ADMISSION BASICS
What is the primary purpose of the admission assessment?
To collect baseline data that guides the development of the nursing plan of care.
What vital information is considered baseline data?
Vital signs, height, weight, and allergy status.
What equipment should be available in the room prior to client arrival?
Vital signs equipment, pulse oximeter, documentation forms, and hospital attire.
What is one indication for transferring a client to another facility or unit?
Change in level of care required.
When should discharge planning begin?
At admission.
What type of data collected during admission is used for future comparisons?
Baseline data (vital signs, weight, allergies).
Which assessment includes alcohol, tobacco, and recreational drug use?
Psychosocial assessment.
Why should nurses discourage valuables at the bedside?
To prevent loss or theft.
What communication tool is recommended for hand-off reports?
SBAR.
Which team member helps arrange community resources?
The social worker.
Which emotional responses are common during hospital admission?
Anxiety, fear of the unknown, and loss of independence.
What safety assessments must be completed on admission?
Fall risk, sensory deficits, and use of assistive devices.
What items must be inventoried on admission?
Clothing, jewelry, money, assistive devices, medications, and personal electronics.
What must the nurse confirm before transferring a client?
The receiving unit or facility has a bed available and is prepared.
What home factors must nurses assess before discharge?
Ability to perform self-care, need for equipment, stairs, and caregiver support.
Why must nurses assess a client’s ability to participate in the admission process?
To determine if information must be obtained from family or caregivers due to distress or altered mental status.
Why is a nutrition assessment important during admission?
To identify swallowing issues, weight changes, and risks for malnutrition.
What room features must the nurse orient the client to first?
Call light, bed controls, bathroom location, and safety features.
What information is essential in transfer documentation?
Diagnosis, allergies, medications, vital signs, safety risks, and plan of care.
What rights does a competent client have regarding discharge?
The right to leave the facility at any time, including AMA.
How does culturally sensitive care affect the admission experience?
It reduces anxiety, builds trust, and improves cooperation and outcomes.
Which admission data is most critical for discharge planning?
Home environment, support systems, and transportation needs.
How does proper orientation promote client safety?
It reduces falls, anxiety, and misuse of equipment.
Who is responsible for assessing how the client tolerates the transfer?
The receiving nurse.
Why must clients and families be involved in discharge planning?
To promote adherence, safety, and continuity of care.