question

What do patients often experience?

answer

Fear Loss of identity Disorientation Separation anxiety Loneliness Anxiety Stress

question

What is the Patient Self-Determination Act of 1991?

answer

Patient's right to refuse treatment

question

HIPAA

answer

Right to receive information on Advance Directives

question

Loss of identity

answer

Often felt by patients as they are not in their normal roles and reflects Maslow's need for self-esteem

question

Separation anxiety and loneliness are reactions that reflect the needs Maslow identified as

answer

belongingness and love

question

Older adults sometimes exhibit

answer

disorientation or depression

question

Admission information consists of:

answer

Name/address/telephone number Age/birth date Social security number Next of kin Insurance company/policy number Place of employment Physician's name Reason for admission

question

What does checking ID on patient ensure?

answer

ensures the patient is identified before being given medication or treatment

question

What information does patient's ID include?

answer

Pts name Age Admitting number Physician's name Room number

question

Who is the initial assessment prepared by?

answer

RN

question

What are the most important aspects of the admission procedure?

answer

Greeting the patient by name, Making the patient feel welcome along with introduction of care team [nurse], and roommate

question

What should the nurse do to prevent medication and treatment errors?

answer

Check ID band

question

After patient is established in room what steps should a nurse perform next?

answer

Perform the initial assessment first, ASSESS for PAIN during initial assessment, Take the Health History [may disclose Pt need]

question

When is the physician notified?

answer

When the patient has been admitted

question

INTER-agency

answer

transferring patient from one facility to another (hospital to nursing home)

question

INTRA-agency

answer

transferring a patient from one area within a facility to another area within the facility (medical floor to ICU)

question

What form should be completed at the time of discharge?

answer

Medication Reconciliation Form

question

What is the purpose of discharge planning?

answer

To ensure continuity of care

question

What does the Joint Commission standards require of a patient?

answer

Have information on medication, Rehabilitation instructions, Referrals to community agencies, Instruction on how to use medical equipment, Family care responsibility, Diet, How to obtain further treatment if necessary

question

Medication Reconciliation Form p. 261

answer

Provides information as to which medications, the MD wants the patient to take until the post hospital check-up in their office, Referrals for health care services: MD Orders may be needed for Outside Health Care

question

Against Medical Advice

answer

This is when a patient leaves a health care facility without physician's order for discharge

question

If a patient goes against medical advice and they are on medicare..

answer

they lose Medicare benefits

question

Patient Room Orientation includes

answer

The relationship of the room to the nurses' station The location of lounge areas The location of shower and bathroom facilities How to call the nurse from the bed and the bathroom How to use the intercom system How to adjust the bed and the lights How to operate the television How to operate the telephone and the radio Explanation of policies applicable to the patient

question

Discharge Planning

answer

the systematic process of planning for patient care after discharge from the hospital. Begins shortly after admission

question

Disorientation

answer

mental confusion characterized by inadequate or incorrect perception of place, time, and identity

question

Empathy

answer

ability to recognize and , to some extent, share the emotions and states of mind to another and to understand the meaning and significance of that person's behavior

question

Health Care Facility

answer

agency or institution that provides health care

question

Home Health Agency

answer

an organization that provides health care in the home

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Third-party Payors

answer

entitles (people or elements) other than the giver or receiver of service responsible for payment, e.g. Medicare or insurance company

question

Separation Anxiety

answer

fears and apprehension caused by separation from familiar surroundings and significant people

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Transfer

answer

moving a patient from one unit to another (intraagency transfer) or moving a patient from one health care facility to another (interagency transfer)

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SPC

answer

Special Care Unit

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ICU

answer

Intensive Care Unit

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CCU

answer

Coronary Care Unit

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HIPAA (Health Insurance Portability and Accountability Act)

answer

-a federal mandate that ensures the privacy of the patient's protected health information (PHI) -patients are informed of their privacy rights -requires that facilities only use or disclose PHI for the purpose of treating and payment -only health care providers directly involved in the care of patient are given info, at need-to-know basis -patients have right to gain access to their records, request amendments to PHI, request restrictions or record of all PHI disclosures

question

Transferring a patient

answer

the patient transfer requires a thorough preparation and careful documentation before, during, and after a transfer to ensure continuity of care. -preparation: explain transfer to patient and family, discuss the patients condition and plan of care with the staff of the receiving unit or facility, arrangements for transportation -obtain a set of vital signs, assessment and give report to the person accepting the patient

question

Discharge planning instructions

answer

-ideally, discharge planning begins shortly after admission -teach the patient and family about the patients illness and its effect on his or her lifestyle -provide instructions for home care -communicate dietary or activity instructions -explain the purpose, adverse effects and scheduling of medication to be taken -complete a medication reconciliation form at the time of discharge -often includes arranging transportation -follow up care may be necessary -coordinate outpatient or home care services -the nurse assists the patient pack belongings and dress to go home.

question

Risk factors for discharge planning

answer

-older adults -multi-system disease process -major surgical procedure (risk for infection) -chronic or terminal disease -emotional or mental disability

question

Discharge summary

answer

-includes patients learning needs, how well they were met, patient teaching completed, short and long term goals of care, referrals made

question

Maslow-Safety

answer

fear of the unknown, which causes insecurity

question

Red Band

answer

alert personnel to patient allergies

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Initial assessment

answer

-level of consciousness -vital signs -height & weight -breath sounds -bowel sounds -range or motion -condition of skin -vision -hearing

question

Dietitian

answer

-providers proper nutrient and food source requirements in patient's diets -instructs patients on meal planning and diet restrictions

question

Physical Therapist

answer

-assists in the examination and treatment of physically disabled or handicapped people -assists in rehabilitating patient sand restoring musculoskeletal function to a patient's greatest potential

question

Social Worker

answer

-provides counseling for major life crises (e.g.terminal illnesses, family problem) -assists in finding community resources -assists in finding financial resources to cover medical costs

question

Occupational Therapist

answer

teaches patients to adapt to physical handicaps by learning new vocationalist skills or ADLs

question

Speech Therapist

answer

assists patients with disorders affecting normal oral communication

question

Home Health Care Nurse

answer

provides follow-up discharge visits to a patient's home for the delivery of nursing services

question

Clinical Nurse Specialist

answer

-consults with nursing staff on appropriate nursing interventions for complex nursing diagnoses -provides instructions to patients and family members who will assume patient care

question

When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. This behavior suggests a common reaction to hospitalization, which is: A) relief about being cared for. B) fear of the unknown. C) feeling of powerlessness. D) concern about cost.

answer

fear of the unknown

question

How can the nurse help reduce the stress of a hospital admission? (Select all that apply.) A) Show the patient how bedside equipment works. B) Explain the need to establish a clear source of reimbursement. C) Give simple explanation of policies. D) Involve the patient in the plan of care. E) Keep family interventions to a minimum.

answer

Show the patient how bedside equipment works. Give simple explanation of policies. Keep family interventions to a minimum.

question

A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). The nurse should: A) forcibly detain and restrain the patient. B) administer a sedative hypnotic medication. C) prevent patient from leaving until an AMA form is signed. D) notify the physician that the patient is threatening to leave AMA.

answer

notify the physician that the patient is threatening to leave AMA.

question

Upon admission, the nurse notes that a patient has a billfold filled with cash. Because there is no family member present, the nurse suggests that the money be: A) placed in a sealed envelope in the bedside table. B) given to hospital security. C) locked in the narcotic cupboard. D) placed in the hospital safe

answer

placed in the hospital safe

question

What is an example of direct admission?

answer

Dr. Office or ER

question

What is an example of planned admission?

answer

scheduled surgery

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