ATI RN
Basic Principles of Patient Care Questions
Question 1 of 5
The Omnibus Budget Reconciliation Act (OBRA) was passed as a response to
Correct Answer: B
Rationale: The correct answer is B because OBRA was passed in response to reports of abuse and poor care in long-term care facilities. This legislation aimed to improve the quality of care provided to residents in these facilities by setting standards for training, staffing, and resident rights. Choices A, C, and D are incorrect because they do not directly address the main purpose of OBRA, which was to address the issues of abuse and poor care in long-term care facilities.
Question 2 of 5
One way for a nursing assistant to communicate effectively with a resident who has a visual impairment is to
Correct Answer: B
Rationale: The correct answer is B: Touch the resident on the arm before identifying herself to let her know the NA is there. This approach is effective because it helps the visually impaired resident to be aware of the nursing assistant's presence before verbal communication. By gently touching the resident's arm, the nursing assistant establishes physical contact and ensures the resident is prepared for interaction. This gesture shows respect for the resident's personal space and helps build trust and rapport. A: Waiting until the resident speaks is not proactive and may lead to confusion or frustration for the visually impaired resident. C: Speaking as little as possible is not helpful as communication is essential for providing care and addressing the resident's needs. D: Using the face of an imaginary clock may be confusing and unnecessary for the resident, as simple and direct communication through touch and verbal cues is more effective.
Question 3 of 5
If a resident's religious beliefs are different from a nursing assistant's beliefs, the nursing assistant should
Correct Answer: A
Rationale: The correct answer is A: Respect the resident's beliefs. This is important in promoting person-centered care and respecting individual autonomy. Nursing assistants should acknowledge and accommodate residents' religious beliefs to provide culturally sensitive care. Trying to change beliefs (B) violates the resident's autonomy. Ignoring dietary restrictions (C) could harm the resident's health. Refusing care (D) goes against the nursing assistant's duty to provide care to all residents.
Question 4 of 5
The most important thing a nursing assistant can do to prevent the spread of disease is to
Correct Answer: C
Rationale: The correct answer is C: Wash her hands. Hand hygiene is the most effective way to prevent the spread of infection in healthcare settings. It helps remove and kill germs that can cause diseases. Gloves and PPE are important, but proper handwashing is crucial. Getting vaccinated is important for personal protection, not necessarily for preventing the spread of disease. Using lotions to reduce the risk of broken skin is not directly related to preventing the spread of disease.
Question 5 of 5
An example of a restraint alternative is
Correct Answer: C
Rationale: The correct answer is C: Giving frequent help with elimination. This is an example of a restraint alternative as it promotes independence while ensuring the resident's safety. Providing assistance with elimination helps prevent falls and accidents without restricting the resident's movement. A: Tying the resident to the bed is incorrect as it is a form of physical restraint that limits the resident's freedom of movement. B: Removing the resident's call light is incorrect as it can jeopardize the resident's ability to seek help when needed. D: Locking the resident's door from the outside is incorrect as it restricts the resident's freedom and can be dangerous in case of an emergency.