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
A patient with ARDS is being mechanically ventilated. The physician has ordered prone positioning. What is the primary reason for this intervention?
Correct Answer: D
Rationale: The correct answer is D. Prone positioning helps recruit collapsed alveoli by redistributing ventilation to dependent lung regions, improving oxygenation in ARDS. It enhances lung homogeneity and reduces stress on the dorsal lung regions. Choices A, B, and C are incorrect because prone positioning primarily aims to optimize oxygenation by improving lung ventilation and perfusion, rather than solely reducing diaphragm workload, enhancing perfusion to anterior lung segments, or mobilizing secretions.
Question 3 of 5
The nurse conducting a community health promotion class on sexuality includes that a person's biologic sex is determined by:
Correct Answer: B
Rationale: The correct answer is B because biologic sex is determined by both external and internal genitalia, which are physical characteristics present at birth. This is based on chromosomal and hormonal factors that dictate the development of male or female reproductive organs. Choice A is incorrect as sexual intercourse does not determine biologic sex. Choice C refers to gender identity, not biologic sex. Choice D pertains to sexual orientation, not biologic sex. In summary, the physical characteristics of external and internal genitalia are the key factors in determining a person's biologic sex.
Question 4 of 5
The nurse cares for a client who just had a massive myocardial infarction (MI). Which of the following stress reduction techniques would be applicable to this client? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Promote a heart healthy diet. Following a heart-healthy diet can help manage risk factors for further cardiac events. A diet high in fruits, vegetables, whole grains, lean proteins, and low in saturated fats can help reduce cholesterol levels and blood pressure. Choices B, C, and D are incorrect. B: Encouraging cigarette cessation is crucial as smoking increases the risk of further cardiovascular issues. C: While sleep is important, the immediate focus should be on heart health interventions. D: After a massive MI, low-intensity exercise may not be safe until the client's condition stabilizes.
Question 5 of 5
Nail cutting
Correct Answer: A
Rationale: The correct answer is A: Follow the curve. This is because nails naturally grow in a curved shape, so cutting them following the curve helps prevent ingrown nails and maintains the nail's natural shape. Cutting straight (option B) can increase the risk of ingrown nails and discomfort. Options C and D are incomplete, so they are incorrect choices. Following the curve when cutting nails is the most effective and safe approach for maintaining healthy nails.