ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
When reviewing a new patient's birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The patient will bring a paid, trained labor support person with her during labor. A doula is a trained professional who provides physical, emotional, and informational support to the mother before, during, and just after childbirth. It is crucial for the nurse to understand this because doulas play a significant role in improving birth outcomes by reducing the need for medical interventions, decreasing the length of labor, and enhancing the mother's overall satisfaction with her birth experience. Option A) The patient will have her grandmother as a support person is incorrect because a doula is a specifically trained professional, not a family member. Option C) The patient will have a special video she will play during labor to assist with relaxation is incorrect because while relaxation techniques can be helpful during labor, a doula provides hands-on support and guidance that goes beyond simply playing a video. Option D) The patient will have a bag that contains all the approved equipment that may help with the labor process is incorrect because it does not relate to the presence of a doula, who is a support person rather than equipment. Understanding the role of a doula is essential for healthcare professionals working in maternity care, as they can collaborate effectively with doulas to provide comprehensive support to pregnant individuals during the labor and birth process. By recognizing the value of doulas, nurses can help facilitate a more positive and empowering birth experience for their patients.
Question 2 of 5
The nurse is formulating a nursing care plan for a postpartum patient. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan?
Correct Answer: A
Rationale: In the context of formulating a nursing care plan for a postpartum patient, the correct answer is A) Using a standardized postpartum care plan. This option demonstrates critical thinking skills as it involves utilizing evidence-based practice and established protocols to ensure comprehensive and effective care for the patient. Option B) Determining priorities for each diagnosis written is also a critical thinking skill; however, it may not necessarily be the most appropriate action when formulating a care plan as it focuses more on individual diagnoses rather than a holistic approach. Option C) Prioritizing care is essential in nursing practice, but it does not specifically address critical thinking skills in the context of formulating a care plan. Option D) Reflecting and suspending judgment when writing the care plan is important for critical thinking; however, it is more about the process of decision-making rather than the initial formulation of the care plan. Educationally, understanding the importance of evidence-based practice, standardized care plans, and holistic approaches in nursing care planning is crucial for providing safe and effective patient care. Critical thinking skills play a vital role in ensuring that nursing interventions are well-reasoned, individualized, and based on the best available evidence.
Question 3 of 5
During which phase of the cycle of violence does the batterer become contrite and remorseful?
Correct Answer: B
Rationale: In the cycle of violence in domestic abuse situations, the correct phase in which the batterer becomes contrite and remorseful is the Honeymoon phase. This is when the abuser may apologize, show affection, and promise to change their behavior. It is important to recognize this phase as part of the cycle because it can often lead the victim to believe that the abuse will not happen again or that the abuser has truly changed. Option A) Battering is incorrect because this phase involves the actual abusive behavior and not remorse. Option C) Tension-building is incorrect as it is characterized by increasing tension and stress in the relationship, leading up to the battering phase. Option D) Increased drug taking is not directly related to the cycle of violence phases and is a distractor in this context. Educationally, understanding the cycle of violence is crucial for anyone working in healthcare, social services, or law enforcement as it can help in identifying and supporting victims of domestic abuse. Recognizing the different phases can also aid in safety planning and intervention strategies to break the cycle of abuse.
Question 4 of 5
The nurse is planning a teaching session for staff on ethical theories. Which situation best reflects the Deontologic theory?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Initiating resuscitative measures on a 90-year-old patient with terminal cancer, which best reflects the Deontologic theory. Deontological ethics, associated with philosophers like Immanuel Kant, focuses on the inherent rightness or wrongness of actions themselves, regardless of their consequences. In this situation, initiating resuscitative measures aligns with the duty-based approach of deontology, where the nurse has a moral obligation to uphold the principles of preserving life and providing care, irrespective of the outcome. Option A) Approving a physician-assisted suicide contradicts the Deontologic theory as it involves intentionally ending a life, which goes against the principle of preserving life. Option B) Supporting the transplantation of fetal tissue and organs might involve ethical considerations related to autonomy and beneficence but does not directly align with the duty-based ethics of Deontology. Option C) Using experimental medications for the treatment of AIDS could raise issues of beneficence and nonmaleficence, but it does not specifically address the moral duty aspect emphasized in Deontologic theory. In an educational context, understanding ethical theories is crucial for healthcare professionals to navigate complex moral dilemmas and make ethically sound decisions in their practice. By grasping the principles of deontological ethics, nurses can better comprehend the importance of moral duties and obligations in providing patient care, even in challenging situations where ethical principles may conflict.
Question 5 of 5
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, 'Why is elective abortion considered such an ethical issue?'
Correct Answer: D
Rationale: The correct answer is D) There is a conflict between the rights of the woman and the rights of the fetus. This option is correct because elective abortion is considered an ethical issue due to the conflicting rights involved. It raises questions about the woman's autonomy and right to make decisions about her own body versus the rights of the developing fetus. This ethical dilemma is at the core of the abortion debate, as both sides argue for the protection of different rights. Option A is incorrect because abortion does not necessarily require third-party consent; it is a decision typically made by the pregnant individual or in some cases, in consultation with medical professionals. Option B is incorrect because the U.S. Supreme Court ruling on when life begins is not the primary reason why elective abortion is considered an ethical issue. The ethical debate involves more complex considerations beyond legal definitions. Option C is incorrect as well because while abortion laws may vary and constitutional rights are a part of the discussion, the core ethical issue lies in the conflict of rights between the woman and the fetus. In an educational context, understanding the ethical considerations surrounding elective abortion is crucial for healthcare professionals, as they navigate providing care while respecting diverse beliefs and values. It is essential to approach this topic with sensitivity, empathy, and a solid understanding of the ethical principles involved to ensure patient-centered care.