ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 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 2 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.
Question 3 of 5
A client is on complete bed rest. To prevent a bedsore a caregiver should:
Correct Answer: B
Rationale: Bedsores (pressure ulcers) stem from pressure on skin during immobility. Keeping the bottom sheet wrinkle-free reduces friction and pressure points, a primary prevention step in PSW care. Tucking the top sheet snugly increases pressure, worsening risk. Cotton sheets aid comfort but don't prevent sores alone. Thick pads may help but aren't standard without specific orders. Guidelines like NPUAP's emphasize smooth bedding, making 'Keep the bottom sheet wrinkle free' the correct and practical choice.
Question 4 of 5
Mr. Griffin touches the support worker in an inappropriate way while care is being provided. What appropriate immediate action should be taken by the support worker?
Correct Answer: A
Rationale: Inappropriate touching requires a calm, professional response. Telling the client it's uncomfortable and asking him to stop (Choice A, duplicated as B) sets a boundary respectfully, de-escalating while asserting safety, per PSW conduct guidelines. Slapping and sternness is unprofessional and escalatory. Ignoring and delaying risks further incidents and delays reporting. Immediate, polite communication aligns with training on managing behavior, ensuring dignity and safety, making it the correct initial action.
Question 5 of 5
Which one of the following diets might be ordered for a client with heart disease?
Correct Answer: D
Rationale: Heart disease diets, like for hypertension, often limit sodium to reduce fluid retention and heart strain, making low sodium ideal, per cardiac care guidelines. Sugar-free targets diabetes, not heart directly. High cholesterol or high sodium worsen heart conditions. PSWs implement such diets, and evidence supports low sodium for heart health, making it the correct choice.