ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 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.
Question 2 of 5
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: C
Rationale: The correct answer is C: Palpate pulses. This task should be assigned first because assessing the pulses can provide crucial information about the injured workers' circulation and perfusion status. By palpating pulses, the unlicensed assistive personnel can quickly identify any signs of compromised circulation or potential life-threatening conditions. This immediate assessment is essential for prioritizing care and determining the urgency of further interventions. Other choices are incorrect because: A: Getting temperatures can be important but not as immediately critical as assessing pulses for circulatory status. B: Taking blood pressure may provide valuable information, but assessing pulses gives a more direct indication of perfusion. D: Checking alertness is important, but assessing pulses should be the priority for immediate life-saving interventions.
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: Step-by-step rationale for why answer A is correct: 1. Address the issue professionally and objectively. 2. Focus on unit expectations rather than personal attacks. 3. Create an opportunity for open dialogue and clarification. 4. Set a constructive tone for resolving the conflict. Summary of why other choices are incorrect: B. Involves hearsay and personal attacks. C. Threatening without a resolution strategy. D. Accusatory and judgmental approach.
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy is the most critical initial step in addressing medication administration errors. By conducting a thorough review of the events leading up to each error, the committee can identify root causes and contributing factors, allowing for targeted interventions to prevent similar errors in the future. This approach aligns with the principles of continuous quality improvement (CQI) by focusing on understanding the underlying issues before implementing solutions. Choice A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific factors contributing to errors, the impact may be limited. Choice B: Requiring staff nurses to pass a medication administration examination focuses on individual competency, which is important but not as effective as addressing system issues that contribute to errors. Choice D: Developing a quality improvement program for nurses involved in errors is necessary but should come after identifying and addressing the root causes of errors through a comprehensive review process.
Question 5 of 5
In qualitative research, a guiding principle in deciding sample size is:
Correct Answer: C
Rationale: The correct answer is C: Data saturation. In qualitative research, data saturation is the point where new data no longer brings additional insights or changes in themes. This principle guides sample size determination as it ensures enough data is collected to reach this saturation point, leading to a comprehensive understanding of the phenomenon under study. Effect size (A) is more relevant in quantitative research, while the number of variables (B) and sub-group analysis (D) are factors that may influence the complexity of the study but are not directly related to determining sample size in qualitative research.