WorksheetsAdmission Discharge and Transfer Review
Total questions: 11
Worksheet time: 7mins
Which nursing action is essential for complying with federal regulations that ensure the client's right to privacy?
Addressing the clients by first name only
Obtaining consent for releasing information
Referring to the client as the person in 201
Using a code number rather than a name in the medical record
Which information is essential for the nurse to obtain at the time of a client's admission to a healthcare agency?
Social Security Number
Medicare Status
Advance Directive
Health Insurance Policy
Which nursing observation is most suggestive that a newly admitted client is anxious?
The client is unusually quiet and withdrawn
the client is restless and awakens frequently
the client eats little food at each meal
the client misses his/her spouse
If the nurse suspects that an older adult in the community is the target of abuse, what agency would be appropriate to contact?
Commission on Aging
Visiting Nurse Association
Older Americans' Ombudsman
Adult Protective Services
Which type of extended care facility would be most appropriate for the nurse to recommend for an older adult who needs further rehabilitation for mobility at the time of discharge from an acute care facility?
Skilled Nursing Facility
(SNF)
Assisted Living Facility
(ALF)
Basic Care Facility
Intermediate Care Facility
The admitting nurse is completing the client's medication reconciliation for the doctor to review. The CNA hands the nurse a CVS bag full of pill bottles that she found in the patient belongings bag sent from the hospital. What should the nurse do with the medications? Select all that apply
Use the medications from the bottles until the pharmacy delivers the patient's new medications
Record the medications on the patient inventory list
Leave the medication at the nurse's station with the chart for the MD to review
Seal the medications, label with the patient's name and lock in the medication cart
A dependent older adult that lives with his son presents to the emergency room with pain on his abdomen and back. The son answers all questions asked to the patient and interrupts if his father tries to answer. The nurse performs a physical assessment and finds multiple bruises in various stages of healing which she knows is suggestive of
elder abuse
a fall off the bed
child Abuse
diabetes
Upon admission the business office is responsible for collecting and communicating the following information to the patient. Select all that apply
Health Insurance Information
Demographic Information
Expected cost of care per day/visit
Vital Signs and orientation to the unit
The med-surge nurse is transferring a post-op orthopedic patient to a Skilled Nursing Facility to continue his recovery. The nurse completed the discharge teaching, called the SNF and gave report, packed the patient belongings and is awaiting the Ambulance transfer team when she discovers that there is no physician order for transfer. What action must the nurse take?
Transfer the patient and then call the physician and ask for an order
Notify the Skilled Facility that the transfer is cancelled for today
Call the physician and obtain an order prior to the transfer
Ask the family to call the physician and ask why he did not write the order
The nurse's patient has packed his belongings and called an Uber to pick him up. The patient is not ready for discharge but is insisting on leaving Against Medical Advice (AMA). What actions should the nurse take? Select all that apply
Explain the risks of discharging AMA
Have the patient sign the AMA form stating that he is aware of the risks
Review all of the medications and treatments with the patient and send the medications home with him
Tell the patient that he can not leave, call security and physically prevent the patient from leaving.
A medication reconciliation must be done when......
select all that apply
A patient expires
A patient is transferred to another facility
A patient is admitted to the facility
A patient is discharged home
