ATI LPN Fundamentals Test ch 789 caole

Question 1 of 5

To enhance the establishment of rapport with a patient, the nurse should:

A. Share information with the patient about other patients and why they are hospitalized.B. Share his own personal experiences so that the patient gets to know him as a friend.C. Act in a trustworthy and reliable manner; respect the individuality of the patient.D. Identify himself by name and title each time he introduces himself.

Correct Answer: C

Rationale: Trustworthy behavior and respecting individuality (
C) build rapport. Sharing others' info (
A) violates confidentiality, excessive personal sharing (
B) blurs boundaries, and introductions (
D) are insufficient alone.

Extract:

Hospitalized patient

Question 2 of 5

A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:

A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.B. Nurse has not violated the confidentiality of the patient because the patient is terminal; sharing this information will not harm the patient.C. Nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.D. Nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.

Correct Answer: D

Rationale: Sharing patient info with a neighbor (
D) violates HIPAA. Assurances (
A) donâ€™t excuse breaches, terminal status (
B) is irrelevant, and promotion (
C) doesnâ€™t justify confidentiality violations.

Extract:

Patient packing belongings, concerned about new diet, post-surgery, or diagnosed with malignancy

Question 3 of 5

The nurse would identify an opportunity for a â€œteaching momentâ€ in the situation of a patient who:

A. is packing belongings in preparation for discharge.B. says, 'How will I remember all the things about my new diet?'C. has just returned from surgery for a deviated septum.D. has just been told of the malignancy of his tumor.

Correct Answer: B

Rationale: Expressing diet concerns (
B) signals a teaching moment. Discharge (
A) may be rushed, post-surgery (
C) limits alertness, and malignancy news (
D) causes distress, hindering learning.

Extract:

Patient wringing hands, frowning, tearful, or smiling while expressing emotions

Question 4 of 5

The nurse recognizes the patient who demonstrates communication congruency when the patient

A. wrings her hands and paces around the room while denying that she is upset.B. states she is comfortable while she frowns, and her teeth are clenched.C. is tearful and slow in speech when talking about her husband's death.D. smiles and laughs while speaking of feeling lonely and depressed.

Correct Answer: C

Rationale: Tearful speech about loss (
C) aligns verbal and nonverbal cues. Wringing hands (
A), frowning (
B), and smiling (
D) contradict stated emotions, showing incongruence.

Extract:

Patient stating reluctance to walk

Question 5 of 5

When a patient states, 'I don't feel like walking today,' the nurse's most therapeutic verbal response would be:

A. I don't feel like walking today either.'B. You have to walk today.'C. Why don't you want to walk today?'D. You don't want to walk today?'

Correct Answer: D

Rationale: Reflecting the statement (
D) validates feelings and invites elaboration. Sharing feelings (
A) shifts focus, demanding walking (
B) is forceful, and 'why' (
C) may seem judgmental.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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