ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A nurse delegates care to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating hygiene for a client who has a vascular access device?
Correct Answer: D
Rationale: The correct answer is D because using a plastic bag to cover the extremity with the device helps protect the vascular access device from getting wet during the client's bath, reducing the risk of infection. This method allows for proper hygiene while maintaining the integrity of the device. A: Providing a bed bath instead of letting the client take a shower is not necessary specifically for a client with a vascular access device. It does not address the protection of the device during bathing. B: Using sterile technique when changing the dressing is important but not relevant to delegating hygiene care for a client with a vascular access device during bathing. C: Disconnecting the intravenous fluid tubing prior to the client's bath can lead to complications such as air embolism or infection. It is not a recommended practice.
Question 2 of 5
During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin, prochlorperazine (Compazine), and bee stings. Based on this assessment data, which antipsychotic medication would be contraindicated?
Correct Answer: D
Rationale: The correct answer is D: because of a cross-sensitivity to penicillin. This is because the client has a known allergy to penicillin, which could indicate a potential cross-sensitivity to other medications, including clozapine. Clozapine is associated with a risk of agranulocytosis, a serious blood disorder, and individuals with known allergies may be at higher risk for adverse reactions. Haloperidol (A) is not contraindicated based on the client's allergies. Choice B is irrelevant to the question, as the contraindication is related to allergies, not age.
Question 3 of 5
The nurse cares for a patient who works in a high stress profession but loves the job. Which term best describes this client's psychological state?
Correct Answer: B
Rationale: The correct answer is B: Eustress. Eustress refers to positive stress that motivates an individual and enhances their performance. In this case, the patient loves their job despite its high stress nature, indicating that the stress is perceived as positive and beneficial. Distress (choice A) is negative stress that can be harmful. Psychological stress (choice C) is a broad term encompassing various stressors. Situational stress (choice D) is stress triggered by specific situations, not necessarily related to the individual's perception of the stress as positive or negative.
Question 4 of 5
Rather than simply providing physical care to patients, hospice was designed to:
Correct Answer: A
Rationale: The correct answer is A: improve a patient's quality of life. Hospice care focuses on enhancing the quality of life for patients with life-limiting illnesses through holistic care, symptom management, and emotional support. This includes addressing physical, emotional, social, and spiritual needs. Providing better psychosocial care (B) is part of improving quality of life, but not the primary goal of hospice. Reducing hospital bills for families (C) is not the main purpose of hospice, as it is more about providing comfort and support rather than financial benefits. Allowing families control over decision making for alert elders (D) is important in healthcare but is not specifically related to the core purpose of hospice care.
Question 5 of 5
The nurse's knowledge about spirituality begins with the nurse:
Correct Answer: A
Rationale: The correct answer is A because self-awareness is crucial for a nurse to understand how their own beliefs may influence their interactions with clients. Researching all popular religions (B) may not be necessary for providing spiritual care. Sharing personal faith (C) can be inappropriate and imposing. Providing prayers and religious articles (D) assumes all clients share the same beliefs. Therefore, A is the best choice for starting the nurse's knowledge about spirituality.