ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately?
Correct Answer: A
Rationale: The correct answer is A: sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening side effect characterized by a low white blood cell count. A sore throat may indicate infection due to decreased white blood cells, necessitating immediate intervention to prevent serious complications. Incorrect options: B: Fever - While fever can indicate infection, a sore throat is a more specific symptom of agranulocytosis related to clozapine. C: Malaise - Generalized discomfort is nonspecific and does not directly correlate with the serious side effect of agranulocytosis. D: Akathisia and hypersalivation - These side effects are common with antipsychotic medications, including clozapine, but they are not indicative of the life-threatening condition of agranulocytosis.
Question 2 of 5
What type of grief is a client experiencing when a wife is still grieving her deceased husband of five years ago?
Correct Answer: A
Rationale: The correct answer is A: Chronic grief. Chronic grief is prolonged and persists over a long period of time, often lasting beyond what is considered normal. In this scenario, the client is still grieving her deceased husband after five years, indicating a prolonged and ongoing grieving process. B: Delayed grief refers to a situation where the individual postpones or suppresses their grief initially, but eventually experiences it. C: Masked grief involves expressing grief through other behaviors or emotions, rather than directly acknowledging the loss. D: Uncomplicated grief is a normal and healthy response to loss without any complicating factors. In this case, the grief has persisted for an extended period, indicating it is not uncomplicated.
Question 3 of 5
The nurse notes on the admission form that the client has indicated 'no religious preference.' What does this indicate to the nurse about the client?
Correct Answer: A
Rationale: Step 1: 'No religious preference' implies the client does not adhere to a specific religious faith. Step 2: This suggests the client does not follow the tenets or beliefs of any particular religion. Step 3: Therefore, choice A is correct as it aligns with the client's lack of affiliation with a specific faith. Summary: Choice A is correct because the client's statement indicates a lack of alignment with a specific religious faith, ruling out choices B, C, and D which make assumptions about the client's beliefs or actions.
Question 4 of 5
Which term refers to our ability to execute societal expectations regarding role-specific behaviors?
Correct Answer: D
Rationale: The correct answer is D: Role performance. Role performance refers to our ability to fulfill societal expectations for specific roles. It involves behaving in ways expected by society based on our roles. Body image (A) relates to how we perceive our physical appearance. Role conflict (B) occurs when we have difficulty meeting the expectations of different roles. Personal identity (C) refers to our sense of self and how we define ourselves. In this context, role performance best captures the idea of executing societal expectations for role-specific behaviors.
Question 5 of 5
Which consultation or referral by the nurse is most appropriate for a client who is obese and demonstrates poor wound healing?
Correct Answer: B
Rationale: The correct answer is B: Nutritional consult. Obesity can impair wound healing due to poor circulation and increased inflammation. A nutritional consult can address dietary factors that may be contributing to poor wound healing, such as nutrient deficiencies or excess caloric intake. Podiatry referral focuses on foot care, not the root cause of poor wound healing in this case. Pulmonologist referral is unrelated unless there are underlying respiratory issues. Physical therapy may be beneficial for mobility but does not directly address the nutritional aspect affecting wound healing.