ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
A nurse is caring for a client whose family member requests to view the client's medical record. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because according to HIPAA regulations, a client's medical records are confidential and can only be shared with the client's permission. The nurse should inform the family member that the client must provide permission to access the medical records. A: Asking the nursing supervisor to obtain the medical records is not appropriate as it bypasses the client's right to privacy. B: The health care provider cannot share the information without the client's consent. C: Involving the ethics committee is unnecessary and does not address the issue of the client's permission. In summary, choice D is correct as it upholds the client's right to privacy and follows legal and ethical guidelines. Choices A, B, and C are incorrect as they do not consider the client's autonomy and confidentiality.
Question 2 of 5
Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for falls?
Correct Answer: A
Rationale: The correct answer is A: Sensory perceptual alterations related to decreased vision. Elderly clients with decreased vision are at greater risk for falls due to impaired depth perception, reduced awareness of obstacles, and difficulty navigating their environment. This nursing diagnosis directly impacts the client's ability to detect potential fall hazards. Incorrect Choices: B: Alteration in mobility related to fatigue - Fatigue may contribute to falls but is not as directly related to fall risk as sensory perceptual alterations. C: Impaired gas exchange related to retained secretions - This nursing diagnosis is not directly associated with an increased risk of falls. D: Altered patterns of urinary elimination related to nocturia - Nocturia may impact mobility during nighttime bathroom trips but is not as critical in fall risk assessment compared to sensory perceptual alterations.
Question 3 of 5
Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?
Correct Answer: A
Rationale: The correct answer is A because washing hands thoroughly before and after client contact is the primary nursing intervention to limit transmission of a client's Salmonella infection. Handwashing is crucial in removing and preventing the spread of pathogens. Choice B is incorrect because gloves alone do not replace proper hand hygiene. Choice C is not the primary intervention and does not address overall hand hygiene. Choice D is also incorrect as wearing gloves during linen disposal does not address the root of transmission, which is hand contamination. In summary, handwashing is the most effective and fundamental measure in preventing the transmission of infections like Salmonella.
Question 4 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 the client's comfort and pain relief without causing harm. Administering the pain medication as needed aligns with this principle by addressing the client's suffering without intentionally hastening death. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not directly apply to the individual client's situation. Fidelity (C) pertains to keeping promises and being faithful, which is important but not the primary ethical principle in this case. Veracity (D) relates to truth-telling, which is also important but not the primary concern when addressing pain management in end-of-life care.
Question 5 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse's refusal to disclose the surgeon's medical diagnosis upholds the ethical principle of nonmaleficence, which is to do no harm. By maintaining the surgeon's confidentiality, the nurse is protecting the surgeon from potential harm or breach of privacy. This action demonstrates respect for the surgeon's autonomy and promotes trust in the nurse-patient relationship. Choices A, B, and C are incorrect: A: Utility - Utility refers to maximizing benefits for the greatest number of people. In this scenario, the nurse's action does not relate to maximizing benefits. B: Paternalism - Paternalism involves making decisions for someone else's well-being without their consent. The nurse's action is not an example of paternalism as the surgeon's privacy is being respected. C: Justice - Justice involves fairness and equal treatment. The nurse's response does not directly relate to the ethical principle of justice in this context.