Question 1

A new resident has dementia. Which statement is correct?&#10;A) The person's confusion will decrease in the new setting.&#10;B) The person may show signs of fear and agitation.&#10;C) The person may feel guilty about the need for nursing center care.&#10;D) The person will have no difficulty adjusting to the new environment.

Accepted Answer

Changes in environment can be particularly challenging for individuals with dementia, often leading to increased fear and agitation due to unfamiliar surroundings and routines.

Question 2

A new resident is ambulatory. Which is correct?&#10;A) Leave the bed open.&#10;B) Raise the bed to its highest horizontal position.&#10;C) Raise the bed rails.&#10;D) Attach the call light to the bed linens.

Accepted Answer

Attach the call light to the bed linens.&#10;

Question 3

You are admitting a new resident. Which will promote the person's mental comfort?&#10;A) Hand the person a list of admission procedures.&#10;B) Complete the admission process quickly.&#10;C) Remind the person that you must complete the process within an hour.&#10;D) Be sensitive to the person's feelings.

Accepted Answer

Being sensitive to the person's feelings is crucial for promoting mental comfort during the admission process. It involves understanding and responding to the emotional needs of the person, which can significantly reduce anxiety and stress associated with new and unfamiliar environments.

Question 4

The nurse asks you to assist in admitting a new resident. Your role involves which of the following?&#10;A) Greeting the person by his or her first name&#10;B) Making roommate decisions as to the separation of space&#10;C) Discussing the person's medical diagnosis&#10;D) Treating the person with dignity

Accepted Answer

Treating the person with dignity is a fundamental aspect of patient care and is essential in all interactions with residents.

Question 5

You are admitting a new resident. Which is correct?&#10;A) Measure the person's vital signs.&#10;B) Measure the person's blood oxygen level.&#10;C) Explain to the person that she or he will not get a bath when she or he wants it; it has to be scheduled.&#10;D) Tell the person about treatments and the care plan.

Accepted Answer

Measuring the person's vital signs is a standard procedure when admitting a new resident to assess their current health status.

Question 6

You are admitting a new resident. Which is correct?&#10;A) Discuss the person's diagnoses and medical history.&#10;B) Complete a bill for the services performed and present to the person.&#10;C) Orient the person to the room.&#10;D) Ask the person who he or she wants for a roommate.

Accepted Answer

Orienting the person to the room is a standard and necessary step when admitting a new resident to help them become familiar with their new environment.

Question 7

You have finished admitting a new resident. Before leaving the person's room, you need to do which of the following?&#10;A) Place the call light within reach.&#10;B) Raise the bed to the highest position.&#10;C) Raise the bed rails.&#10;D) Point to the direction of the water fountain for the person to fill her or his water pitcher.

Accepted Answer

Placing the call light within reach ensures the resident can easily call for assistance, promoting safety and accessibility.

Question 8

You are admitting a new resident. The person's niece is in the room. You ask the niece to leave the room. Which is correct?&#10;A) The niece must leave the room.&#10;B) You have no right to ask the niece to leave.&#10;C) The resident can ask the niece to stay.&#10;D) The niece needs to stay. She needs to give identifying information.

Accepted Answer

The resident has the right to decide who stays in the room during the admission process, including family members like a niece, unless there's a specific legal or policy reason that would prevent this.

Question 9

A resident is transferring to a different room. The nurse asks you to transfer the person. You can do which of the following?&#10;A) Help the person pack.&#10;B) Ask the roommate to transport the person to the new room while you carry the person's belongings.&#10;C) Disconnect the person from his or her oxygen long enough to transfer to the new room.&#10;D) Bring the person's chart, care plan, and drugs.

Accepted Answer

You can help the person pack as part of assisting with the transfer. Other tasks like transporting medical records or disconnecting oxygen require specific permissions or qualifications.

Question 10

Which statement about transfers is correct?&#10;A) Only a doctor can request a transfer.&#10;B) A transfer may be needed if the person's condition changes.&#10;C) The person must be able to ambulate to the new room.&#10;D) Transfers can be requested if the nurse does not like the way the roommate dresses.

Accepted Answer

Transfers within a healthcare setting may be necessary if the patient's medical condition changes, requiring different levels of care or facilities better suited to their new needs. This is not dependent on the patient's ability to walk (ambulate) to the new room, nor are transfers typically requested based on personal preferences or conflicts like disliking a roommate's dress style. While doctors often request transfers, they are not the only healthcare professionals who can do so; nurses and other members of the healthcare team can also initiate or request transfers based on the patient's needs.

Question 11

A resident is being transferred to another unit. Which will help reassure the person?&#10;A) Telling the person that everything will be OK&#10;B) Using a restraint to keep the person calm during the transfer&#10;C) Medicating the person with a sleeping pill prior to the transfer&#10;D) Introducing the person to the new roommate and other residents

Accepted Answer

The answer of A resident is being transferred to another...

Question 12

A resident is going to be discharged. You can do which of the following?&#10;A) Help the person dress as needed.&#10;B) Teach the person about diet and drugs.&#10;C) Tell the roommate to pack the person's belongings.&#10;D) Ask the person to check off the clothing list as he or she packs.

Accepted Answer

The answer of A resident is going to be discharged....

Question 13

Residents are not allowed to hang photos on the walls.

Accepted Answer

The answer of Residents are not allowed to hang photos...

Question 14

New residents may have fears about being abused.

Accepted Answer

The answer of New residents may have fears about being...

Question 15

Residents forfeit their privacy when they move to the center.

Accepted Answer

The answer of Residents forfeit their privacy when they move...

Deck 28: Admissions, Transfers, and Discharges