ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
A patient, unsure of the need for surgery, asks the nurse, 'What should I do?' What answer by the nurse is based on advocacy?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates advocacy by encouraging the patient to express their concerns and preferences. By asking the patient to elaborate on their reasons for not wanting surgery, the nurse is actively listening and supporting the patient's autonomy in decision-making. This approach helps the nurse better understand the patient's perspective and provide more personalized care. Choice A is incorrect as it imposes the nurse's personal opinion on the patient, which is not advocating for the patient's autonomy. Choice B does not provide any guidance or support to the patient, failing to advocate for the patient's needs. Choice D shifts the responsibility to the doctor without actively engaging with the patient, missing the opportunity to advocate for the patient's voice and concerns.
Question 2 of 5
Two adult siblings are caring for their ill mother, who requires 24-hour care: she needs assistance with feeding, bathing, and toileting. One of the siblings takes time to exercise after work. The other sibling goes directly to the mother9s home before and after work each day. The nurse recognizes that people may react differently to the same stressors depending on various factors. What are some of these factors? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Amount of perceived stress. This factor is crucial because individuals can experience the same stressor differently based on how they perceive and interpret it. This influences their emotional and physiological responses. Hair color (B) and skin type (D) are not relevant factors in determining how individuals react to stress. Individual coping skills (C) are important, but they are a result of how individuals perceive and handle stress rather than a factor influencing their initial reaction. Thus, the amount of perceived stress is the most relevant factor in understanding how individuals react to stressors.
Question 3 of 5
Which patients does the nurse identify as high risk for situational stress? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because a woman recovering from a car accident is at high risk for situational stress due to the traumatic experience and potential physical and emotional challenges. This patient may experience fear, anxiety, and various stress-related symptoms. A, an infant learning to walk, is not typically considered high risk for situational stress as this is a normal developmental milestone. C, a young couple expecting their first child, may experience stress, but it is more likely related to adjustment rather than a situational stressor. D, a man getting married to his long-time girlfriend, may experience stress related to the event but it is not typically classified as situational stress.
Question 4 of 5
What type of document states in writing the patient's healthcare choices or wishes if the person is unable?
Correct Answer: B
Rationale: The correct answer is B: Advanced care directive. This document allows individuals to specify their healthcare preferences in advance, including life-sustaining treatments, if they become unable to communicate. Verbal consent (A) is not a formal document and may not be legally binding. Durable power of attorney (C) designates someone to make healthcare decisions but may not include the patient's specific wishes. Comfort measures only (CMO) order (D) specifies end-of-life care but does not encompass broader healthcare choices.
Question 5 of 5
While working with a client to assess and support spirituality, the nurse should first:
Correct Answer: D
Rationale: The correct answer is D, as determining the client's perceptions and belief system is essential in understanding their spiritual needs and preferences. This step allows the nurse to tailor support and interventions accordingly. A: Referring the client to the agency chaplain may not be appropriate without first understanding the client's specific beliefs. B: Assisting the client to use faith to get well assumes all clients have faith and may not align with their individual beliefs or preferences. C: Providing a variety of religious literature may not be helpful if it does not align with the client's specific spiritual beliefs and practices. In summary, understanding the client's perceptions and belief system is crucial for providing personalized and effective spiritual support.