ATI LPN
Time Management Skills in Nursing Questions
Question 1 of 5
A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?
Correct Answer: B
Rationale: Correct Answer: B - Nurses use critical pathways when caring for clients. Rationale: Critical pathways are a core component of case management, providing a structured plan for client care. Nurses follow these pathways to ensure timely and effective interventions, promoting optimal outcomes. This statement indicates an understanding of the systematic and collaborative approach in case management. Incorrect Choices: A: Each nurse completing one specific task is more indicative of a traditional task-oriented approach, not case management's comprehensive and coordinated care. C: Nurses with advanced training providing direct care for select clients suggests a specialized role, rather than the collaborative and holistic approach of case management. D: Nurses delegating and supervising tasks is important in nursing practice, but it does not encompass the full scope of responsibilities in case management, which involves coordination and integration of care.
Question 2 of 5
A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D because requesting a referral for a home safety assessment is the priority for a client with COPD living alone. This is crucial to ensure the client's safety and well-being at home, identifying and addressing potential hazards. Option A is important for emotional support but not the priority. Option B is helpful but ensuring home safety is more critical. Option C is beneficial but not as crucial as addressing home safety.
Question 3 of 5
A nurse is planning discharge for a client following a hip arthroplasty. The client tells the nurse that she lives alone. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Determine the specific needs of the client. This is the first step because it allows the nurse to assess the client's requirements for a safe discharge. By understanding the client's living situation, the nurse can identify potential challenges and arrange appropriate support services. Reporting to the provider (A) may be necessary but not the first step. Contacting the case manager (B) is premature without assessing the client's needs first. Documenting the living situation (D) is important but not as crucial as determining the client's specific needs.
Question 4 of 5
A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out his IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Attempt less restrictive alternatives. Before resorting to wrist restraints, the nurse must exhaust all other possible interventions to prevent harm to the client. This includes trying alternatives such as distraction techniques, positioning aids, or involving family members. Using restraints should be a last resort due to the ethical and legal implications. Incorrect choices: B: Explaining the procedure to the client and family is important but not the first step. C: Obtaining a prescription for restraints is necessary, but it should not be the initial action. D: Documenting the indications for restraints is important but should come after considering less restrictive options.
Question 5 of 5
A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because having a sputum culture done every 2 to 4 weeks is important for monitoring the effectiveness of TB treatment. This test helps determine if the treatment is working and if the client is no longer contagious. Option A is incorrect because TB skin tests are typically not done annually for treatment monitoring. Option B is incorrect because TB treatment usually lasts for 6 to 9 months, not just 3 months. Option D is incorrect because wearing a mask is not necessary if the client is on effective treatment and is no longer contagious.