ATI RN
Client Safety in Nursing Questions
Question 1 of 5
A patient with acute respiratory distress syndrome (ARDS) has progressed to the fibrotic phase. The patient's family members are anxious about the patient's condition and are continuously present at the hospital. In addressing the family's concerns, it is important for the nurse to
Correct Answer: A
Rationale: The correct answer is A because in the fibrotic phase of ARDS, the chance of survival is poor. Supporting the family and helping them understand this realistic expectation is crucial for their emotional preparation. Choice B is incorrect because maintaining mechanical ventilation at home post-discharge is not feasible. Choice C is incorrect as transferring the patient to a long-term care facility may not be appropriate at this stage. Choice D is incorrect because stating that the disease process has started to resolve is inaccurate in the fibrotic phase.
Question 2 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 3 of 5
A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by a process audit?
Correct Answer: C
Rationale: Step 1: Process audits focus on evaluating the procedures and processes involved in providing care. Step 2: Quality of nursing care provided is directly related to the processes and procedures followed by nursing staff. Step 3: By conducting a process audit, the committee can assess if the established procedures are being followed to ensure quality care. Step 4: Availability of resources and nursing staff ratios are important but are more related to structural or outcome audits. Step 5: Length of facility stay for a cohort of clients is an outcome measure and not directly related to the process of providing care. Summary: The correct answer is C because process audits assess the quality of care provided through evaluating the procedures followed, while the other choices are not directly related to the processes of care provision.
Question 4 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 5 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.