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TEST BANK WILLIAMS: de Wits FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5th EDITION
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TEST BANK WILLIAMS: de Wits FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING, 5th EDITIONChapter 23: Admitting, Transferring, and Discharging Patients
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition
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:
a.have Medicare.
b.be preapproved.
c.be able to pay the deductible.
d.be admitted several days prior to the procedure.
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:
a. arrive 2 hours before the scheduled procedure.
b. wear comfortable clothing.
c. read printed materials about the procedure.
d. be prepared to pay at least 10% of the predicted cost of the hospitalization.
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:
a. patient.
b. admissions department of the health facility.
c. patient, primary care provider, and the admissions department.
d. office of the admitting primary care provider.
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:
a. expected cost of the room per day.
b. location of call bell and how to use it.
c. calling the patient by their first name for less formality.
d. times of the shift changes.
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:
a. send them home with a family member.
b. put them away quickly in the patient’s closet.
c. lock them in the narcotics cabinet on the nursing unit.
d. place them in a valuables envelope and have them locked in the agency safe.
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
6. While admitting a patient from home to the skilled nursing facility, the nurse notes that the
patient has brought medications that are not included on the primary care provider’s
medication order sheet. The nurse’s best initial action is to:
a. send the medications home with a family member.
b. seal the medications in an envelope and lock it in the medicine cart.
c. administer the medications with the ordered medications.
d. notify the physician about the medications the patient has been taking.
ANS: D
It is important to notify the primary care provider of any medications the patient has been
taking at home that are not included in the present orders.
DIF: Cognitive Level: Application REF: p. 401 OBJ: Clinical Practice #1
TOP: Admission KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
7. New orders have been written by the primary care provider for a patient admitted to a skilled
nursing facility. After transcription, the orders will be verified by the:
a. unit secretary.
b. administrative RN.
c. LPN/LVN in charge.
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