ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D because it encourages therapeutic communication by focusing on the client's understanding of the illness, which can help address feelings of hopelessness. Asking the client to explain their understanding opens up the opportunity for clarification and support. Choice A focuses on the emotion only, not the underlying cause. Choice B dismisses the client's feelings. Choice C assumes the client should seek hospice care without exploring their current thoughts and feelings. Thus, D is the most appropriate response for effective client-centered care.
Question 2 of 5
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
Correct Answer: C
Rationale: The correct answer is C: Identify the problem. This is the first step that should be taken to resolve any conflict effectively. By identifying the root cause of the conflict, the nurse manager can gain a clear understanding of the issues at hand. Once the problem is identified, the nurse manager can then proceed to brainstorm solutions (B) based on the specific issues identified. Implementing a resolution (A) and evaluating the results (D) should come after the problem is fully understood and appropriate solutions have been developed. Therefore, choices A, B, and D are incorrect because they should follow the step of identifying the problem in order to effectively address the conflict between the pharmacy and staff nurses.
Question 3 of 5
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D. The priority intervention for a client with active tuberculosis is to place them in a negative pressure private room and have all who enter the room use masks with shields. This is crucial to prevent the spread of tuberculosis to others. Coughing can release infectious droplets into the air, so containing these droplets within a negative pressure room is essential. Choices A and B focus on managing the client's cough but do not address the spread of infection to others. Choice C emphasizes hand hygiene, which is important but not as critical as airborne precautions in this scenario.
Question 4 of 5
Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Correct Answer: C
Rationale: The correct answer is C because the elderly man with an acute exacerbation of ulcerative colitis has a condition that requires ongoing monitoring and treatment in a hospital setting. During an internal disaster, such as a natural disaster or fire, it is crucial to keep patients who are acutely ill or unstable in the hospital where they can receive immediate care. A: The adolescent with sepsis whose vital signs are stable can be managed in a less acute care setting. B: The middle-aged woman with a past uncomplicated myocardial infarction is stable and can be discharged or transferred to a lower level of care. D: The young adult in the second day of treatment for an acetaminophen overdose may need monitoring but is not as acutely ill as the elderly man with ulcerative colitis. In summary, choice C is correct because the elderly man requires ongoing medical care and monitoring during an internal disaster, while the other choices can be managed in a less acute care setting.
Question 5 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, the nurse should prioritize the principle of nonmaleficence by ensuring that the client's pain is adequately managed to provide comfort without causing harm. Administering pain medication to alleviate suffering does not aim to hasten death but to promote the client's well-being. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not apply in this individualized end-of-life care situation. Fidelity (C) pertains to keeping promises and being faithful, which is not directly relevant to the immediate decision about pain medication administration. Veracity (D) refers to truthfulness, which is important but not the primary ethical principle guiding the decision in this context.