Nokea
Mrs. Jones is admitted to the hospital for pneumonia. While taking care of Mrs. Jones, you know some common patient reactions to admission are which of the following?
- A. Fear of the unknown
- B. Anxiety
- C. Loss of control
- D. Loss of identity
Correct Answer: A,B,C,D
Rationale: Hospital admission often causes fear, anxiety, loss of control, and loss of identity due to unfamiliarity and dependency.
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Which of the following should be included on an admission orientation checklist?
- A. How to use the call light
- B. Times meals will be served
- C. Location of the nurses' supply room
- D. How to raise the height of the bed
- E. How busy it is on the unit and that you may not be available as much as you would like to be
- F. Location of the bathroom
- G. Two methods staff will use to check the patient's identity before each procedure or medication administration
Correct Answer: A,B,D,F,G
Rationale: Orientation includes call light use, meal times, bed adjustment, bathroom location, and identity verification methods for safety.
You can help prevent loss of identity for your patients by:
- A. calling them 'honey,' 'sweetie,' or other endearments.
- B. addressing them by title and surname.
- C. referring to them as a room number to protect privacy.
- D. referring to them by their diagnosis.
- E. addressing all patients with their first name to provide a sense of familiarity.
Correct Answer: B
Rationale: Addressing patients by title and surname respects their identity and dignity.
At what point before discharge should discharge planning begin?
- A. Upon admission
- B. Right before discharge
- C. Right before social services visits the patient
- D. In the emergency room
Correct Answer: A
Rationale: Discharge planning starts upon admission to ensure a smooth transition and continuity of care.
The nurse is treating a patient with pneumonia on the medical-surgical floor. The nurse understands separation anxiety is common in which age group?
- A. Adolescents
- B. Children
- C. Older adults
- D. Young adults
Correct Answer: B,C
Rationale: Children and older adults commonly experience separation anxiety during hospitalization.
Children and older adults are more prone to:
- A. feeling a loss of identity.
- B. experiencing separation anxiety.
- C. feeling a loss of control.
- D. adapting more readily to admission to a health-care facility.
Correct Answer: B,C
Rationale: Children and older adults are vulnerable to separation anxiety and loss of control due to hospitalization.