ATI RN
Client Safety Nursing Questions
Question 1 of 5
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
Correct Answer: D
Rationale: The correct answer is D: help them maintain independence. Maintaining independence is crucial for individuals with chronic illnesses and disabilities to enhance their quality of life. It allows them to have a sense of control, self-reliance, and dignity. Independence also promotes physical and mental well-being by fostering self-esteem and reducing feelings of helplessness. Choices A, B, and C are important aspects as well, but independence is the foundation that enables individuals to engage in activities related to eating well, achieving financial stability, and preserving social interactions.
Question 2 of 5
Which intervention takes priority for the client receiving hospice care?
Correct Answer: D
Rationale: The correct answer is D because assisting the client out of bed and into a chair promotes mobility and helps prevent complications such as pressure ulcers and muscle atrophy. This intervention also enhances the client's quality of life by providing them with social interaction and a change of scenery. Turning & repositioning (choice A) is important for preventing pressure ulcers but is not the priority for a client in hospice care who may not have a long prognosis. Providing small frequent nutritious meals (choice C) is also important but may not be the priority if the client has a decreased appetite or is not able to eat due to their condition.
Question 3 of 5
The charge nurse tells the staff to choose their own assignments and work it out with each other. What type of leadership style is this charge nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Laissez-faire. This leadership style involves minimal interference from the leader, allowing employees to make decisions independently. In this scenario, the charge nurse is giving staff freedom to choose assignments, reflecting a hands-off approach. Other choices are incorrect because: B: Democratic leadership involves collaboration and decision-making through group consensus, which is not evident here. C: Transactional leadership focuses on rewards and punishments based on performance, which is not addressed in the scenario. D: Autocratic leadership is characterized by centralized decision-making and little input from employees, which is not the case as the charge nurse is delegating decision-making to the staff.
Question 4 of 5
A nurse is caring for a patient preparing for discharge from the hospital the next day. The patient does not read. His family caregiver will be visiting before discharge. What can the nurse do to facilitate the patient's understanding of his discharge instructions? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Sit facing the patient so he is able to watch your lip movements and facial expressions. This approach enhances communication by allowing the patient to visually observe the nurse's non-verbal cues, which can aid in understanding despite the patient's inability to read. By facing the patient directly, the nurse can convey empathy and provide a visual connection that can facilitate comprehension. This method promotes effective communication and patient engagement. Rationales for why the other choices are incorrect: A: Yelling is not an appropriate or effective communication strategy, as it can be perceived as aggressive or disrespectful. C: While presenting one idea or concept at a time can be helpful, it does not address the visual communication aspect necessary for a non-reader. D: Sending a written copy of the instructions home is not helpful for a patient who cannot read. Additionally, relying solely on the family caregiver to review the instructions may not ensure the patient's full understanding.
Question 5 of 5
The ANA code of nursing ethics articulates that the nurse 'promotes, advocates for, and strives to protect the health, safety, and rights of the patient.' This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's x-ray film if you obscured or deleted all patient identifiers?
Correct Answer: C
Rationale: The correct answer is C: No, because, even though patient identifiers are removed, someone could identify the patient on the basis of other comments that you make online about his or her condition and your place of work. Rationale: 1. The ANA code emphasizes protecting patient privacy. 2. Even if identifiers are removed, other information can identify the patient. 3. Posting x-ray images can lead to patient identification through contextual clues. 4. Disclosing patient information without consent violates privacy rights. 5. Upholding patient confidentiality is crucial in healthcare settings. Summary: Choice A is incorrect because patient identification is not solely based on identifiers. Choice B is incorrect as autonomy doesn't override patient privacy rights. Choice D is irrelevant to the question of patient privacy. Choice C is correct as it highlights the potential risk of patient identification despite removing identifiers.