ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
Mr. Johnston is very confused. He likes to have a cigarette after lunch. You should:
Correct Answer: B
Rationale: Mr. Johnston's confusion indicates a cognitive impairment, which increases the risk of unsafe behaviors, such as mishandling a cigarette, potentially leading to burns or fire hazards. As a PSW, ensuring his safety is paramount while respecting his autonomy to the extent possible. Taking him to the smoking room is a step but does not guarantee oversight. Respecting his right to smoke anytime overlooks the need for supervision given his condition. Telling him he cannot smoke dismisses his preferences entirely, which could upset him and violate his rights unnecessarily. Supervising his smoking strikes the best balance: it allows him to engage in his desired activity while ensuring a PSW is present to monitor for safety, aligning with care standards that prioritize both resident autonomy and protection in long-term care settings.
Question 2 of 5
Which best describes a protective covering of the body, composed of both living and dead skin?
Correct Answer: A
Rationale: The skin's protective covering comprises the dermis and epidermis . The epidermis, with dead outer cells, shields against pathogens and damage, while the living dermis below supports it with blood vessels and nerves. Tendons and ligaments connect muscles and bones, not a covering. Veins and arteries transport blood internally, not externally protective. Subcutaneous and muscle lie beneath skin, providing insulation and movement, not the surface barrier. As the integumentary system's core, dermis and epidermis align with PSW skin care knowledge, making it the correct description.
Question 3 of 5
When dressing a resident who has an IV in place, the PSW should:
Correct Answer: D
Rationale: Dressing a resident with an IV requires maintaining its function and safety. Discontinuing the IV is beyond a PSW's scope and disrupts treatment. Cutting clothing risks contamination or injury near the site. Turning off the pump interrupts flow, potentially causing clots, and isn't a PSW task. Keeping the IV bag above the needle site ensures gravity-driven flow, preventing backflow or air entry, a standard practice in IV care. This aligns with PSW training for assisting without altering medical devices, making it the safest and correct action.
Question 4 of 5
A client is on complete bed rest. To prevent a bedsore a caregiver should:
Correct Answer: B
Rationale: Bedsores (pressure ulcers) stem from pressure on skin during immobility. Keeping the bottom sheet wrinkle-free reduces friction and pressure points, a primary prevention step in PSW care. Tucking the top sheet snugly increases pressure, worsening risk. Cotton sheets aid comfort but don't prevent sores alone. Thick pads may help but aren't standard without specific orders. Guidelines like NPUAP's emphasize smooth bedding, making 'Keep the bottom sheet wrinkle free' the correct and practical choice.
Question 5 of 5
Mr. Griffin touches the support worker in an inappropriate way while care is being provided. What appropriate immediate action should be taken by the support worker?
Correct Answer: A
Rationale: Inappropriate touching requires a calm, professional response. Telling the client it's uncomfortable and asking him to stop (Choice A, duplicated as B) sets a boundary respectfully, de-escalating while asserting safety, per PSW conduct guidelines. Slapping and sternness is unprofessional and escalatory. Ignoring and delaying risks further incidents and delays reporting. Immediate, polite communication aligns with training on managing behavior, ensuring dignity and safety, making it the correct initial action.