ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 11 : Admission, Transfer, and Discharge Questions
Question 1 of 5
Before the actual discharge occurs what must the nurse ensure?
Correct Answer: C
Rationale: It is essential that the patient be fully aware of the discharge instructions before being discharged.
Question 2 of 5
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?
Correct Answer: D
Rationale: When a patient threatens to leave AMA, the health care provider should be notified immediately. If the health care provider fails to convince the patient to remain in the facility, the health care provider will ask the patient to sign an AMA form releasing the facility from legal responsibility for any medical problems the patient may experience after discharge. If the health care provider is not available, the nurse should discuss the discharge form with the patient and obtain the patient's signature. If the patient refuses to sign the AMA form, the patient should not be detained. This violates the patient's legal rights. After the patient leaves, the nurse should document the incident thoroughly in the nurse's notes and notify the health care provider. A rational adult patient who will not sign the AMA form cannot be forcibly detained.
Question 3 of 5
How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
Correct Answer: C
Rationale: Many Haitians believe that leaves have a special significance in healing. Leaves may be found in the clothes and on various parts of the body. Leaves are thought to have mystical power related to regaining or keeping health.
Question 4 of 5
A nurse is caring for a Haitian American patient. How might the nurse demonstrate cultural sensitivity?
Correct Answer: D
Rationale: Some Haitian Americans associate wheelchairs with being sick.
Therefore, on discharge, the patient who is allowed to walk out of the hospital will be more likely to feel that care has been effective. A poor patient with a Haitian background and a wealthy patient with a Haitian background, although from the same country, may find the same room assignment together in the hospital very distasteful.
Question 5 of 5
The nurse adheres to the discharge standards set by The Joint Commission (TJC) which include that patients will receive instruction regarding which aspects of care?
Correct Answer: A,B,C,D
Rationale: The Joint Commission (TJ
C) standards require that a patient have information pertinent to medication, rehabilitation instructions, referral to community agencies, instruction in using any medical equipment, family care responsibility, diet, and how to obtain further treatment if necessary.