ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Correct Answer: D
Rationale: The correct answer is D: Have gloves on while handling bedpans with feces. Rationale: Hepatitis A is primarily spread through fecal-oral route. Wearing gloves while handling bedpans with feces is crucial to prevent the transmission of the virus. Handwashing alone may not be sufficient to prevent cross-contamination. Summary of other choices: A: Placing signs does not directly prevent the spread of hepatitis A. B: Using a mask with a shield is not the most significant routine infection control measure for hepatitis A transmission. C: Wearing a gown for soiled linens does not address the primary mode of transmission for hepatitis A.
Question 2 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 relieving the client's pain and suffering, as alleviating pain is a fundamental aspect of nursing care. Administering the opioid pain medication PRN is aimed at providing comfort and improving the client's quality of life, not hastening death. By following the principle of nonmaleficence, the nurse is acting in the best interest of the client's well-being. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual client's well-being. C: Fidelity pertains to being faithful and keeping promises, but in this case, the priority is the client's comfort. D: Veracity is about truthfulness, which is important, but in this context, the focus is on pain management and comfort care.
Question 3 of 5
A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?
Correct Answer: A
Rationale: The correct answer is A: The complexity of the client's condition. The charge nurse should consider this factor to ensure that each client receives appropriate care based on their individual needs. It is crucial to match the level of expertise and skills of the nursing personnel with the complexity of the client's condition to ensure safe and effective care. While preferences of the assigned nurse (B) and shift schedules of the personnel (C) are important considerations, they should not take precedence over the client's needs. Assignments should prioritize client safety and quality of care. The availability of unit resources (D) is also important, but it should not be the primary factor in making assignments. The complexity of the client's condition should guide resource allocation to ensure optimal care delivery.
Question 4 of 5
A nurse is caring for a client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and wants to discontinue the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which ethical principle?
Correct Answer: B
Rationale: Correct Answer: B - Autonomy Rationale: Autonomy refers to the right of individuals to make decisions about their own healthcare. In this case, the client is alert and oriented and has the right to decide to discontinue the ventilator. Respecting the client's autonomy is crucial in ethical healthcare practice. Continuing treatment against the client's wishes would violate the principle of autonomy. Veracity (A) refers to truthfulness, fidelity (C) to loyalty, and justice (D) to fairness, none of which are directly related to the client's right to make decisions about their own care in this scenario.
Question 5 of 5
A characteristic of non-probability sampling is:
Correct Answer: C
Rationale: The correct answer is C because non-probability sampling methods do not ensure that each member of the population has an equal chance of being selected. Non-probability sampling techniques rely on subjective judgment or convenience, leading to certain members having a higher chance of being selected. Option A is incorrect as it describes a characteristic of probability sampling. Option B is incorrect as non-probability sampling methods are not random. Option D is incorrect because non-probability samples may not be representative of the population due to the lack of randomness in selection.