ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 5
A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Cooperating. The charge nurse is demonstrating a cooperative conflict management style by agreeing to take care of both nurses' clients while they are at lunch. This approach aims to find a mutually beneficial solution where all parties involved work together for a positive outcome. Avoiding (A) would involve the charge nurse ignoring or postponing the conflict, which is not what is happening in the given situation. Competing (B) would involve one party asserting their own needs over others, which is not demonstrated by the charge nurse in this case. Compromising (C) would involve both parties giving up something to reach a middle ground, but in this case, the charge nurse is taking on the responsibility without asking for a compromise. Educationally, understanding different conflict management styles is crucial for nurses and healthcare professionals to maintain a healthy work environment and ensure client safety. By utilizing a cooperative approach, like the charge nurse did in this scenario, conflicts can be resolved efficiently while prioritizing the needs of clients and promoting teamwork among colleagues.
Question 2 of 5
A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to
Correct Answer: D
Rationale: In this scenario, the correct action for the teacher to take during a tonic-clonic seizure is to place the hands or a folded blanket under the head of the child. This is important to prevent injury to the child by providing support and cushioning for the head during the seizure. Moving any chairs or desks away from the child (Option A) may not be feasible or necessary during a seizure, as the priority is ensuring the safety and well-being of the child experiencing the seizure. Noting the sequence of movements with the time lapse of the event (Option B) is not as critical during the actual seizure as providing immediate support and care. Providing privacy to minimize frightening other children (Option C) is important for the emotional well-being of all students, but not the most crucial action during a seizure. Educationally, understanding the appropriate first aid measures during a seizure is essential for teachers and school staff to ensure the safety and well-being of students with epilepsy. Proper training and knowledge can help create a supportive and safe learning environment for all students, including those with specific medical needs.
Question 3 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: In this scenario, the correct ethical principle that the nurse should use to support the decision not to administer the medication is nonmaleficence. Nonmaleficence is the ethical principle of doing no harm or minimizing harm to the patient. In this case, the nurse is concerned that administering the opioid pain medication may hasten the client's death, which goes against the principle of nonmaleficence. By choosing not to administer the medication, the nurse is prioritizing the well-being and comfort of the client. Regarding the other options: A) Utilitarianism focuses on the greatest good for the greatest number of people. In this case, the decision not to administer the medication is more aligned with nonmaleficence than utilitarianism. C) Fidelity refers to being faithful and keeping promises. While important, it does not directly address the ethical dilemma of potentially hastening the client's death. D) Veracity pertains to truthfulness. While honesty is crucial in nursing practice, it is not the primary ethical principle at play in this situation. Educationally, it is vital for nurses to understand and apply ethical principles in their practice to ensure patient safety and well-being. By being aware of these principles, nurses can navigate complex situations like end-of-life care with ethical integrity and patient-centered care.
Question 4 of 5
A nurse is caring for a client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and wants to discontinue the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which ethical principle?
Correct Answer: B
Rationale: The correct answer is B) Autonomy. Autonomy refers to the individual's right to make decisions about their own healthcare, including the right to refuse treatment. In this scenario, the client, who is alert and oriented, has expressed their wish to discontinue the ventilator. Respecting the client's autonomy means honoring their decision, even if it may result in the client's death. Option A) Veracity refers to truth-telling, which is important in healthcare but is not directly related to the client's right to make decisions about their care in this situation. Option C) Fidelity pertains to the nurse's duty to be faithful and keep promises made to the client. While fidelity is important, in this case, the primary concern is respecting the client's autonomy. Option D) Justice relates to fairness and equal treatment of individuals. While justice is an important ethical principle in healthcare, it is not the primary consideration when a client is expressing their autonomy in making end-of-life decisions. In an educational context, this question highlights the significance of respecting patient autonomy and the ethical implications of decision-making in end-of-life care. It underscores the nurse's role in advocating for the patient's right to self-determination, even when the decisions may be difficult or result in a change in treatment that aligns with the patient's wishes. Understanding and applying ethical principles in such sensitive situations are crucial for providing patient-centered care.
Question 5 of 5
The primary focus of qualitative research is:
Correct Answer: B
Rationale: In the context of client safety, understanding the primary focus of qualitative research is crucial for healthcare professionals. The correct answer is B) Understanding social phenomena in their natural context. Qualitative research aims to explore and understand the depth and complexity of human experiences, behaviors, and interactions within their natural settings. This approach allows researchers to gather rich, detailed data that can provide insights into the underlying reasons and meanings behind certain phenomena related to client safety. Option A) Generalizing findings to a population is more aligned with quantitative research, where the emphasis is on statistical generalization based on a representative sample. Option C) Statistical analysis of numerical data is also characteristic of quantitative research methods, which focus on quantifiable data and statistical tests. Option D) Testing hypotheses is a key feature of experimental research designs, which are more common in quantitative research. Educationally, understanding the primary focus of qualitative research is essential for healthcare professionals to engage in evidence-based practice, conduct meaningful research, and make informed decisions to enhance client safety. By grasping the nuances of qualitative research, professionals can better appreciate the importance of context, perspectives, and experiences in improving client outcomes and overall safety measures.