ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
Persistent and enduring behaviour patterns that tend to be expressed in a variety of situations refer to a person's:
Correct Answer: A
Rationale: Personality is enduring behavior e.g., cheerfulness unlike physiology , esteem , or stamina . PSWs note this e.g., traits for rapport. Misnaming risks misjudging; this fits. This insight tailors care, a PSW strength in client relations.
Question 2 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 3 of 5
The use of the body in an efficient and careful manner refers to proper body:
Correct Answer: D
Rationale: Proper body mechanics involves using the body efficiently and safely during tasks like lifting or transferring clients, reducing injury risk to PSWs and ensuring client comfort. It encompasses principles like bending at the knees, keeping loads close, and maintaining balance. Segments refer to body parts, not their coordinated use. Alignment is part of mechanics but too narrow alone, focusing on posture. Base of support is a component widening the stance for stability but not the full concept. Body mechanics is the holistic term taught in PSW training, integrating these elements to prevent strain (e.g., back injuries) and align with occupational health guidelines, making it the correct and most complete answer.
Question 4 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 5 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.