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Chapter 20 Admission, Transfer, and Discharge
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Chapter 20 Admission, Transfer, and Discharge
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Chapter 20: Admission, Transfer, and DischargeMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse recognizes that a client develops an impression of the nurse during which process?
1. Teaching
2. Discharge
3. Admission
4. Implementation
2. Which behavior does the LPN/LVN expect the admitting nurse to demonstrate during the admission process?
1. Smiling and speaking kindly
2. Exhibiting tense body language and frowning
3. Informing the client that the unit is shorthanded
4. Avoiding eye contact and speaking in a clipped manner
3. A nurse is admitting a client to a hospital unit. Which does the LPN/LVN recognize that the nurse should
do to demonstrate respect for the client?
1. Maintain direct eye contact with the client.
2. Address the client by the correct title and last name.
3. Use a voice of authority to promote a sense of client security.
4. Ask permission to use a term of endearment with the client.
4. A client is being directly admitted to the hospital from the physician’s office. Which component of
the admission process should the nurse expect?
1. The admitting physician will write orders within 8 hours after admission.
2. If available, a hospitalist will assume all responsibility for client orders.
3. The physician’s nurse will provide client information to the hospital nurse.
4. The physician’s office staff will give the client instructions for admission.
5. Which reaction by the hospitalized client should the nurse consider to be most realistic?
1. Loss of control about procedures and medical treatment
2. Anxiety related to the cost and ability to pay for care
3. Fear that family members will see sickness as a weakness
4. Concern about the comfort and safety of the environment
6. The nurse correctly recognizes that separation anxiety is particularly common in children and which
additional population?
1. Adolescents
2. Young adults
3. Middle-aged individuals
4. Older adults
7. The nurse is caring for an older adult client who is experiencing anxiety related to a new diagnosis of cancer.
Which action by the nurse is most helpful in alleviating the client’s anxiety?
1. Informing the client that cancer is curable
2. Asking the client to repeat the physician’s diagnosis
3. Ascertaining which family member can stay with the client
4. Providing the client with reading materials about the diagnosis
, 8. A nurse is providing care to a client newly diagnosed with AIDS. Which behavior by the nurse demonstrates
a caring demeanor toward the client?
1. Protecting the client’s diagnosis from visitors and staff members
2. Discussing the client’s diagnosis in the presence of a roommate for support
3. Avoiding any discussion with the client about the new diagnosis
4. Asking the client the means by which the condition was acquired
9. The LPN/LVN is assisting the nurse during the admission process of a new client. Which task focused
on client safety will the LPN/LVN perform?
1. Obtaining initial set of vital signs from the client.
2. Assessing the client for the need of fall prevention.
3. Asking the client about a history of choking on fluids.
4. Orienting the client about location and use of the call light.
10. The LPN/LVN needs to reinforce teaching for a client who speaks a limited amount of English. Which action
will the RN suggest to the LPN/LVN to best assure that the client understands the information presented?
1. Prompt the client to summarize the teaching.
2. Ask the client questions about the information.
3. Have an interpreter translate for the client and nurse.
4. Provide printed material in the client’s language.
11. A client tells the LPN/LVN, “I am going home. I am not getting better, and I cannot afford to stay here.”
After informing the RN, which action will the LPN/LVN anticipate happening first?
1. The RN will present the client with Against Medical Advice forms and explain that
the client must sign out.
2. The RN will attempt to explain why it is not in the client’s best interest to leave without
physician permission.
3. The RN will contact the attending physician about the client’s wishes and attempt to get
a discharge order.
4. The RN will inform the client’s family that they will be responsible for the client’s bill if
the client leaves.
12. The LPN/LVN is asked by the RN to sign the client’s personal inventory sheet as a witness. Which inventory
description will the LPN/LVN question?
1. Cash in the amount of $157.25
2. Eyeglasses with corrective lenses
3. Gold ring with single large diamond
4. Dentures with inscribed identity number
13. The RN asks the LPN/LVN to orient a client arriving for admission to the unit. Which client orientation will
the LPN/LVN directly connect to a safety need?
1. The client’s stated age is 75 years.
2. The client had open-heart surgery 1 year ago.
3. The client is traveling alone for business.
4. The client reports vomiting for 24 hours.
14. When conducting an admission assessment, the nurse correctly recognizes which information as objective
data?
1. A client’s family history
2. A client’s statement of pain
, 3. A client’s description of anxiety
4. A client’s fruity-smelling breath
15. When performing a client assessment, the nurse will correctly recognize which assessment finding as
subjective data?
1. A client’s vital signs
2. A client’s unsteady gait
3. A client’s foul-smelling wound
4. A client’s statement of discomfort
16. A client is being discharged from the hospital unit to home. Which task is most appropriate for the RN to
assign to the LPN/LVN?
1. Obtaining and charting a final set of vital signs
2. Assisting the client to gather personal belongings
3. Taking the client out of the hospital by wheelchair
4. Providing instructions about activities and medications
17. The nurse correctly recognizes that discharge planning should be initiated at which point in a client’s hospital
stay?
1. During the admission process
2. Before the client is admitted to the hospital
3. Immediately before discharging the client
4. The day after the client’s hospital admission
18. During the admission procedure, the nurse learns that a new client is from a culture that requires men to keep
their head covered at all times by wearing a turban. The client’s roommate in the double room is recovering
from detoxification and has episodes of using racial slurs. Which action by the nurse is best?
1. Make a note on the client’s record that a curtain should be kept drawn between the
two roommates at all times.
2. Assume that the client will be fine, because the client’s culture prides themselves on their
strength.
3. Describe and explain the situation and ask if the client is comfortable being in the same
room with the roommate.
4. Arrange to have the client assigned to a different room, without the probability of a
verbally offensive roommate.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
19. During the admission process, which actions will the nurse take to make the client feel comfortable and
welcome? Select all that apply.
1. Maintain an attitude of authority.
2. Introduce self and shake the client’s hand.
3. Make eye contact and speak directly to the client.
4. Share the nurse’s credentials with the client.
5. Inform the client that the unit is understaffed.
20. The nurse is aware that admission to the hospital setting can be stressful for clients. Which conditions does
the nurse recognize as causes of stress? Select all that apply.
1. Fear related to unknown diagnostic or treatment procedures
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