ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
Postmortem care includes
Correct Answer: C
Rationale: The correct answer is C: Positioning the body in proper alignment. Postmortem care involves maintaining the body in a dignified and respectful manner. Proper alignment helps prevent rigor mortis and maintain a natural appearance. Covering the body completely (A) is important for privacy but not the primary focus of postmortem care. Propping the eyes open (B) is unnecessary and can be unsettling for others. Leaving on the oxygen (D) is not part of postmortem care and can be removed once death has been confirmed.
Question 2 of 5
A nurse is providing oral care to a patient with dentures. What action would the nurse do first?
Correct Answer: B
Rationale: In this scenario, the correct first action for the nurse to take when providing oral care to a patient with dentures is to option B) Don gloves. This is crucial for infection control and maintaining proper hygiene practices. By wearing gloves, the nurse is protecting both the patient and themselves from potential germs and contaminants present in the oral cavity. Option A) Assess the mouth and gums, while important, should come after donning gloves. Assessing the mouth and gums without gloves can introduce bacteria and increase the risk of infection. Option C) Wash the patient's face is not the immediate priority in this context. While facial hygiene is important, the focus here is on oral care specifically. Option D) Apply lubricant is also not the first step. Once gloves are worn, the nurse can proceed with lubricating the dentures for easier removal and cleaning. Educationally, this question emphasizes the significance of infection control measures in patient care, particularly when dealing with oral hygiene procedures. It highlights the sequence of steps to be followed to ensure safe and effective patient-centered care, reinforcing best practices for healthcare professionals.
Question 3 of 5
A nurse recommends a regular exercise program for a patient who has difficulty sleeping. The patient asks how this will help. How would the nurse respond?
Correct Answer: B
Rationale: The correct answer is B) Improved sleep is one benefit of regular exercise. This response is the most appropriate because regular exercise has been scientifically proven to improve sleep quality. When we engage in physical activity, our body releases endorphins, which are natural hormones that promote feelings of well-being and reduce feelings of stress and anxiety, all of which can contribute to better sleep. By highlighting this direct benefit of exercise, the nurse is providing the patient with a specific and evidence-based explanation for how exercise can help with their sleep difficulties. Option A) The fresh air will stimulate your metabolism is incorrect because the relationship between fresh air and metabolism is not directly related to improving sleep. Option C) Exercise can help you control your weight is also incorrect as it focuses on weight control rather than addressing the patient's sleep issues. Option D) Take my word for it. It sure helped me is inappropriate as it does not provide any factual information or address the patient's concerns in a professional and evidence-based manner. In an educational context, it is essential for healthcare professionals to provide patients with clear, accurate, and evidence-based information to empower them to make informed decisions about their health. By explaining the specific benefits of exercise in relation to improving sleep, the nurse not only addresses the patient's question but also educates them on the importance of physical activity for overall well-being.
Question 4 of 5
After surgery, a postoperative patient has not voided for 8 hours. Where would the nurse assess the bladder for distention?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) between the symphysis pubis and the umbilicus. The rationale behind this is that the nurse should assess the bladder for distention in this area as it corresponds to the location of the bladder in relation to the abdominal landmarks. Option B) over the costovertebral region of the flank is incorrect because this area is associated with the kidneys, not the bladder. Option C) in the left lower quadrant of the abdomen is incorrect as this area primarily contains the sigmoid colon and part of the descending colon, not the bladder. Option D) between ribs 11 and 12 and the umbilicus is also incorrect as it corresponds to the location of the spleen, not the bladder. Educationally, understanding the anatomical landmarks for assessing specific organs like the bladder postoperatively is crucial for nurses to provide optimal patient care. Being able to accurately locate and assess the bladder for distention helps in identifying potential issues such as urinary retention or complications post-surgery, enabling timely interventions and promoting patient-centered care.
Question 5 of 5
A patient is having difficulty having a bowel movement on the bedpan. What is the physiologic reason for this problem?
Correct Answer: B
Rationale: The correct answer is B) The position does not facilitate downward pressure. Explanation: When a patient is having difficulty having a bowel movement on the bedpan, it is often due to the position not facilitating the necessary downward pressure needed for defecation. In a seated position, the puborectalis muscle forms a kink in the rectum, making it difficult for feces to pass. By not being able to achieve the optimal position for defecation, the patient may struggle to have a bowel movement on the bedpan. Why the other options are incorrect: A) It is painful to sit on a bedpan: While discomfort can be a factor, pain alone is not typically the primary reason for difficulty with bowel movements on a bedpan. C) The position encourages the Valsalva maneuver: Engaging in the Valsalva maneuver (forceful exhalation against a closed airway) can actually lead to increased intra-abdominal pressure, which may help with defecation rather than hinder it. D) The cause is unknown and requires further study: In the context of a patient having difficulty with a bowel movement on the bedpan, the reason is often related to physiological factors such as positioning rather than being completely unknown. Educational context: Understanding the physiological aspects of defecation and how body positioning can impact bowel movements is crucial for healthcare providers when caring for patients who may face challenges in this area. Educating patients on proper positioning and techniques for using a bedpan can help promote successful bowel movements and prevent discomfort or complications. Nurses and caregivers should be knowledgeable about providing optimal support and guidance to patients requiring assistance with toileting to ensure patient-centered care and maintain patient dignity and comfort.