Question 1

It is determined that a patient is brain dead after suffering a massive cerebral bleed. The physician has just talked to the family about removing the patient from life support. The nurse would anticipate:

Accepted Answer

Requests for organ donation are usually done by a physician or a nurse trained for making such requests.

Question 2

The nurse explains that the Admitting Department of the acute care facility has a number of significant duties, which include: (Select all that apply.)

Accepted Answer

The Admitting Department handles all the paperwork necessary for hospitalization prior to the actual admission. They confirm that all pre-admission studies have been done and the insurance company is in accordance with the admission. They will also keep track of co-pays and deductibles of the patient's insurance.

Question 3

An examination of the remains of a body by a pathologist to determine the cause of death is a(n) ______________.

Accepted Answer

The answer of An examination of the remains of a...

Question 4

The nurse appreciates that a routine hospital admission differs from an emergency admission in that a routine admission: (Select all that apply.)

Accepted Answer

Routine admissions are scheduled in advance with the full knowledge and permission of the third-party payer. Routine admissions allow for time to arrange for disruptions in a family's routine. All hospital admissions can be stressful and potentially have unpredictable outcomes. Insurance may not completely cover the expense.

Question 5

The nurse is orienting an elderly patient newly admitted to the nursing unit. Which are appropriate interventions to apply to alleviate the patient's anxiety? (Select all that apply.)

Accepted Answer

Respectful and proper communication, especially during orientation of the patient to the facility, alleviates anxiety. It is best to orient the patient to the room, including the use of the call light, and to allow the patient time to process information and ask questions.

Question 6

The nurse recognizes that an autopsy must be performed when the patient:

Accepted Answer

Autopsies are required when a patient has died of unknown causes. A family may request an autopsy, but the request must be signed by the next of kin.

Question 7

The nurse reminds a patient that if enrolled in a managed care program, some procedures will not be approved for payment, such as:

Accepted Answer

Elective cosmetic surgeries are not covered by managed care companies.

Question 8

When the orders have been verified, the nurse:

Accepted Answer

After the verification of the order, the nurse draws a line down the left-hand margin; then the nurse signs, dates, and times the transcription.

Question 9

A blind, elderly patient is admitted to the hospital for dehydration and weakness. The nurse can make the admission process less stressful by:

Accepted Answer

Elderly patients need time and support in adjusting to a hospital stay. An unhurried manner will show support and give the patient a little more time to adjust to the change.

Question 10

A patient dies after suffering a severe cerebrovascular accident (CVA). The family members are informed of his demise and are at the bedside. What documentation should be noted in the patient's chart? (Select all that apply.)

Accepted Answer

Death must be accurately noted in the medical record and should include who pronounced the patient's death, the time vital signs ceased, and the official time of death.

Question 11

The nurse is assisting with an admission assessment of a patient with hypertension. While the nurse is preparing to weigh the patient, the patient states, "It is not necessary to weigh me, because I weighed 130 pounds last week." What would be the nurse's best response?

Accepted Answer

The patient should be weighed and measured rather than the stated height and weight being accepted.

Question 12

The nurse is performing an initial assessment on a patient with respiratory difficulty. The nurse would anticipate documenting signs and symptoms such as:

Accepted Answer

An example of signs found in a patient with respiratory difficulty is use of accessory muscles of respiration.

Quiz 23: Admitting, Transferring, and Discharging Patients