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concepts 2 chapt 20
concepts 2 unit 1
| Question | Answer |
|---|---|
| Where can patients be admitted from? | Provider’s office (direct admit) |
| What must the nurse document when receiving report? | Who gave the information |
| What is the correct nurse approach during admission? | Calm, positive, unhurried, good eye contact |
| What are common emotional responses to admission? | Fear, anxiety, loss of control, loss of identity |
| Why do patients feel loss of identity? | Hospital gown, shared rooms, loss of decision-making |
| Priority nursing action for emotional distress? | Emotional support and reassurance |
| How should you address patients? | Mr./Mrs./Ms. + last name |
| Should family members be interpreters? | No, medical interpreter needed |
| What communication style should be used? | Simple, clear English (no slang) |
| What varies by culture? | Eye contact |
| What must the nurse always respect? | Health beliefs, religion, family roles, traditions |
| What does the nurse initiate during admission? | Patient chart |
| What key data is collected? | Demographics and consent to treat |
| What is applied for safety? | ID bands |
| Who can legally consent besides adults? | Emancipated minors |
| Typical age of majority? | 18 |
| What assessment is performed first during admission? | Initial RN assessment (subjective + objective) |
| What must be started immediately upon admission? | Discharge planning |
| What else is obtained upon admission? | Health history and vital signs |
| Goal of discharge? | Shortest safe hospital stay |
| What must be verified first with a discharge? | Provider discharge order |
| What must be completed before discharge? | Medication reconciliation |
| What must be documented for discharge process? | Condition, vitals, time, transportation |
| What education is included? | Medications & side effects Diet changes Treatments at home ADL changes Community resources |
| What must the nurse do first? | Attempt to reason and explain risks |
| What is required if patient leaves AMA? | Signed AMA form |
| Key principle? | Patient autonomy is respected |
| What is the purpose of medication reconciliation? | Prevent medication errors |
| What must be checked? | Duplications Correct doses Continue or discontinue home meds |
| What 5 things must be on discharge paperwork? | Follow-up appointments Medications + side effects Diet/activity restrictions Warning signs Home care instructions |
| What documents are sent when transferring to another facility? | Transfer + discharge summary |
| What legal step is required for transfer to another facility? | Consent to release records |
| What communication is required when transferred within the facility? | Phone report |
| What must be documented for transfer within facility? | Time of transfer |
| What must be obtained first when transferring within facility? | Provider order |
Created by:
muvamayi