Chapter 10: Admission, Discharge, Transfer, and Referrals |Fundamental Nursing Skills and Concepts 12th Edition, Timby

Chapter 10: Admission, Discharge, Transfer, and Referrals Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. A young patient has died in the emergency department after suffering severe trauma. The nurse understands that this patients family may take comfort from the opportunity to: a. allow donation of the patients organs. b. view all of the injuries to the patients body. c. plan the funeral before leaving the hospital. d. donate the patients belongings to charity. ANS: A When handled sensitively, requests for organ donation can be an opportunity for the family to allow something good to come out of a personal tragedy. DIF: Cognitive Level: Application REF: d. 397 OBJ: Clinical Practice #6 TOP: Organ Donation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation 2. A blind, elderly patient is admitted to the hospital for dehydration and weakness. The nurse can make the admission process less stressful by: a. sending all personal belongings home with family members. b. performing the initial assessment in a non-hurried manner. c. providing a printed orientation handout regarding hospital policy. d. performing a quick assessment before orienting the patient to the unit. ANS: B 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. DIF: Cognitive Level: Application REF: d. 393, Elder Care OBJ: Clinical Practice #3 TOP: Admission KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation 3. 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: a. calling the coroners office. b. calling the insurance company. c. contacting the organ donation team. d. asking about an autopsy. ANS: C Requests for organ donation are usually done by a physician or a nurse trained for making such requests. DIF: Cognitive Level: Comprehension REF: d. 397 OBJ: Clinical Practice #6 TOP: Organ Donation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. The nurse recognizes that an autopsy must be performed when the patient: a. is over 52. b. died of unknown causes. c. has requested it on admission. d. has died in an industrial accident.