ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A) 'I need to talk to you about unit expectations regarding delegating and completing tasks.' This response is appropriate because it directly addresses the behavior of delegating unfairly and leaving tasks incomplete. It opens the door for a constructive conversation about the issue, focusing on unit expectations and professional behavior. Option B is incorrect because it does not promote a solution-focused approach and may lead to defensiveness or conflict. Option C is not the best choice as it immediately threatens to involve higher authority without attempting to address the issue directly with the staff nurse first. Option D is also incorrect as it uses accusatory language that can escalate the conflict rather than resolve it. In an educational context, it is crucial for nurse leaders to address conflicts in a professional and constructive manner. By choosing option A, the charge nurse demonstrates effective communication skills, leadership, and a commitment to resolving conflicts within the team to maintain a safe and efficient work environment. It also promotes a culture of accountability and teamwork, essential for ensuring client safety and quality care delivery.
Question 2 of 5
A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?
Correct Answer: A
Rationale: Physical signs of dependent adult abuse include skeletal fractures, as well as burns, bruises, welts, and lacerations. Nurses are responsible for reporting suspicion of dependent adult abuse to the proper legal authorities within the state. It is important for the nurse to note that a competent older adult has the right to make his or her own decisions about pursuing legal action. Unless a client has been found to be legally incompetent, he or she is not classified as a dependent adult.
Question 3 of 5
A nurse is planning care for a client with anorexia nervosa. Which client goal is the priority?
Correct Answer: A
Rationale: In caring for a client with anorexia nervosa, the priority goal is to ensure the client attains a healthy weight greater than the 75th percentile for age and height (Option A). This goal is critical because individuals with anorexia nervosa often have dangerously low body weights that can lead to severe medical complications, including cardiac issues and organ failure. By prioritizing weight restoration, the nurse addresses the immediate physical health risks associated with anorexia nervosa. Option B, making positive statements about body image, while important for promoting self-esteem and psychological well-being, is not the priority in this case. Clients with anorexia nervosa often have distorted body image perceptions, and addressing this issue typically follows successful weight restoration. Option C, feeling in control of her behavior, and Option D, identifying changes in the family unit that promote autonomy, are important psychosocial goals in the care of clients with anorexia nervosa. However, these goals are secondary to addressing the life-threatening physical effects of malnutrition associated with the disorder. In an educational context, it is vital for nurses to understand the hierarchy of priorities in caring for clients with anorexia nervosa. By focusing on weight restoration as the priority goal, nurses can effectively address the immediate health risks and lay the foundation for addressing psychological and social aspects of the illness in the long term. This approach ensures that client safety and well-being are the primary considerations in care planning.
Question 4 of 5
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?
Correct Answer: B
Rationale: The correct answer is B) The purpose of medication reconciliation is to prevent adverse medication reactions. This answer is correct because medication reconciliation is a crucial process in healthcare aimed at ensuring that accurate and up-to-date medication information is available for the client to prevent medication errors and adverse drug reactions. By reconciling medications, healthcare providers can identify discrepancies, such as omissions, duplications, or incorrect dosages, and take appropriate actions to prevent harm to the client. Option A is incorrect because while it is true that accredited facilities are required to have protocols for medication reconciliation, this does not directly address the purpose of the process, which is to prevent adverse medication reactions. Option C is incorrect because veracity refers to truthfulness and honesty, not specifically related to medication reconciliation. Option D is incorrect because while it is important for nurses to perform medication reconciliation at key points in a client's care, this answer does not directly address the purpose of the process in preventing adverse medication reactions. In an educational context, understanding the purpose and importance of medication reconciliation is essential for nurses to provide safe and effective care to clients. By emphasizing the goal of preventing adverse medication reactions, nurses can appreciate the significance of thorough medication reconciliation practices in promoting client safety and positive health outcomes.
Question 5 of 5
A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?
Correct Answer: C
Rationale: In this scenario, the correct action for the charge nurse to take is option C: talk with the clients who have reported the LPN's lack of care. This is the most appropriate course of action as it directly addresses the concerns raised by the clients, allows for clarification of the reported issues, and provides an opportunity to gather more information to assess the situation accurately. Option A, reviewing the LPN's personnel file, is incorrect as it does not address the immediate issue of client safety and care. Option B, discussing the LPN's behavior with other nurses, may lead to gossip or speculation without concrete evidence of the reported lack of care. Option D, reassigning client care to assistive personnel, does not address the underlying problem and may compromise continuity of care for the clients. Educationally, this scenario highlights the importance of effective communication, active listening, and addressing client concerns promptly in ensuring client safety and quality care. It also emphasizes the role of the charge nurse in advocating for clients and supporting staff members in delivering optimal care.