Chapter 20 Admission, Transfer, and Discharge

Chapter 20  Admission, Transfer, and Discharge

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse recognizes that the patient will develop his or her initial impression of the nurse during the
A.
Teaching process.
B.
Discharge process.
C.
Admission process.
D.
Implementation process.

____ 2. When admitting a patient to a hospital unit, the nurse demonstrates a caring demeanor when
A.
Smiling and speaking kindly.
B.
Exhibiting terse body language and frowning.
C.
Informing the patient he or she is short-handed.
D.
Avoiding eye contact and speaking in a clipped manner.

____ 3. The nurse is admitting a patient to a hospital unit. When admitting the patient, the nurse should
A.
Maintain prolonged eye contact.
B.
Address the patient by his or her surname.
C.
Speak rapidly when interacting with the patient.
D.
Use terms of endearment when conversing with the patient.

____ 4. The nurse is supervising a student nurse on a pediatric nursing unit. The nurse intervenes when the student nurse tells a child
A.
“Do you want to hold my stethoscope?”
B.
“This shot will not hurt.”
C.
“Let’s pretend to give the teddy bear a shot.”
D.
“Would you like to take the teddy bear’s temperature?”

____ 5. The nurse recognizes that most individuals prefer to recover from illness or injury
A.
At home.
B.
In the hospital.
C.
At a care center.
D.
In the emergency department.

Chapter 20. Admission, Transfer, and Discharge
Answer Section

MULTIPLE CHOICE

1. ANS: C

Feedback
A
The patient will already have developed an initial impression of the nurse as soon as the patient and nurse begin to interact.
B
The patient’s impression of the nurse will be fully determined by the time of discharge.
C
The nurse has the opportunity, ability, and responsibility to make admission less stressful for his or her patients. It is during the admission process that the nurse will make his or her first impression on the patient, one that can either help improve the patient’s stay or make it a negative experience. This is the time to begin establishing rapport and a trusting relationship with the patient. Chapter Objective: Explain the importance of making the patient feel welcome during the admission process.
D
During implementation of interventions, the patient will continue to form an impression of the nurse, but it began as soon as the patient was admitted and began to interact with the nurse.

PTS: 1 REF: Chapter: 20 | Page: 408 OBJ: Chapter Objective: 20-3
KEY: Content Area: Admission Process | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application

2. ANS: A

Feedback
A
The nurse should smile and speak kindly and respectfully to make the patient feel welcome. Chapter Objective: Explain the importance of making the patient feel welcome during the admission process.
B
The nurse should make a conscious effort to avoid letting unpleasantries, such as being behind schedule, show in his or her speech, facial expression, or body language.
C
The nurse should make a conscious effort to avoid complaining about being short-staffed.
D
The patient may consider the fact that the nurse avoids eye contact as impersonal and due to an uncaring attitude. Clipped speech can easily be construed as the nurse is “in a hurry.”

PTS: 1 REF: Chapter: 20 | Page: 408 OBJ: Chapter Objective: 20-3
KEY: Content Area: Admission Process | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Analysis

3. ANS: B

Feedback
A
The nurse should make brief eye contact and speak at a rate that does not sound hurried.
B
The nurse should address the patient by his or her surname, such as Mr. or Mrs. Stephens. The nurse should avoid using the patient’s first name unless he or she specifically asks to be addressed by his or her first name. Chapter Objective: List the nurse’s responsibilities during patient admission.
C
The nurse should speak at a rate that does not sound hurried.
D
The nurse should avoid using terms of endearment such as “Honey” and “Sweetie.” Use of these terms may be considered condescending or patronizing.

PTS: 1 REF: Chapter: 20 | Page: 408 OBJ: Chapter Objective: 20-5
KEY: Content Area: Admission Process | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Analysis

4. ANS: B

Feedback
A
If the patient is a child, it is often helpful to allow the child to hold and become familiar with supplies or equipment that will be used in his or her care. For example, allow the child to listen to his or her mother’s heart with the stethoscope.
B
The nurse should never tell the child that a procedure will not hurt unless it is the truth. It is important to be honest and admit that it will hurt a little bit. The nurse can then follow up with the child by describing what can be done to decrease the discomfort. If the nurse tells the child that something will not hurt and it does, distrust rather than trust will occur and the nurse’s credibility with the child will be damaged. Chapter Objective: Describe nursing interventions for common reactions to admission.
C
It is often helpful to allow the child to hold and become familiar with supplies or equipment that will be used in his or her care, such as allowing the child to pretend to give the teddy bear a shot using an empty, needleless syringe.
D
It is often helpful to allow the child to hold and become familiar with supplies or equipment that will be used in his or her care. For example, allow the child to take a teddy bear’s tympanic temperature.

PTS: 1 REF: Chapter: 20 | Page: 409 OBJ: Chapter Objective: 20-2
KEY: Content Area: Child Health | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Analysis

5. ANS: A

Feedback
A
Anxiety can develop due to separation from familiar surroundings and significant others. Most individuals prefer to recover from illness or injury at home, where they are most comfortable and where care can be provided by family or loved ones rather than by strangers. Chapter Objective: Identify four common patient reactions to admission.
B
Anxiety can develop due to separation from familiar surroundings and significant others. Most individuals prefer to recover from illness or injury at home, where they are most comfortable and where care can be provided by family or loved ones rather than by strangers.
C
Anxiety can develop due to separation from familiar surroundings and significant others. Most individuals prefer to recover from illness or injury at home, where they are most comfortable and where care can be provided by family or loved ones rather than by strangers.
D
Anxiety can develop due to separation from familiar surroundings and significant others. Most individuals prefer to recover from illness or injury at home, where they are most comfortable and where care can be provided by family or loved ones rather than by strangers.

PTS: 1 REF: Chapter: 20 | Page: 409 OBJ: Chapter Objective: 20-1
KEY: Content Area: Mental Health | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application