ATI RN
A Review of Basic Patient Rights in Psychiatric Care Questions
Question 1 of 5
The least likely cause of a depressed level of consciousness in the multisystem injured patient is:
Correct Answer: C
Rationale: The correct answer is C: Hyperglycemia. In a multisystem injured patient, the primary causes of depressed consciousness are related to perfusion and oxygenation. Hyperglycemia, while a concern, is less likely to directly cause a depressed level of consciousness compared to shock, head injury, and impaired oxygenation. Hyperglycemia may lead to symptoms like confusion or weakness, but it typically does not result in a significant decrease in consciousness level. Therefore, in the context of a multisystem injured patient, hyperglycemia is the least likely cause of a depressed level of consciousness.
Question 2 of 5
A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in the chest. There is a 3cm wound just medial to the left nipple. His BP is 70/33 and HR is 140. Neck and arm veins are distende Breath sounds are normal. Heart sounds are diminished, IV access has been established and warm crystalloid is infusing. The next most important aspect of immediate management is:
Correct Answer: C
Rationale: The correct answer is C: "FAST exam." In this scenario, the patient presents with signs of hypovolemic shock following a chest stab wound. The FAST exam (Focused Assessment with Sonography in Trauma) is crucial for rapid identification of intra-abdominal bleeding, which can occur concurrently with thoracic injuries. It is a quick and non-invasive bedside ultrasound assessment that can detect free fluid in the pericardial, pleural, and peritoneal spaces. Identifying intra-abdominal bleeding is important as it may require emergent surgical intervention to prevent further deterioration. Choice A, "CT scan of the chest," would take more time and is not the immediate priority in a hemodynamically unstable patient. Choice B, "12 lead ECG," is important in assessing for cardiac injury but is not the most critical step in this scenario. Choice D, "Begin infusion of RBCs," may be necessary later but addressing the source of bleeding and volume status through
Question 3 of 5
The chain of command is
Correct Answer: C
Rationale: The correct answer is C because the chain of command represents the hierarchical structure within an organization, outlining who reports to whom. It ensures clear communication, accountability, and efficient decision-making. Option A is incorrect as it refers to legal liability. Option B is incorrect as it only refers to the department head, not the entire structure. Option D is incorrect as it focuses on reporting a problem rather than the overall structure of authority.
Question 4 of 5
2 One reason that the Health Insurance Portability and Accountability Act (HIPAA) was passed was to
Correct Answer: B
Rationale: The correct answer is B: Protect privacy of health information. HIPAA was enacted to establish national standards for the protection of individuals' medical records and other personal health information. This legislation aims to safeguard the confidentiality and security of patient information, ensuring that it is not inappropriately disclosed or accessed. Choices A, C, and D are incorrect because HIPAA's primary focus is on privacy regulations rather than health insurance coverage, care procedures, or abuse prevention.
Question 5 of 5
2 Which of the following senses is not used in making observations?
Correct Answer: D
Rationale: The correct answer is D: Taste. Taste is not typically used in making observations because it requires the consumption of a substance to gather information, which may not be practical or safe in all situations. Sight, touch, and smell can all be used to make observations without the need for direct consumption. Taste is more subjective and can vary greatly from person to person, making it less reliable for objective observations.