ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
The nurse cares for a patient, who has been taking ibuprofen for back pain x 3 weeks, was admitted to the hospital for abdominal pain. Which assessment data takes priority?
Correct Answer: C
Rationale: Rationale: 1. Occult blood in stool can indicate gastrointestinal bleeding, a serious complication of prolonged ibuprofen use. 2. Gastrointestinal bleeding can lead to anemia, hypovolemia, and shock. 3. Promptly addressing bleeding is crucial to prevent further complications. 4. Diarrhea, Hematuria, and Ova & Parasites are less likely related to ibuprofen use for back pain and are not immediate priorities.
Question 2 of 5
In relationship to the nurse's ability to communicate with a client, which type of communication most effectively demonstrates professional competence?
Correct Answer: C
Rationale: The correct answer is C: Interpersonal. Interpersonal communication involves direct interaction between the nurse and client, showcasing active listening, empathy, and respect. This type of communication fosters trust, understanding, and therapeutic relationships, reflecting professional competence. Public communication (A) involves addressing large audiences and may lack the personal connection needed in client interactions. Small group communication (B) involves communication within a limited group and may not be as focused on individual client needs. Intrapersonal communication (D) refers to self-talk and reflection, which is important but not directly related to communicating with clients.
Question 3 of 5
The nurse conducting a community health promotion class on sexuality includes that a person's biologic sex is determined by:
Correct Answer: B
Rationale: The correct answer is B because biologic sex is determined by both external and internal genitalia, which are physical characteristics present at birth. This is based on chromosomal and hormonal factors that dictate the development of male or female reproductive organs. Choice A is incorrect as sexual intercourse does not determine biologic sex. Choice C refers to gender identity, not biologic sex. Choice D pertains to sexual orientation, not biologic sex. In summary, the physical characteristics of external and internal genitalia are the key factors in determining a person's biologic sex.
Question 4 of 5
What is the leading cause of injury-related deaths in adults 65 and older?
Correct Answer: A
Rationale: The correct answer is A: Falls. Older adults are at higher risk of falls due to factors like decreased balance and mobility. Falls are the leading cause of injury-related deaths in this age group. Violence (B) is less common, alcoholism (C) is a health issue but not the leading cause of injury-related deaths, and MVAs (D) are more common in younger age groups.
Question 5 of 5
A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
Correct Answer: B
Rationale: The correct answer is B: Depression. The patient's symptoms such as being easily distracted, recent life changes, and the loss of his pet suggest a mood disorder rather than a cognitive impairment like dementia (A) or delirium (C). The patient's alertness and ability to engage in conversation indicate that he is not experiencing delirium. Additionally, the patient's medical history of diabetes makes a hypoglycemic reaction (D) less likely, as he is alert during the assessment. Depression is a common comorbidity in patients with chronic illnesses like osteoarthritis and diabetes, and the recent life stressors could exacerbate his depressive symptoms.