ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D, Nonmaleficence. This principle emphasizes the obligation to do no harm to the patient. By discontinuing the experimental medication upon evidence of rapidly advancing kidney failure, the nurse is prioritizing the patient's well-being and preventing further harm. This decision aligns with the ethical duty to avoid causing harm to the patient. Now, let's analyze why the other choices are incorrect: A. Veracity: Veracity refers to truth-telling. Discontinuing the medication is not specifically related to truth-telling but rather to preventing harm. B. Autonomy: Autonomy relates to respecting the patient's right to make decisions about their care. Discontinuing the medication may be a decision made by the healthcare team based on patient safety, not necessarily the patient's autonomous choice. C. Fidelity: Fidelity involves being faithful and maintaining trust in the patient-nurse relationship. Discontinuing the medication can be seen as upholding fidelity by acting in the patient's
Question 2 of 5
In relationship to the nurse's ability to communicate with a client, which type of communication most effectively demonstrates professional competence?
Correct Answer: C
Rationale: The correct answer is C: Interpersonal. Interpersonal communication involves direct interaction between the nurse and client, showcasing active listening, empathy, and respect. This type of communication fosters trust, understanding, and therapeutic relationships, reflecting professional competence. Public communication (A) involves addressing large audiences and may lack the personal connection needed in client interactions. Small group communication (B) involves communication within a limited group and may not be as focused on individual client needs. Intrapersonal communication (D) refers to self-talk and reflection, which is important but not directly related to communicating with clients.
Question 3 of 5
Two adult siblings are caring for their ill mother, who requires 24-hour care: she needs assistance with feeding, bathing, and toileting. One of the siblings takes time to exercise after work. The other sibling goes directly to the mother's home before and after work each day. The nurse recognizes that people may react differently to the same stressors depending on various factors. What are some of these factors? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Amount of perceived stress. This is because individuals may react differently to stressors based on how they perceive the level of stress they are experiencing. Factors such as previous experiences, personality, and support systems can influence how stress is perceived. Hair color (B) and skin type (D) are not relevant factors in how individuals react to stress. Individual coping skills (C) are important, but they are more about how individuals manage stress rather than how they initially perceive it.
Question 4 of 5
When assessing a patient with chronic lung disease, the nurse finds a sudden onset of agitation and confusion. Which action should the nurse take first?
Correct Answer: D
Rationale: The correct action is to assess vital signs and pulse oximetry first. This is essential to determine if the patient's agitation and confusion are due to hypoxia, a common complication in chronic lung disease. Monitoring the patient every 10-15 minutes (choice A) may delay identifying and addressing the underlying issue. Notifying the healthcare provider immediately (choice B) is important but assessing the patient's condition takes precedence. Attempting to calm and reassure the patient (choice C) is helpful but not the priority when the patient's safety is at risk. Assessing vital signs and pulse oximetry (choice D) is crucial for immediate intervention if hypoxia is detected.
Question 5 of 5
Clarita 40 y/o expresses fear in acquiring osteoporosis.You would advise to increase what mineral in her diet?
Correct Answer: A
Rationale: Step 1: Osteoporosis is a condition characterized by weakened bones, making them more prone to fractures. Step 2: Calcium is a key mineral required for bone health and strength. Step 3: Adequate calcium intake helps in preventing osteoporosis. Step 4: Advising Clarita to increase calcium in her diet will support bone health and reduce the risk of osteoporosis. Summary: Choice A (Calcium) is correct as it directly addresses the deficiency that can lead to osteoporosis. Choices B, C, and D are incorrect as they do not specifically target the mineral essential for bone health.