ATI RN
Client Safety in Nursing 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 displaying the ethical principle of nonmaleficence by refusing to disclose the surgeon's medical diagnosis without permission. Nonmaleficence means to do no harm, and sharing sensitive medical information without consent could potentially harm the surgeon's privacy and confidentiality. A. Utility focuses on maximizing benefits and minimizing harm for the greater good, which is not directly related to the nurse's action in this scenario. B. Paternalism involves making decisions for a patient's best interest without their consent, which is not applicable here as the nurse is respecting the surgeon's autonomy. C. Justice refers to fairness and equal treatment, which is not the primary ethical principle being demonstrated in this situation.
Question 2 of 5
A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?
Correct Answer: A
Rationale: Correct Answer: A. Check the client's medical record for the provider's prescription. Rationale: 1. Verifying the provider's prescription is essential to ensure the client's safety and adherence to medical orders. 2. It is crucial to confirm the medical necessity before proceeding with the procedure. 3. Checking the medical record respects the client's right to informed consent and promotes patient-centered care. Summary: - Option B does not address the importance of verifying the provider's prescription. - Option C assumes the client's comfort with the procedure without confirming the doctor's order. - Option D prematurely escalates the situation without confirming the medical necessity.
Question 3 of 5
A charge nurse receives complaints about an LPN's lack of care. What should the charge nurse do?
Correct Answer: C
Rationale: The correct answer is C because talking with the clients who reported concerns allows the charge nurse to gather direct feedback and specific details about the LPN's behavior, which can help in understanding the situation better and addressing the issues effectively. By speaking with the clients, the charge nurse can assess the validity of the complaints and take appropriate action, such as providing additional training or supervision to the LPN. Reviewing the personnel file (A) may provide background information but does not address the current complaints directly. Discussing with other nurses (B) may lead to gossip or bias without evidence from the clients. Reassigning client care (D) without addressing the root cause is not a sustainable solution.
Question 4 of 5
A nurse is caring for a client on the medical-surgical unit. The client has been taking warfarin at home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Explain the risk the client faces if she leaves the facility. Rationale: 1. Warfarin is a blood thinner that requires close monitoring of the INR to prevent complications like bleeding. 2. An INR of 3.5 is above the therapeutic range, putting the client at risk for bleeding. 3. It is crucial for the nurse to educate the client about the potential consequences of leaving against medical advice. 4. By explaining the risks, the nurse can help the client make an informed decision about their health. 5. This action demonstrates the nurse's duty to ensure the client's safety and well-being. Summary of other choices: A: Forcing the client to sign an AMA form does not address the client's concerns or provide necessary education about the risks. B: Threatening the client with insurance consequences is coercive and does not prioritize the client's health. D: Involving security is not appropriate in this situation and does not address the client
Question 5 of 5
A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?
Correct Answer: B
Rationale: The correct answer is B because reducing the incidence of foot amputations is a specific and measurable goal in managing diabetes. This goal directly addresses a serious complication of diabetes and reflects the program's effectiveness in improving outcomes. Choices A, C, and D do not focus on measurable outcomes related to diabetes management, making them less relevant goals for the program. Providing proper foot care (choice A) is important but does not guarantee improved outcomes. Reserving a facility (choice C) and distributing materials (choice D) are logistical details rather than program goals.