ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 11 : Admission, Transfer, and Discharge Questions
Question 1 of 5
The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital. When a child experiences separation anxiety they will usually cry. What will an older adult often demonstrate when experiencing separation anxiety?
Correct Answer: C
Rationale: The older adult may demonstrate depression as a result of separation anxiety entering the hospital.
Question 2 of 5
Upon admission the nurse notes that a patient without family members present has a billfold filled with cash. Where can the nurse suggest the money be placed?
Correct Answer: D
Rationale: Valuables should be locked in the hospital safe.
Question 3 of 5
If a patient has an order for an interagency transfer where does the nurse explain that the patient will be moved?
Correct Answer: D
Rationale: The interagency transfer moves a patient from one health care agency to another.
Question 4 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 5 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.