ATI RN
Client Safety Nursing Skill Template Questions
Question 1 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates a misunderstanding of health care proxy selection. A person can choose anyone, not just a family member, as their health care proxy. Statement A is correct as a health care proxy can be changed at any time. Statement B is also correct as the proxy makes end-of-life decisions when the person is incapacitated. Statement D is correct as the health care proxy only comes into effect when the person is unable to make decisions.
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 that emphasizes the duty to do no harm to the patient. In this situation, by not administering the pain medication, the nurse is ensuring that the client is not being harmed or hastened towards death. Administering the medication would be to alleviate suffering, not to hasten death. A: Utilitarianism focuses on maximizing overall good for the majority. In this case, it could be argued that administering the medication would provide the greatest good for the client, but it does not directly address the concern of potentially hastening death. C: Fidelity pertains to being faithful to commitments and maintaining trust. While important, it does not directly address the immediate ethical dilemma of administering pain medication in this situation. D: Veracity relates to truthfulness and honesty. While crucial in communication with the client, it is not the primary ethical principle to consider in this specific scenario.
Question 3 of 5
An RN is assigning responsibilities for his team. Which client should he assume responsibility for?
Correct Answer: C
Rationale: The correct answer is C because as an RN, the highest priority is ensuring comfort and pain management for a client actively dying. This client requires immediate attention to provide IV pain medication for symptom management and dignity in the dying process. Option A is incorrect as ambulation can be delegated to other team members. Option B is incorrect as a client in protective isolation can be managed by following infection control protocols. Option D is incorrect as a dressing change for a stable postoperative client can be delegated. Prioritizing end-of-life care aligns with the RN's scope of practice and ethical duty.
Question 4 of 5
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Asking the spouse what the brain-dead client would have wanted respects the client's autonomy and allows the family to make a decision in alignment with the client's wishes. 2. This approach considers the emotional and ethical aspects of organ donation, ensuring that the decision is not solely based on external factors or pressure. 3. It promotes shared decision-making and empowers the spouse to make a choice that reflects the client's values and beliefs. Summary: - Option A is incorrect as it uses guilt and societal pressure to influence the decision, which is not ethical. - Option C is incorrect as it dismisses the spouse's confusion and oversimplifies the issue by focusing solely on religious beliefs. - Option D is incorrect as it manipulates emotions and does not address the spouse's confusion or the client's wishes.
Question 5 of 5
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Correct Answer: D Rationale: Providing the staff member with a copy of the appraisal form in advance allows them to review their performance, prepare examples, and reflect on their achievements and areas for improvement. This promotes a more meaningful and constructive discussion during the appraisal interview. It also ensures transparency and fairness in the evaluation process. Summary: A: Informing the staff member of the appraisal time prior to change-of-shift report may not allow sufficient time for preparation and reflection. B: Scheduling the appraisal interview early in the shift might not give the staff member ample time to prepare and may lead to rushed discussions. C: Providing a chair across the desk is a good practice for creating a comfortable environment but does not directly impact the effectiveness of the appraisal process.