ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: The correct answer is A: 'Let's talk about your concerns about the new policy.' This response is appropriate because it demonstrates active listening, empathy, and a willingness to address the nurse's concerns in a constructive manner. By encouraging open dialogue, the nurse manager can better understand the staff nurse's perspective, address any issues, and potentially find a solution that benefits both the nurse and the unit. Choice B is incorrect as it may come across as confrontational and may discourage the nurse from sharing her concerns in the future. Choice C is incorrect as it dismisses the nurse's feelings and does not address the specific issue at hand. Choice D is incorrect as it does not acknowledge the nurse's concerns and instead focuses on imposing support for the policy change without considering the nurse's perspective.
Question 2 of 5
A nurse is planning to delegate tasks to the AP. Which task is appropriate to delegate?
Correct Answer: A
Rationale: The correct answer is A. The task of accompanying a client with depression to occupational therapy is appropriate to delegate to an Advanced Practice (AP) nurse as it aligns with the AP's scope of practice and requires providing support and assistance to the client. The AP can offer emotional support, ensure safety during transportation, and facilitate the client's participation in therapy. Choice B is incorrect because assessing a hypomanic client for exhaustion requires clinical judgment and knowledge beyond the scope of an AP. Choice C is inappropriate as checking the position of a client in soft wrist restraints involves assessing for safety and proper restraint use, which should be done by a licensed nurse. Choice D is also incorrect as setting limits with a client experiencing mania involves therapeutic communication and complex decision-making, which are responsibilities of a licensed healthcare provider.
Question 3 of 5
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A: The staff nurse should directly address the inappropriate behavior by clearly expressing discomfort and requesting it to stop immediately. 2. B: Reporting to the nurse manager may be necessary, but addressing the issue with the hiring manager first is essential. 3. C: Creating a document is important for documentation but addressing the behavior directly should be the immediate priority. 4. D: Seeking help is valuable, but addressing the hiring manager's behavior directly is crucial in this situation.
Question 4 of 5
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Act for the LPN. The Nurse Practice Act outlines the scope of practice and legal responsibilities for LPNs, guiding RNs in making appropriate delegations. Agency policies (A) may vary and should align with legal regulations. Documented experience level (B) and skill level (C) are important but do not guarantee competency within legal boundaries. The State Nurse Practice Act ensures delegation is within the legal scope of the LPN's practice.
Question 5 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: A
Rationale: The correct answer is A because a client with a lumbosacral spinal tumor may require assistance with meals due to potential mobility limitations. Guillain-Barre syndrome (choice B) affects the peripheral nervous system, requiring close monitoring. ALS (choice C) is a progressive motor neuron disease, necessitating comprehensive care. Systemic sclerosis (choice D) involves thickening of the skin and internal organs, which may impact swallowing and digestion. Delegating meal assistance to the AP for a client with a lumbosacral spinal tumor aligns with the AP's scope of practice and the client's specific care needs.