ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A Client has been intubated and placed on a volume-cycled mechanical ventilator. The nurse carefully assess the client for findings associated with a risk associated with this type of ventilator. What is the risk?
Correct Answer: D
Rationale: The correct answer is D: Barotrauma. Barotrauma refers to lung injury caused by excessive pressure during mechanical ventilation. With a volume-cycled ventilator, there is a risk of delivering high tidal volumes at high pressures, leading to barotrauma. Hypoventilation (A), hypercapnia (B), and respiratory acidosis (C) are outcomes of inadequate ventilation, but they are not the specific risk associated with a volume-cycled ventilator.
Question 2 of 5
A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: The correct answer is A: 'Let's talk about your concerns about the new policy.' This response is appropriate because it demonstrates active listening, empathy, and a willingness to address the nurse's concerns in a constructive manner. By encouraging open dialogue, the nurse manager can better understand the staff nurse's perspective, address any issues, and potentially find a solution that benefits both the nurse and the unit. Choice B is incorrect as it may come across as confrontational and may discourage the nurse from sharing her concerns in the future. Choice C is incorrect as it dismisses the nurse's feelings and does not address the specific issue at hand. Choice D is incorrect as it does not acknowledge the nurse's concerns and instead focuses on imposing support for the policy change without considering the nurse's perspective.
Question 3 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 because it focuses on addressing the issue professionally and constructively. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can set clear guidelines for fair task distribution. This approach promotes open communication and provides an opportunity for the staff nurse to improve. Choice B is incorrect as it focuses on hearsay and may lead to defensiveness. Choice C is incorrect as it escalates the situation prematurely and may create a hostile environment. Choice D is incorrect as it uses accusatory language, which can lead to confrontation rather than resolution.
Question 4 of 5
A nurse is planning to delegate tasks to the AP. Which task is appropriate to delegate?
Correct Answer: A
Rationale: The correct answer is A. The task of accompanying a client with depression to occupational therapy is appropriate to delegate to an Advanced Practice (AP) nurse as it aligns with the AP's scope of practice and requires providing support and assistance to the client. The AP can offer emotional support, ensure safety during transportation, and facilitate the client's participation in therapy. Choice B is incorrect because assessing a hypomanic client for exhaustion requires clinical judgment and knowledge beyond the scope of an AP. Choice C is inappropriate as checking the position of a client in soft wrist restraints involves assessing for safety and proper restraint use, which should be done by a licensed nurse. Choice D is also incorrect as setting limits with a client experiencing mania involves therapeutic communication and complex decision-making, which are responsibilities of a licensed healthcare provider.
Question 5 of 5
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A: The staff nurse should directly address the inappropriate behavior by clearly expressing discomfort and requesting it to stop immediately. 2. B: Reporting to the nurse manager may be necessary, but addressing the issue with the hiring manager first is essential. 3. C: Creating a document is important for documentation but addressing the behavior directly should be the immediate priority. 4. D: Seeking help is valuable, but addressing the hiring manager's behavior directly is crucial in this situation.