalization today.

Question 9

When should the nurse begin the nursing data collection and assessment of the client being admitted?

A) Before the actual admission to the facility
B) Before completing the admitting papers
C) At the nurse's initial contact with the client
D) After orders are provided by the admitting provider

Question 10

What is the rationale behind the nurse's review of the use of the bedside "nurse's call" system with the client?

A) Helps alleviate the client's fear and anxiety in unfamiliar surroundings
B) Reinforcement that the "nurse's call" signal is used for emergencies only
C) Helps assure the nurses that they will be made aware of the client's needs
D) Complies with the hospital's goal of providing effective, prompt client care

Question 11

What are the advantages of post-surgical clients wearing a hospital gown rather than their own sleepwear? Select all that apply.

A) Easier access to suture lines
B) Easier access to wound dressings
C) Facilitates quick identification of clients
D) Facilitates special tests and procedures
E) Prevents damage to personal clothing items

Question 12

Which unit in the healthcare facility would encourage clients to wear street clothes instead of hospital gowns?

A) Transitional care
B) Maternity
C) Surgical
D) Chemical dependency

Question 13

How would the nurse document a client who is having increasing uneasiness and apprehension about pending surgery?

A) +1 anxiety
B) +2 anxiety
C) +3 anxiety
D) Panic

Question 14

A client is awaiting surgery reports having a feeling of choking and difficulty breathing. What level of anxiety is the client experiencing?

A) +1 anxiety
B) +2 anxiety
C) +3 anxiety
D) Panic

Question 15

A client is being transferred from one unit of the healthcare facility to another. Which nursing intervention has the greatest impact on assuring client safety related to the transfer to another unit?

A) Notify the primary care provider that the transfer has occurred.
B) Check the medication administration record for current accuracy.
C) Ask family to take possession of client's clothes and valuable articles.
D) Take x-ray films and laboratory reports after transferring the client.

Question 16

Which intervention to be performed by the nurse before discharge has the greatest impact on a safe transfer to home?

A) Discuss the best time for the client to leave the facility.
B) Instruct the family to bring clothing, pillows, or blankets, if needed.
C) Ask when the family will be available to pick up the client.
D) Have the client independently demonstrate any required self-care procedures

Question 17

A licensed practical nurse (LPN) learns that a client intends to leave the facility without the physician's permission. Which should the nurse do first?

A) Report the client's intentions to the team leader.
B) Explain to the client why they shouldn't leave.
C) Call security to come to the client's room.
D) Ask the client to sign a dated release form.

Question 18

When should a client's discharge planning begin?

A) When the client demonstrates an interest in the information
B) On admission to the healthcare facility
C) At least 24 hours before discharge is planned
D) When the client is able to assume self-care of their personal needs.

Question 19

A client admitted to the healthcare facility is reported missing from his room. The client returns to the facility early the next morning. What procedure is followed by the healthcare facility with regard to this client?

A) The client needs to sign an "against medical advice" form.
B) The client now needs to leave the facility permanently.
C) The client needs to repeat the admission procedure.
D) The client needs to have a discharge form signed by the physician.

Question 20

What information should be included in the written discharge instructions provided to clients? Select all that apply.

A) Special diet instructions
B) Description of returned personal property
C) Signs/symptoms of possible complications
D) Date and time of follow-up appointments
E) Instructions for administration of prescribed medications

Question 21

What measures should the nurse take to protect the client's privacy when using a computer? Select all that apply.

A) Always log off when finished accessing client information.
B) Share the password only with staff who are also documenting care.
C) Always keep the screen protected from clients and family members.
D) Keep the screen positioned so only staff can view the information.
E) Be aware that only those directly caring for the client should access the information.

Question 22

The nurse hears a pink alert called over the PA system in the healthcare facility. This is a common code name for which healthcare-related event?

A) Fire
B) Cardiac arrest
C) Disaster alert
D) Infant abduction

Question 23

Whose scope of practice includes taking verbal orders from a primary health provider?

A) Nursing student
B) Licensed Practical Nurse
C) Unit secretary
D) Licensed Registered Nurse