ATI RN
Client Safety Alternatives to Restraints Quizlet 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: Step 1: The charge nurse needs to address the issue directly and professionally with the staff nurse. Step 2: Statement A is the correct choice as it focuses on discussing unit expectations regarding delegation and task completion. Step 3: This approach promotes open communication, sets clear expectations, and provides an opportunity for improvement. Step 4: Option B is incorrect as it involves hearsay and does not address the issue directly. Step 5: Option C is not the best approach as it uses a threatening tone instead of fostering a constructive dialogue. Step 6: Option D is judgmental and accusatory, which can escalate the conflict instead of resolving it. Step 7: By choosing statement A, the charge nurse can effectively address the situation and guide the staff nurse towards better delegation and task completion practices.
Question 2 of 5
At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D because inserting a nasogastric tube requires a higher level of skill and knowledge that an LPN possesses. LPNs are trained to perform more complex clinical tasks such as inserting nasogastric tubes. Postmortem care (A) is generally not within the scope of practice for LPNs. Measuring I&O (B) and obtaining weight (C) are tasks that can be safely delegated to assistive personnel as they are routine and do not require the clinical judgment and skill level of an LPN.
Question 3 of 5
A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts?
Correct Answer: D
Rationale: The correct answer is D: Battery. Battery in the context of tort law is the intentional and unauthorized physical contact with another person that results in harm or offense. In this scenario, administering the antibiotic medication to a competent client after they have refused it constitutes unauthorized physical contact, making it a clear example of battery. This act goes against the client's autonomy and right to refuse treatment. A: Assault involves the threat of physical harm, not the actual physical contact seen in this scenario. B: False imprisonment involves restricting someone's freedom of movement, which is not applicable here. C: Negligence refers to a breach of duty of care resulting in harm, but in this case, the action is intentional, not negligent.
Question 4 of 5
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D because an ectopic pregnancy is a medical emergency that requires immediate assessment and intervention to prevent life-threatening complications. The nurse should prioritize assessing this client first to monitor for signs of rupture, such as severe abdominal pain and hypovolemic shock. Choice A is incorrect because although the client had a late term miscarriage, it is not an immediate emergency compared to an ectopic pregnancy. Choice B is incorrect as a bilateral tubal ligation is a routine surgical procedure with a lower risk of complications compared to an ectopic pregnancy. Choice C is incorrect as mastitis, while uncomfortable, is not as urgent as an ectopic pregnancy that requires immediate attention. In summary, the nurse should prioritize assessing the client admitted for an ectopic pregnancy first due to the potential life-threatening nature of the condition.
Question 5 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. The client's partner is her primary caregiver and reports not having enough time to complete his errands. Which of the following referrals should the nurse plan to make?
Correct Answer: D
Rationale: The correct answer is D: Respite care. Respite care provides temporary relief for the primary caregiver, allowing them time to attend to their own needs and errands. This support can help prevent caregiver burnout and ensure the client receives consistent care. Hospice care (A) is not appropriate as the client is not in end-of-life care. Restorative care (B) focuses on rehabilitation, which is not the primary concern in this case. Mental health care (C) may be beneficial but does not directly address the caregiver's need for time off.