ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it supports patient autonomy and informed decision-making. As a nurse, it is essential to empower patients to make their own healthcare decisions. By offering to answer questions and providing information, the nurse encourages the patient to take an active role in their treatment plan. This approach respects the patient's right to choose and promotes shared decision-making. Choice A is incorrect as it deflects responsibility and does not encourage the patient to be involved in the decision-making process. Choice B is irrelevant as personal anecdotes are not a reliable basis for medical decisions. Choice D is incorrect as it promotes personal preference over evidence-based practice. Ultimately, choice C aligns with ethical principles of patient-centered care and respects the patient's autonomy.
Question 2 of 5
The team leader must assign a UAP to help care for Mr. N with non-Hodgkin lymphoma. For this neutropenic client, which factor is most important in making this assignment?
Correct Answer: C
Rationale: The correct answer is C because the UAP having no experience with neutropenic precautions is the most important factor to consider when assigning care for a neutropenic client like Mr. N. Neutropenic clients are at high risk for infections due to low white blood cell count, so it is crucial for the UAP to have knowledge and experience in following strict infection control practices. Choices A, B, and D are not as critical because a UAP being pregnant in the first trimester, having cold symptoms, or having a fear of isolation clients do not directly impact their ability to provide safe care for a neutropenic client.
Question 3 of 5
Mr. N (non-Hodgkin lymphoma) reports noticing some transient numbness and tingling in his lower legs with occasional mild burning type pain. What is the nurse most likely to do first?
Correct Answer: D
Rationale: The correct answer is D: Assess for possible chemotherapy-induced peripheral neuropathy. This is the most appropriate action as Mr. N's symptoms of numbness, tingling, and burning pain in his lower legs are common signs of peripheral neuropathy, a side effect of chemotherapy. By assessing for this potential complication first, the nurse can determine if Mr. N's symptoms are related to his cancer treatment and initiate appropriate interventions. Choice A is incorrect as venous thromboembolism typically presents with different symptoms such as swelling, redness, and warmth in the affected limb. Choice B is also incorrect as peripheral arterial insufficiency would present with symptoms like coolness, pallor, and weak pulses in the affected limb. Choice C is not the most appropriate action at this time as it does not address the potential underlying cause of Mr. N's symptoms.
Question 4 of 5
Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?
Correct Answer: B
Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid
Question 5 of 5
In helping a client such a Ms. C, who had a colostomy with a bowel resection, which tasks can be delegated to the UAP? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.