ATI RN
Client Safety Questions
Question 1 of 5
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, 'Are there other options besides surgery?' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for correct answer (C): 1. The nurse should promote client autonomy and informed decision-making. 2. Asking if the client has discussed other treatments shows respect for client preferences. 3. It encourages the client to consider all options before making a decision. 4. This response supports the client in making an informed choice based on available treatments. Summary of incorrect choices: A: Incorrect because it dismisses the client's question and rushes the consent process. B: Incorrect as it imposes the nurse's opinion on the client, which is not appropriate. D: Incorrect because it assumes the client does not want surgery without exploring other options.
Question 2 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: A
Rationale: The correct answer is A because Shigella is a highly contagious bacterial infection that can easily spread in the community. Infants are more vulnerable to severe complications from Shigella. Reporting this case promptly to the public health department can help prevent further spread of the infection. Choice B is incorrect because the presence of acid-fast bacillus smear does not necessarily indicate a communicable disease that requires immediate public health intervention. Choice C is incorrect because Pneumocystis carinii is an opportunistic infection typically seen in immunocompromised individuals, and while important for the individual's treatment, it does not pose an immediate public health threat. Choice D is incorrect because varicella zoster virus causes chickenpox and shingles, which are not reportable diseases to the public health department unless there is an outbreak situation.
Question 3 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 is displaying the ethical principle of nonmaleficence by respecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis, the nurse is avoiding causing harm or breaching the surgeon's trust. A: Utility focuses on maximizing benefits and minimizing harm for the greater good. B: Paternalism involves making decisions for others based on what is believed to be in their best interest. C: Justice pertains to fairness and equality in healthcare decision-making.
Question 4 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A because it focuses on addressing the specific behavior of delegating unfairly and leaving tasks incomplete. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can provide clear guidelines for the staff nurse to follow. This approach encourages open communication and establishes mutual understanding. Option B is incorrect as it involves hearsay and does not address the specific behavior in question. Option C is not the best approach as it immediately threatens involvement of higher authority without attempting to resolve the issue directly. Option D uses accusatory language and does not offer a constructive solution to the problem.
Question 5 of 5
The reliability of a measuring tool has the following aspects, except:
Correct Answer: C
Rationale: The correct answer is C: Efficiency. Efficiency is not an aspect of reliability in measuring tools. Let's break it down: 1. Stability refers to the consistency of the tool's measurements over time. 2. Internal consistency indicates the extent to which different items within the tool measure the same construct. 3. Equivalence pertains to the consistency of results when different forms of the tool are used. Therefore, efficiency, which relates to the speed or resource utilization of a tool, is not directly related to the reliability of measurements.