ATI RN
Client Health and Safety Responsibilities Questions
Question 1 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 upholding the principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis to another nurse, the nurse is preventing potential harm or breach of confidentiality. This demonstrates respect for the surgeon's autonomy and right to confidentiality. Summary: A: Utility - Not relevant in this scenario, as it pertains to maximizing benefits and minimizing harms for the majority. B: Paternalism - Not applicable here, as it involves making decisions for someone else's benefit without their consent. C: Justice - Not applicable in this context, as it relates to fairness and equitable distribution of resources or benefits.
Question 2 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. Nonmaleficence is the ethical principle of doing no harm. In this scenario, discontinuing the experimental chemotherapy medication after evidence of rapidly advancing kidney failure is in line with this principle. Continuing the medication would harm the client further, so stopping it is the right course of action. Incorrect choices: A: Veracity - Veracity is the principle of truth-telling. Stopping the medication is not related to truth-telling. B: Autonomy - Autonomy is the principle of respecting the client's right to make their own decisions. Stopping the medication for the client's safety is not against their autonomy. C: Fidelity - Fidelity is the principle of keeping promises. Stopping the medication does not violate any promises made to the client.
Question 3 of 5
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
Correct Answer: B
Rationale: The correct answer is B because fluctuating blood pressure and pulse indicate a potential unstable condition requiring close monitoring and immediate intervention, necessitating the oncoming nurse to assume total care. A: Family presence doesn't necessarily indicate the need for total care. C: Past thoughts of suicide require assessment and monitoring, but not necessarily total care. D: Client's job is irrelevant to the current care needs and doesn't mandate total care assumption.
Question 4 of 5
A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?
Correct Answer: A
Rationale: The correct answer is A because standing up during the announcement can effectively signal to the team that something important is about to be shared. By changing position from sitting to standing, the nurse can capture the attention of the group and signal a shift in focus. This nonverbal cue can help to emphasize the importance of the announcement and create a sense of anticipation among the team members. Choices B, C, and D are incorrect because they do not effectively enhance the importance of the announcement. Crossing arms over the chest (B) can convey defensiveness or closed-off body language, which may not be conducive to fostering a positive reception to the message. Staring at individuals (C) can come across as aggressive or confrontational, potentially causing discomfort or resistance among the team. Leaning over the back of a chair (D) may appear casual or lack the gravitas needed to convey the significance of the announcement.
Question 5 of 5
A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
Correct Answer: B
Rationale: The correct answer is B. Glyburide is not recommended during breastfeeding as it can pass into breast milk and potentially affect the baby's blood sugar levels. This could be harmful to the infant. Choice A is unrelated to glyburide use. Choice C, getting a flu shot, is not a contraindication for taking glyburide. Choice D, being allergic to shellfish, does not directly impact the use of glyburide for diabetes.